The Siberian Scientific Medical Journal
 
 
№ 6 / 2016 / 85-92

Psychometric parameters in patients with trigeminal neuralgia (report 1)

Author Affiliations

Abstract

Objective – analysis of psychometric parameters in patients with trigeminal neuralgia for determining treatment tactics depending on the characteristics of their psychological status. Materials and Methods. Psychological characteristics of personality were studied in 56 patients (32 women) aged from 28 to 80 years with a typical (41 persons) and atypical (15) trigeminal neuralgia. Assessment of pain intensity was performed using pain scales. To investigate the psychological status HADS, «pain catastrophizing scale» was used and the presence of suicidal ideation, aggravation and secondary gain from getting the disease were specified. Results. 66 % of patients with trigeminal neuralgia did not have any symptoms of anxiety, 27 % – subclinical anxiety and 7 % – symptomatic anxiety. 63 % of patients did not show any signs of depression, 30 % cases showed subclinical depression and 7 % – the symptomatic one. Catastrophizing pain was observed in 76.8 % of patients, 44.6 % of patients expressed suicidal thoughts. 28.6 % of cases before the operation marked elements of deliberate aggravation of the disease. 40 % of the patients showed signs of secondary gain from illness. Conclusion. The majority of patients with trigeminal neuralgia do not reach the level of clinically significant anxiety and depression, so a comprehensive assessment of mental disorders is required only for patients with severe psychopathology to exclude psychiatric diseases. However, patients with atypical trigeminal neuralgia have the high risk of suicidal ideation, greater than in typical, therefore that patients require initially more careful oversee. These overall assessments of mental status can be used to objective data of questionnaires and scales of pain, as well as to determine the tactics of this group of patients, in particular to clarify the indications for operation and the decision on the surgery timing.

Key words

pain syndrome, depression, microvascular decompression, psychometric analysis, anxiety, trigeminal neuralgia
References
About Authors (Correspondence):

Rzaev J.A. – neurosurgeon, e-mail:d_rzaev@neuronsk.ru

Moysak G.I. – neurologist, e-mail: g_moisak@neuronsk.ru

Zubok N.A. – clinical psychologist, e-mail: n_zubok@neuronsk.ru

Amelina E.V. – senior researcher, e-mail: amelina.evgenia@gmail.com

Kulikova E.V. – neurosurgeon, e-mail: e_kulikova@neuronsk.ru

Aftanas L.I. – academician of RAS, doctor of medical sciences, professor, director

Krylov V.V. – academician of RAS, doctor of medical sciences, professor, head of neurosurgery and neuroreanimation department

Received: 26/12/2016