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Treatment satisfaction with botulinum toxin: a comparison between blepharospasm and cervical dystonia
| Content Provider | Scilit |
|---|---|
| Author | Leplow, Bernd Eggebrecht, Anna Pohl, Johannes |
| Copyright Year | 2017 |
| Description | Treatment satisfaction with botulinum toxin: a comparison between blepharospasm and cervical dystonia Bernd Leplow, Anna Eggebrecht, Johannes PohlDepartment of Psychology, Martin-Luther-University Halle-Wittenberg, Germany Background: Differential effects of botulinum toxin (BoNT) treatment in cervical dystonia (CD) and blepharospasm (BSP) treatment satisfaction and emotional responses to a life with a disabling condition were investigated. Special interest was drawn to the course within a BoNT treatment cycle and the effects of subjective well-being vs perceived intensity of motor symptoms and quality of life.Methods: A questionnaire was distributed among 372 CD patients and 125 BSP patients, recruited from 13 BoNT centers throughout Germany. Items were related to dystonic symptoms, BoNT treatment responses and treatment satisfaction, quality of life, working situation, and emotional reactions to a life with dystonia.Results: CD patients and BSP patients were widely satisfied with BoNT treatment, but treatment satisfaction worsened significantly within the treatment cycle. Especially CD patients reported that both the dystonic symptoms and the effects of BoNT treatment were influenced by emotional factors. Despite good overall treatment effects, patients from both groups perceived marked persistence of motor symptoms, restrictions of everyday life functions, and reduced quality of life. Functional amelioration of motor symptoms and emotional well-being were only moderately correlated. About 22% of patients from both groups reported mental disorders or emotional disturbances prior to the onset of dystonia.Conclusion: As numerous psychological factors determine perceived outcome, BoNT treatment should be further improved by patientâ |
| Related Links | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5605128/pdf https://www.dovepress.com/getfile.php?fileID=38414 |
| Ending Page | 1563 |
| Page Count | 9 |
| Starting Page | 1555 |
| ISSN | 1177889X |
| DOI | 10.2147/ppa.s141060 |
| Journal | Patient preference and adherence |
| Volume Number | 11 |
| Language | English |
| Publisher | Informa UK Limited |
| Publisher Date | 2017-09-01 |
| Access Restriction | Open |
| Subject Keyword | Journal: Patient Preference and Adherence Rehabilitation Adherence Blepharospasm Botulinum Toxin Cervical Dystonia Treatment Satisfaction |
| Content Type | Text |
| Resource Type | Article |
| Subject | Social Sciences Pharmacology, Toxicology and Pharmaceutics Health Policy |
