Gender differences in quality of life among Bell’s palsy patients: a cross-sectional study

Authors

DOI:

https://doi.org/10.17267/2238-2704rpf.2024.e5898

Keywords:

Facial Paralysis, Quality of Life, Gender Differences

Abstract

BACKGROUND: Functional and psychosocial consequences are reported to be associated with Bell’s palsy. Quality outcomes in bell’s palsy could be influenced by the sociodemographic factors in males and females, but their predicting factors are scantly reported. This study is designed to compare the quality outcomes in males and females with Bell’s palsy. METHODS: Non-probability sampling and a convenient method were used to recruit 196 participants in this cross-sectional study. The study protocol followed the STROBE guidelines and the institutional review board approval for the study was obtained. Participants are screened for eligibility prior to enrollment. The data collection form is used to get the participant characteristics. The facial disability index and World Health Organization Quality of life Brief version (WHO QOL BREF) are used to assess the quality outcomes. RESULTS: Chi-square statistics for the sociodemographic data in males and females were significant for the type of employment (c <  0.001). Unpaired t-test analysis showed significant differences (P < 0.05) in the mean scores of the physical and social components of the facial disability index and physiological, environmental and overall components of WHOQOL BREF indicating that females are affected more than males. Further regression analysis revealed  significant association for a higher level of education (b = 2.77, CI = 0.52 to 5.02, P = 0.046) and private employment (b = 4.30, CI = 0.06 to 8.54, P = 0.047) with poor quality outcomes in females. CONCLUSION: Quality of life is affected more in females with Bell’s palsy and the predicting factors are higher levels of education and employment in private organizations. Longer duration of symptoms predicted poor quality in both males and females.

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References

(1) Rajangam J, Lakshmanan AP, Rao KU, Jayashree D, Radhakrishnan R, Roshitha B, Sivanandy P, Sravani MJ, Pravalika KH. Bell Palsy: Facts and Current Research Perspectives. CNS Neurol Disord Drug Targets. 2024;23(2):203-214. https://doi.org/10.2174/1871527322666230321120618 DOI: https://doi.org/10.2174/1871527322666230321120618

(2) Hohman MH, Warner MJ, Varacallo M. Bell Palsy [Internet]. NIH NLM; 2024. Available from: https://www.ncbi.nlm.nih.gov/books/NBK482290/

(3) Pavese C, Cecini M, Caspani P, Monteleone S, Klersy C, Dalla Toffola E. Activity limitations and participation restrictions in patients with peripheral facial palsy: a cross-sectional study over a six-year period. Eur J Phys Rehabil Med. 2020;56(6):725-732. https://doi.org/10.23736/S1973-9087.20.06326-1 DOI: https://doi.org/10.23736/S1973-9087.20.06326-1

(4) Singh A, Deshmukh P. Bell's Palsy: A Review. Cureus. 2022;14(10):e30186. https://doi.org/10.7759/cureus.30186 DOI: https://doi.org/10.7759/cureus.30186

(5) Glass GE, Tzafetta K. Bell's palsy: a summary of current evidence and referral algorithm. Fam Pract. 2014;31(6):631-42. https://doi.org/10.1093/fampra/cmu058 DOI: https://doi.org/10.1093/fampra/cmu058

(6) Bylund N, Hultcrantz M, Jonsson L, Marsk E. Quality of Life in Bell's Palsy: Correlation with Sunnybrook and House-Brackmann Over Time. Laryngoscope. 2021;131(2):E612-E618. https://doi.org/10.1002/lary.28751 DOI: https://doi.org/10.1002/lary.28751

(7) Fu L, Bundy C, Sadiq SA. Psychological distress in people with disfigurement from facial palsy. Eye (Lond). 2011;25(10):1322-6. https://doi.org/10.1038/eye.2011.158 DOI: https://doi.org/10.1038/eye.2011.158

(8) Huang B, Xu S, Xiong J, Huang G, Zhang M, Wang W. Psychological factors are closely associated with the Bell's palsy: a case-control study. J Huazhong Univ Sci Technolog Med Sci. 2012;32(2):272-279. https://doi.org/10.1007/s11596-012-0048-0 DOI: https://doi.org/10.1007/s11596-012-0048-0

(9) Devins GM. Using the illness intrusiveness ratings scale to understand health-related quality of life in chronic disease. J Psychosom Res. 2010;68(6):591-602. https://doi.org/10.1016/j.jpsychores.2009.05.006 DOI: https://doi.org/10.1016/j.jpsychores.2009.05.006

(10) Devins GM, Bezjak A, Mah K, Loblaw DA, Gotowiec AP. Context moderates illness-induced lifestyle disruptions across life domains: a test of the illness intrusiveness theoretical framework in six common cancers. Psychooncology. 2006;15(3):221-33. https://doi.org/10.1002/pon.940 DOI: https://doi.org/10.1002/pon.940

(11) Mullins LL, Cote MP, Fuemmeler BF, Jean VM, Beatty WW, Paul RH. Illness intrusiveness, uncertainty, and distress in individuals with multiple sclerosis. Rehabil Psychol. 2001;46(2):139-153. https://doi.org/10.1037/0090-5550.46.2.139 DOI: https://doi.org/10.1037//0090-5550.46.2.139

