Laryngology

The relationship between fiberoptic endoscopic evaluation of swallowing outcome and symptoms of anxiety and depression in dysphagic patients

Corresponding Author

Rob J. C. G. Verdonschot MD

Department of Otorhinolaryngology, Head and Neck Surgery, Maastricht University Medical Center, Maastricht, the Netherlands

Emergency Department, Erasmus Medical Center, Rotterdam, the Netherlands

Send correspondence to Rob J. C. G. Verdonschot, MD, Department of Otorhinolaryngology, Head and Neck Surgery, Maastricht University Medical Center, PO Box 5800, 6202 AZ, Maastricht, the Netherlands. E-mail: [email protected]Search for more papers by this author

Laura Baijens MD, PhD,

Laura Baijens MD, PhD

Department of Otorhinolaryngology, Head and Neck Surgery, Maastricht University Medical Center, Maastricht, the Netherlands

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Sophie Vanbelle MSc, PhD,

Sophie Vanbelle MSc, PhD

Department of Methodology and Statistics, Care and Public Health Research Institute, Maastricht University, Maastricht, the Netherlands

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Michelle Florie MD,

Michelle Florie MD

Department of Otorhinolaryngology, Head and Neck Surgery, Maastricht University Medical Center, Maastricht, the Netherlands

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Bernd Kremer MD, PhD,

Bernd Kremer MD, PhD

Department of Otorhinolaryngology, Head and Neck Surgery, Maastricht University Medical Center, Maastricht, the Netherlands

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Carsten Leue MD, PhD,

Carsten Leue MD, PhD

Department of Psychiatry and Psychology, Maastricht University Medical Center, Maastricht, the Netherlands

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Rob J. C. G. Verdonschot MD,

Corresponding Author

Rob J. C. G. Verdonschot MD

Department of Otorhinolaryngology, Head and Neck Surgery, Maastricht University Medical Center, Maastricht, the Netherlands

Emergency Department, Erasmus Medical Center, Rotterdam, the Netherlands

Laura Baijens MD, PhD,

Laura Baijens MD, PhD

Department of Otorhinolaryngology, Head and Neck Surgery, Maastricht University Medical Center, Maastricht, the Netherlands

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Sophie Vanbelle MSc, PhD,

Sophie Vanbelle MSc, PhD

Department of Methodology and Statistics, Care and Public Health Research Institute, Maastricht University, Maastricht, the Netherlands

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Michelle Florie MD,

Michelle Florie MD

Department of Otorhinolaryngology, Head and Neck Surgery, Maastricht University Medical Center, Maastricht, the Netherlands

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Bernd Kremer MD, PhD,

Bernd Kremer MD, PhD

Department of Otorhinolaryngology, Head and Neck Surgery, Maastricht University Medical Center, Maastricht, the Netherlands

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Carsten Leue MD, PhD,

Carsten Leue MD, PhD

Department of Psychiatry and Psychology, Maastricht University Medical Center, Maastricht, the Netherlands

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First published: 09 October 2015

https://doi.org/10.1002/lary.25698

Citations: 16

This work was conducted at the Department of Otorhinolaryngology, Head and Neck Surgery, Maastricht University Medical Center, Maastricht, the Netherlands.

The authors have no funding, financial relationships, or conflicts of interest to disclose.

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Abstract

Objectives/Hypothesis

Affective complaints are involved in bothersome oropharyngeal dysphagia (OD). The aim was to determine the relationship between the severity of OD and affective symptoms.

Study Design

Prospective cohort study.

Methods

One hundred seven patients underwent a standardized examination protocol including the Hospital Anxiety and Depression Scale and fiberoptic endoscopic evaluation of swallowing (FEES). Two observers independently assessed patient performance on four ordinal FEES-variables (for thin and thick liquid consistency, blindly assessed). The relationship between FEES outcome and the presence of clinically relevant symptoms of anxiety and depression was analyzed using binary logistic regression.

Results

Significant associations were found between clinically relevant symptoms of anxiety and two variables: piecemeal deglutition (thin liquid consistency only) (P = .026) and postswallow vallecular pooling (thick liquid consistency only) (P = .015). The probability of presenting with anxiety symptoms decreased as the severity of piecemeal deglutition and postswallow vallecular pooling increased. No significant association was found between clinically relevant symptoms of depression and any specific FEES variable.

Conclusions

These data revealed few associations between anxiety symptoms and the measured FEES variables. However, the more severe the score on FEES variables, the less important the affective complaints were. Anxiety seems to play a role in OD, but no causal relationship was found, commensurate with a cross-sectional study design. The contribution of affective symptoms to the development and treatment of OD warrants longitudinal research.

Level of Evidence

2b Laryngoscope, 126:E199–E207, 2016

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Citing Literature

Volume126, Issue5

May 2016

Pages E199-E207

The relationship between fiberoptic endoscopic evaluation of swallowing outcome and symptoms of anxiety and depression in dysphagic patients

Abstract

Objectives/Hypothesis

Study Design

Methods

Results

Conclusions

Level of Evidence

BIBLIOGRAPHY

Citing Literature

References

Information

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The relationship between fiberoptic endoscopic evaluation of swallowing outcome and symptoms of anxiety and depression in dysphagic patients

Abstract

Objectives/Hypothesis

Study Design

Methods

Results

Conclusions

Level of Evidence

BIBLIOGRAPHY

Citing Literature

References

Related

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