Quality of life in dysphagia and anxiety and depression symptoms pre and post-thyroidectomy.

Autor:	Depolli GT; Departamento de Fonoaudiologia, Universidade Federal do Espírito Santo - UFES - Vitória (ES), Brasil., Oliveira GB; Departamento de Fonoaudiologia, Universidade Federal do Espírito Santo - UFES - Vitória (ES), Brasil., Oliveira TJ; Departamento de Fonoaudiologia, Universidade Federal do Espírito Santo - UFES - Vitória (ES), Brasil., Santos MHS; Hospital Universitário Cassiano Antônio Moraes - EBSERH - Vitória (ES), Brasil., Rocha RM; Hospital Universitário Cassiano Antônio Moraes - EBSERH - Vitória (ES), Brasil.; Departamento de Cirurgia de Cabeça e Pescoço, Universidade Federal do Espírito Santo - UFES - Vitória (ES), Brasil., Guimarães MF; Departamento de Fonoaudiologia, Universidade Federal do Espírito Santo - UFES - Vitória (ES), Brasil., Azevedo EHM; Departamento de Fonoaudiologia, Universidade Federal do Espírito Santo - UFES - Vitória (ES), Brasil.
Jazyk:	Portuguese; English
Zdroj:	CoDAS [Codas] 2023 Aug 07; Vol. 35 (5), pp. e20220099. Date of Electronic Publication: 2023 Aug 07 (Print Publication: 2023).
DOI:	10.1590/2317-1782/20232022099pt
Abstrakt:	Purpose: To correlate the dysphagia quality of life and symptoms of anxiety and depression before and after thyroidectomy. Methods: Observational, longitudinal, prospective, and experimental study. Twenty patients participated, with a mean age of 54 years, prevalence of females (n=17; 85%) and partial thyroidectomy (n=14; 70%). All subjects underwent laryngeal visual examination and answered the MD Anderson Dysphagia Questionnaire (MDADI) and the Hospital Anxiety and Depression Scale (HADS) in three different moments: preoperatively, immediately postoperatively (maximum one week) and three months after surgery. Results: There was a significant difference in dysphagia quality of life for the physical and total domains in the three different moments. Regarding anxiety and depression, a statistically significant difference was observed between the scores in all domains, with a greater difference observed between the preoperative period and after 1 week. Higher values were observed in the preoperative period for mild anxiety traits, being more frequent in relation to depression, with a reduction after 1 week and an increase after three months of surgery. There was no significant correlation between the MDADI and HADS protocols. Conclusion: Patients undergoing thyroidectomy self-report better quality of life in dysphagia and reduced anxiety/depression scores after three months of surgery. There was no correlation between anxiety, depression and quality of life in dysphagia at the moments evaluated.
Databáze:	MEDLINE
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