دورية أكاديمية
أعرض في EDS

Depressive disorder and elevated risk of bell's palsy: a nationwide propensity score-weighting study.

التفاصيل البيبلوغرافية
العنوان: Depressive disorder and elevated risk of bell's palsy: a nationwide propensity score-weighting study.
المؤلفون: Fann LY; Department of Nursing, Taipei City Hospital, Ren-Ai Branch, Taipei, Taiwan.; Department of Nurse-Midwifery and Women Health, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan., Wen YL; School of Pharmacy, National Defense Medical Center, No.161, Sec. 6, Minquan E. Rd., Neihu Dist, 114201, Taipei City, Taiwan.; Graduate Institute of Life Sciences, National Defense Medical Center, Taipei, Taiwan., Huang YC; Department of Psychiatry, Tri-Service General Hospital, Taipei, Taiwan., Cheng CC; University of Taipei, Taipei, Taiwan.; School of Medicine, College of Medicine, Fu Jen Catholic University, New Taipei City, Taiwan.; Department of Obstetrics/Gynecology, Taipei City Hospital, Taipei, Taiwan., Huang YC; Department of Anesthesia and Critical Care Medicine, Taipei City Hospital, Ren-Ai Branch, Taipei, Taiwan., Fang CC; Department of Nursing, Taipei City Hospital, Ren-Ai Branch, Taipei, Taiwan., Chen WT; Department of Nursing, Taipei City Hospital, Ren-Ai Branch, Taipei, Taiwan., Yu PY; Department of Anesthesiology, Taipei City Hospital Ren Ai branch, Taipei, Taiwan., Pan HY; Department of Pharmacy Practice, Tri-Service General Hospital, No.325, Sec.2, Chenggong Rd., Neihu District, 114202, Taipei City, Taiwan. panpansharon@gmail.com., Kao LT; School of Pharmacy, National Defense Medical Center, No.161, Sec. 6, Minquan E. Rd., Neihu Dist, 114201, Taipei City, Taiwan. kaoliting@office365.ndmctsgh.edu.tw.; Graduate Institute of Life Sciences, National Defense Medical Center, Taipei, Taiwan. kaoliting@office365.ndmctsgh.edu.tw.; Department of Pharmacy Practice, Tri-Service General Hospital, No.325, Sec.2, Chenggong Rd., Neihu District, 114202, Taipei City, Taiwan. kaoliting@office365.ndmctsgh.edu.tw.
المصدر: BMC psychiatry [BMC Psychiatry] 2024 Apr 16; Vol. 24 (1), pp. 284. Date of Electronic Publication: 2024 Apr 16.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 100968559 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-244X (Electronic) Linking ISSN: 1471244X NLM ISO Abbreviation: BMC Psychiatry Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central, [2001-
مواضيع طبية MeSH: Bell Palsy*/epidemiology , Bell Palsy*/etiology , Bell Palsy*/psychology , Depressive Disorder*, Adult ; Humans ; Female ; Male ; Propensity Score ; Cohort Studies ; Proportional Hazards Models
مستخلص: Background: Prior studies have reported a potential relationship between depressive disorder (DD), immune function, and inflammatory response. Some studies have also confirmed the correlation between immune and inflammatory responses and Bell's palsy. Considering that the pathophysiology of these two diseases has several similarities, this study investigates if DD raises the risk of developing Bell's palsy.
Methods: This nationwide propensity score-weighting cohort study utilized Taiwan National Health Insurance data. 44,198 patients with DD were identified as the DD cohort and 1,433,650 adult subjects without DD were identified as the comparison cohort. The inverse probability of treatment weighting (IPTW) strategy was used to balance the differences of covariates between two groups. The 5-year incidence of Bell's palsy was evaluated using the Cox proportional-hazard model, presenting results in terms of hazard ratios (HRs) and 95% confidence intervals (CIs).
Results: The average age of DD patients was 48.3 ± 17.3 years, and 61.86% were female. After propensity score-weighting strategy, no significant demographic differences emerged between the DD and comparison cohort. The Cox proportional hazards model revealed a statistically significant adjusted IPTW-HR of 1.315 (95% CI: 1.168-1.481) for Bell's palsy in DD patients compared to comparison subjects. Further independent factors for Bell's palsy in this model were age (IPTW-HR: 1.012, 95% CI: 1.010-1.013, p < 0.0001), sex (IPTW-HR: 0.909, 95% CI: 0.869-0.952, p < 0.0001), hypertension (IPTW-HR: 1.268, 95% CI: 1.186-1.355, p < 0.0001), hyperlipidemia (IPTW-HR: 1.084, 95% CI: 1.001-1.173, p = 0.047), and diabetes (IPTW-HR: 1.513, 95% CI: 1.398-1.637, p < 0.0001) CONCLUSION: This Study confirmed that individuals with DD face an elevated risk of developing Bell's palsy. These findings hold significant implications for both clinicians and researchers, shedding light on the potential interplay between mental health and the risk of certain physical health outcomes.
(© 2024. The Author(s).)
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معلومات مُعتمدة: TPCH-111-27 Taipei City Hospital; TSGH-D-112128 Tri-Service General Hospital
فهرسة مساهمة: Keywords: Bell's palsy; Depressive Disorder; Facial nerve paralysis; Risk factors
تواريخ الأحداث: Date Created: 20240416 Date Completed: 20240418 Latest Revision: 20240425
رمز التحديث: 20240425
مُعرف محوري في PubMed: PMC11020612
DOI: 10.1186/s12888-024-05730-2
PMID: 38627723
قاعدة البيانات: MEDLINE
الوصف
تدمد:1471-244X
DOI:10.1186/s12888-024-05730-2