(12) Batista AR, Silva S, Lencastre L, Guerra MP. Biopsychosocial Correlates of Quality of Life in Multiple Sclerosis Patients. Int J Environ Res Public Health. 2022;19(21):14431. https://doi.org/0.3390/ijerph192114431 DOI: https://doi.org/10.3390/ijerph192114431

(13) Schwartz SR, Jones SL, Getchius TS, Gronseth GS. Reconciling the clinical practice guidelines on Bell's palsy from the AAO-HNSF and the AAN. Otolaryngol Head Neck Surg. 2014;150(5):709-11. https://doi.org/10.1177/0194599814529079 DOI: https://doi.org/10.1177/0194599814529079

(14) Lee SY, Kong IG, Oh DJ, Choi HG. Increased risk of depression in Bell's palsy: Two longitudinal follow-up studies using a national sample cohort. J Affect Disord. 2019;251:256-262. https://doi.org/10.1016/j.jad.2019.03.059 DOI: https://doi.org/10.1016/j.jad.2019.03.059

(15) Ilić I, Šipetić S, Grujičić J, Mačužić IŽ, Kocić S, Ilić M. Psychometric Properties of the World Health Organization's Quality of Life (WHOQOL-BREF) Questionnaire in Medical Students. Medicina (Kaunas). 2019;55(12):772. https://doi.org/10.3390/medicina55120772 DOI: https://doi.org/10.3390/medicina55120772

(16) Özden F, Tümtürk İ, Sarı Z. Psychometric properties of the Facial Disability Index in patients with facial palsy: a systematic review and meta-analysis. Neurol Sci. 2022;43(7):4157-4165. https://doi.org/10.1007/s10072-022-06066-z DOI: https://doi.org/10.1007/s10072-022-06066-z

(17) Fugère MA, Chabot C, Doucette K, Cousins AJ. The Importance of Physical Attractiveness to the Mate Choices of Women and Their Mothers. Evol Psychol Sci. 2017;3(3):243–52. https://doi.org/10.1007/s40806-017-0092-x DOI: https://doi.org/10.1007/s40806-017-0092-x

(18) Crerand CE, Rumsey N, Kazak A, Clarke A, Rausch J, Sarwer DB. Sex differences in perceived stigmatization, body image disturbance, and satisfaction with facial appearance and speech among adolescents with craniofacial conditions. Body Image. 2020;32:190-198. https://doi.org/10.1016/j.bodyim.2020.01.005 DOI: https://doi.org/10.1016/j.bodyim.2020.01.005

(19) Jones AL, Tree JJ, Ward R. Personality in faces: Implicit associations between appearance and personality. Euro J Social Psych. 2019;49(3):658–69. https://doi.org/10.1002/ejsp.2534 DOI: https://doi.org/10.1002/ejsp.2534

(20) Paunonen SV, Ewan K, Earthy J, Lefave S, Goldberg H. Facial Features as Personality Cues [Internet]. J Pers. 1999;67:555–583. Available from: https://onlinelibrary.wiley.com/doi/pdf/10.1111/1467-6494.00065 DOI: https://doi.org/10.1111/1467-6494.00065

(21) Wolffhechel K, Fagertun J, Jacobsen UP, Majewski W, Hemmingsen AS, Larsen CL, Lorentzen SK, Jarmer H. Interpretation of appearance: the effect of facial features on first impressions and personality. PLoS One. 2014;9(9):e107721. https://doi.org/10.1371/journal.pone.0107721 DOI: https://doi.org/10.1371/journal.pone.0107721

(22) Zebrowitz LA, Montepare JM. Social Psychological Face Perception: Why Appearance Matters. Soc Personal Psychol Compass. 2008;2(3):1497. https://doi.org/10.1111/j.1751-9004.2008.00109.x DOI: https://doi.org/10.1111/j.1751-9004.2008.00109.x

(23) Petrican R, Todorov A, Grady C. Personality at Face Value: Facial Appearance Predicts Self and Other Personality Judgments among Strangers and Spouses. J Nonverbal Behav. 2014;38(2):259-277. https://doi.org/10.1007/s10919-014-0175-3 DOI: https://doi.org/10.1007/s10919-014-0175-3

(24) Little AC, Roberts CS. Evolution, appearance, and occupational success. Evol Psychol. 2012;10(5):782-801. https://doi.org/10.1177/147470491201000503 DOI: https://doi.org/10.1177/147470491201000503

(25) Sollerhed AC, Bringsén Å. Appearance between professionalism and work-related stress among marketing employees. Work. 2023;75(4):1231–42. https://doi.org/10.3233/WOR-220307 DOI: https://doi.org/10.3233/WOR-220307

(26) Shuck B, Hart JL, Walker KL, Rai J, Srivastava S, Srivastava S, Rai S, Bhatnagar A, Keith RJ. Workplace Culture and Biomarkers of Health Risk. Int J Environ Res Public Health. 2022;19(19):11920. https://doi.org/10.3390/ijerph191911920 DOI: https://doi.org/10.3390/ijerph191911920

Published

12/12/2024

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Section

Original Articles

How to Cite

1.
Ravichandran H, Shetty KS, Mhabemo N, Shetty A, Bangera N, Janakiraman B. Gender differences in quality of life among Bell’s palsy patients: a cross-sectional study. Rev Pesq Fisio [Internet]. 2024 Dec. 12 [cited 2024 Dec. 22];14:e5898. Available from: https://journals.bahiana.edu.br/index.php/fisioterapia/article/view/5898

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