Affective symptoms in patients with oropharyngeal dysphagia: A systematic review

Verdonschot, Rob; Baijens, Laura W. J.; Vanbelle, Sophie; Kolk, Ilona van de; Kremer, Bernd; Leue, Carsten

doi:10.1016/j.jpsychores.2017.04.006

Cited by 48 publications

(38 citation statements)

References 55 publications

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“…Although a somatic cause of dysphagia might seem unlikely, MUNOD should always be a diagnosis of exclusion. Previous research showed a high prevalence of clinically relevant affective symptoms in OD patients [13,14,31]. The present study underpins these data.…”

Section: Discussionsupporting

confidence: 80%

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Medically Unexplained Oropharyngeal Dysphagia at the University Hospital ENT Outpatient Clinic for Dysphagia: A Cross-Sectional Cohort Study

et al. 2018

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Medically unexplained oropharyngeal dysphagia (MUNOD) is a rare condition. It presents without demonstrable abnormalities in the anatomy of the upper aero-digestive tract and/or swallowing physiology. This study investigates whether MUNOD is related to affective or other psychiatric conditions. The study included patients with dysphagic complaints who had no detectible structural or physiological abnormalities upon swallowing examination. Patients with any underlying disease or disorder that could explain the oropharyngeal dysphagia were excluded. All patients underwent a standardized examination protocol, with FEES examination, the Hospital Anxiety and Depression Scale (HADS), and the Dysphagia Severity Scale (DSS). Two blinded judges scored five different FEES variables. None of the 14 patients included in this study showed any structural or physiological abnormalities during FEES examination. However, the majority did show abnormal piecemeal deglutition, which could be a symptom of MUNOD. Six patients (42.8%) had clinically relevant symptoms of anxiety and/or depression. The DSS scores did not differ significantly between patients with and without affective symptoms. Affective symptoms are common in patients with MUNOD, and their psychiatric conditions could possibly be related to their swallowing problems.

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Section: Discussionsupporting

confidence: 80%

“…Previous research showed a high prevalence of clinically relevant affective symptoms in OD patients [ 13 , 14 , 31 ]. The present study underpins these data.…”

Section: Discussionmentioning

confidence: 99%

Medically Unexplained Oropharyngeal Dysphagia at the University Hospital ENT Outpatient Clinic for Dysphagia: A Cross-Sectional Cohort Study

et al. 2018

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“…Moreover, suffering from affective symptoms might subsequently hamper motivation during the HNC rehabilitation phase, 35 which may result in poor functional outcome. A possible neurobiological explanation is that cerebral motor cortex areas relate to the neural stress connectome in case of affective symptoms, thereby affecting muscle control, 36 which could certainly play a role in the motor control of swallowing in TL patients.…”

Section: Discussionmentioning

confidence: 99%

Affective symptoms and swallow‐specific quality of life in total laryngectomy patients

et al. 2020

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Background: The aim of this study is to determine the prevalence of clinically relevant affective symptoms and level of swallow-specific quality of life (QoL) in dysphagic patients with total laryngectomy (TL) and to explore the relationship between affective symptoms and swallow-specific QoL. Methods: Thirty-five TL patients completed the Hospital Anxiety and Depression Scale (HADS) and the MD Anderson Dysphagia Inventory (MDADI). Student's t test and linear regression were used. Results: Eight (23%) patients showed clinically relevant symptoms of anxiety, 8 (23%) of depression, and 11 (31%) showed either one. These groups had significantly lower mean MDADI scores. One-point increase in HADS-anxiety or HADS-depression subscale score corresponds with a decrease of 2.7 or 3.0 points, on average, respectively, of the MDADI total score. Conclusions: Clinically relevant affective symptoms were present in approximately one-third of the TL patients. These preliminary results show that increased affective symptom scores correlate with a decreased swallow-specific QoL.

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“…A systematic review of studies of patients with OD highlighted the feelings of depression as well as anxiety (eg, will this get better and if so, when?) associated with the diagnosis of dysphagia.…”

Section: Qolmentioning

confidence: 99%

Dysphagia: Interprofessional Management, Impact, and Patient‐Centered Care

et al. 2018

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Dysphagia affects a multitude of people worldwide with tremendous impact on the affected individual, families, and caregivers. Understanding dysphagia, as well as the status of screening, evaluation, and treatment, aids in the knowledge required by a interprofessional team to holistically care for patients with dysphagia and their caregivers. The impact of dysphagia includes potential associated risk and a cascade of effects. Conversations regarding meeting nutrition and fluid needs with consideration for quality of life need to be integrated into the plan of care for individuals with dysphagia.

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Affective symptoms in patients with oropharyngeal dysphagia: A systematic review

Cited by 48 publications

References 55 publications

Medically Unexplained Oropharyngeal Dysphagia at the University Hospital ENT Outpatient Clinic for Dysphagia: A Cross-Sectional Cohort Study

Medically Unexplained Oropharyngeal Dysphagia at the University Hospital ENT Outpatient Clinic for Dysphagia: A Cross-Sectional Cohort Study

Affective symptoms and swallow‐specific quality of life in total laryngectomy patients

Dysphagia: Interprofessional Management, Impact, and Patient‐Centered Care

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