Botulinum toxin relieves anxiety and depression in patients with hemifacial spasm and blepharospasm

Hongjuan Dong, Shanghua Fan, Ying Luo, Bin Peng Department of Neurology, Renmin Hospital of Wuhan University, Wuhan 430060, China Objective: To explore the efficacy of botulinum toxin type A (BTX-A) therapy in relieving anxiety and depression in patients with hemifacial spasm (HFS) and benign esse...

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Autores principales: Dong H, Fan S, Luo Y, Peng B
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Publicado: Dove Medical Press 2018
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spelling oai:doaj.org-article:34f9adf5d1594de0ba499b95466ac1122021-12-02T06:27:56ZBotulinum toxin relieves anxiety and depression in patients with hemifacial spasm and blepharospasm1178-2021https://doaj.org/article/34f9adf5d1594de0ba499b95466ac1122018-12-01T00:00:00Zhttps://www.dovepress.com/botulinum-toxin-relieves-anxiety-and-depression-in-patients-with-hemif-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Hongjuan Dong, Shanghua Fan, Ying Luo, Bin Peng Department of Neurology, Renmin Hospital of Wuhan University, Wuhan 430060, China Objective: To explore the efficacy of botulinum toxin type A (BTX-A) therapy in relieving anxiety and depression in patients with hemifacial spasm (HFS) and benign essential blepharospasm (BEB).Patients and method: Ninety idiopathic HFS patients and 90 BEB patients were enrolled. The anxiety and depression status were evaluated by self-rating anxiety scale (SAS) and self-rating depression scale (SDS), respectively, before and after the injection of BTX-A.Results: Before treatment, the SAS and SDS scores of HFS patients were 41.25±6.35 and 42.25±7.57, respectively. The SAS scores were 40.17±8.36 for males and 43.56±6.10 for females (P=0.031). The SDS scores were 40.25±6.46 for males and 45.48±7.31 for females (P=0.008). After treatment, the SAS and SDS scores were 30.12±4.35 and 30.58±4.89, respectively. There was a significant difference in the SAS and SDS scores before and after treatment. Before treatment, the SAS scores of male and female BEB patients were 56.45±8.75 and 60.89±9.11, respectively, and the SDS scores of male and female BEB patients were 57.90±7.93 and 60.12±8.35, respectively. After treatment, the SAS score was 38.17±3.67 and the SDS score was 38.12±4.15, with a significant difference in before and after treatment scores.Conclusion: In HFS and BEB, especially in female patients, there is an association with anxiety and depression. BTX-A can improve the symptoms of anxiety and depression. Keywords: hemifacial spasm, blepharospasm, anxiety, depression, botulinum toxin type A Dong HFan SLuo YPeng BDove Medical PressarticleHemifacial spasmBlepharospasmAnxietyDepressionBotulinum toxin type ANeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 15, Pp 33-36 (2018)
institution DOAJ
collection DOAJ
language EN
topic Hemifacial spasm
Blepharospasm
Anxiety
Depression
Botulinum toxin type A
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
spellingShingle Hemifacial spasm
Blepharospasm
Anxiety
Depression
Botulinum toxin type A
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
Dong H
Fan S
Luo Y
Peng B
Botulinum toxin relieves anxiety and depression in patients with hemifacial spasm and blepharospasm
description Hongjuan Dong, Shanghua Fan, Ying Luo, Bin Peng Department of Neurology, Renmin Hospital of Wuhan University, Wuhan 430060, China Objective: To explore the efficacy of botulinum toxin type A (BTX-A) therapy in relieving anxiety and depression in patients with hemifacial spasm (HFS) and benign essential blepharospasm (BEB).Patients and method: Ninety idiopathic HFS patients and 90 BEB patients were enrolled. The anxiety and depression status were evaluated by self-rating anxiety scale (SAS) and self-rating depression scale (SDS), respectively, before and after the injection of BTX-A.Results: Before treatment, the SAS and SDS scores of HFS patients were 41.25±6.35 and 42.25±7.57, respectively. The SAS scores were 40.17±8.36 for males and 43.56±6.10 for females (P=0.031). The SDS scores were 40.25±6.46 for males and 45.48±7.31 for females (P=0.008). After treatment, the SAS and SDS scores were 30.12±4.35 and 30.58±4.89, respectively. There was a significant difference in the SAS and SDS scores before and after treatment. Before treatment, the SAS scores of male and female BEB patients were 56.45±8.75 and 60.89±9.11, respectively, and the SDS scores of male and female BEB patients were 57.90±7.93 and 60.12±8.35, respectively. After treatment, the SAS score was 38.17±3.67 and the SDS score was 38.12±4.15, with a significant difference in before and after treatment scores.Conclusion: In HFS and BEB, especially in female patients, there is an association with anxiety and depression. BTX-A can improve the symptoms of anxiety and depression. Keywords: hemifacial spasm, blepharospasm, anxiety, depression, botulinum toxin type A 
format article
author Dong H
Fan S
Luo Y
Peng B
author_facet Dong H
Fan S
Luo Y
Peng B
author_sort Dong H
title Botulinum toxin relieves anxiety and depression in patients with hemifacial spasm and blepharospasm
title_short Botulinum toxin relieves anxiety and depression in patients with hemifacial spasm and blepharospasm
title_full Botulinum toxin relieves anxiety and depression in patients with hemifacial spasm and blepharospasm
title_fullStr Botulinum toxin relieves anxiety and depression in patients with hemifacial spasm and blepharospasm
title_full_unstemmed Botulinum toxin relieves anxiety and depression in patients with hemifacial spasm and blepharospasm
title_sort botulinum toxin relieves anxiety and depression in patients with hemifacial spasm and blepharospasm
publisher Dove Medical Press
publishDate 2018
url https://doaj.org/article/34f9adf5d1594de0ba499b95466ac112
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AT fans botulinumtoxinrelievesanxietyanddepressioninpatientswithhemifacialspasmandblepharospasm
AT luoy botulinumtoxinrelievesanxietyanddepressioninpatientswithhemifacialspasmandblepharospasm
AT pengb botulinumtoxinrelievesanxietyanddepressioninpatientswithhemifacialspasmandblepharospasm
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