Original scientific paper

https://doi.org/10.20471/acc.2023.62.02.01

Multidimensionality and Multidisciplinarity of Chronic Neuropathic Nonodontogenic Orofacial Pain

Duška Šklebar orcid.org/0000-0001-5059-735X ; Vuk Vrhovac University Clinic for Diabetes, Endocrinology and Metabolic Diseases, Merkur University Hospital, Zagreb, Croatia; Bjelovar University of Applied Sciences, Bjelovar, Croatia *
Ivan Šklebar ; Outpatient Pain Clinic, Sveti Duh University Hospital, Zagreb, Croatia; Croatian Catholic University, Zagreb, Croatia; Bjelovar University of Applied Sciences, Bjelovar, Croatia
Marijan Cesarik ; Department of Neurology, Požega General Hospital, Požega, Croatia
Vinko Čatipović orcid.org/0000-0002-4500-5599 ; Department of Psychiatry, Bjelovar General Hospital, Bjelovar, Croati
Ante Barada ; Vuk Vrhovac University Clinic for Diabetes, Endocrinology and Metabolic Diseases, Merkur University Hospital, Zagreb, Croatia
Milan Milošević orcid.org/0000-0001-9008-7645 ; Andrija Štampar School of Public Health, School of Medicine, University of Zagreb, Zagreb, Croatia
Vanja Bašić Kes ; Department of Neurology, Sestre milosrdnice University Hospital Center, Zagreb, Croatia

* Corresponding author.

Abstract

This study compared the self-assessed health-related quality of life (HRQoL) and
degree of depression between patients with chronic neuropathic nonodontogenic orofacial pain (NOFP)
and healthy controls using the Short Form Survey (SF-36) health status questionnaire and Beck Depression
Inventory II (BDI-II). This controlled cross-sectional study included 100 patients and 119 healthy
controls. The diagnostic protocol recorded the following: 1) pain intensity using a visual analog scale for
the time of examination and during the one-month prior; 2) evidence for neuropathic pain using the
Leeds questionnaire for neuropathic signs and symptoms (LANSS); 3) emotional status using the BDIII;
and 4) HRQoL using the SF-36 questionnaire. The mean LANSS score was 17.18 in the patient
group and 0.0 in the control group. The mean BDI-II score was 18.31 in the patient group and 5.87 in
the control group. The SF-36 scores were shown with Mann-Whitney U testing to have statistically significant
differences between the patient and healthy control groups in all categories. Vitality was the only
SF-36 category in which the patient group scored higher than the control group. In conclusion, NOFP
significantly reduces the self-reported HRQoL. NOFP is also related to the development of depression,
but does not affect its severity. There is a significant correlation between depression and low quality of
life in patients with NOFP.

Keywords

Neuropathic pain; Orofacial pain; Nonodontogenic pain; Quality of life; Depression

Hrčak ID:

308511

URI

https://hrcak.srce.hr/308511

Publication date:

1.8.2023.

Article data in other languages: croatian

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