Screening for Psychiatric Disorders in Chronic Rhinosinusitis Patients Waiting for Surgery: A Prospective Cross-Sectional Study

IF 1.7 4区 医学 Q2 OTORHINOLARYNGOLOGY Clinical Otolaryngology Pub Date : 2024-10-02 DOI:10.1111/coa.14239
Liang Peng, Hui-Fang Wang, Dong-Fang Wang, Yi-Hui Wen, Hua Zhong, Wei-Ping Wen, Jian Li
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Abstract

Objective

To assess the prevalence of depression, anxiety, insomnia and somatic symptom disorder (SSD) in chronic rhinosinusitis (CRS) patients who were waiting for surgery and to predict these psychiatric disorders using the 22-item Sinonasal Outcome Test (SNOT-22).

Design

A prospective cross-sectional study.

Setting

The rhinology ward at our institution, a tertiary hospital.

Participants

Adult patients (> 18 years) diagnosed with CRS who were admitted to the rhinology ward for endoscopic sinus surgery and were able to understand and complete the study questionnaires.

Main Outcome Measures

Patient Health Questionnaire-9 (PHQ-9), Generalised Anxiety Disorder-7 (GAD-7), Insomnia Severity Index (ISI), Patient Health Questionnaire-15 (PHQ-15) and SNOT-22.

Results

Of the 159 participants recruited, 58 were at risk of depression (defined by PHQ-9 > 4, while 25 with PHQ-9 > 9), 49 were at risk of anxiety (defined by GAD-7 > 4, while 25 with GAD-7 > 9), 81 were at risk of insomnia (defined by ISI > 7, while 51 with ISI > 14) and 69 were at risk of SSD (defined by PHQ-15 > 4, while 24 with PHQ-15 > 9). The SNOT-22 score was closely correlated with the scores of psychometric tests and was an independent predictor of these psychiatric disorders. Patients with a high SNOT-22 score (> 30) are likely to be affected by comorbid psychiatric disorders and should be further evaluated by otolaryngologists.

Conclusion

Depression, anxiety, insomnia and SSD are prevalent in CRS patients. Otolaryngologists should have a low threshold to ask the patient about psychiatric symptoms, especially for patients with an SNOT-22 score > 30.

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对等待手术的慢性鼻炎患者进行精神障碍筛查:一项前瞻性横断面研究。
目的评估等待手术的慢性鼻窦炎(CRS)患者中抑郁、焦虑、失眠和躯体症状障碍(SSD)的患病率,并使用22项鼻窦结果测试(SNOT-22)预测这些精神障碍:前瞻性横断面研究:参与者:成年患者(18 岁以上):主要结果测量指标:患者健康问卷-9(Patient Health Questionnaire-9):患者健康问卷-9(PHQ-9)、广泛性焦虑症-7(GAD-7)、失眠严重程度指数(ISI)、患者健康问卷-15(PHQ-15)和SNOT-22:在招募的 159 名参与者中,58 人有抑郁风险(PHQ-9 > 4,25 人 PHQ-9 > 9),49 人有焦虑风险(GAD-7 > 4,25 人 GAD-7 > 9),81 人有失眠风险(ISI > 7,51 人 ISI > 14),69 人有 SSD 风险(PHQ-15 > 4,24 人 PHQ-15 > 9)。SNOT-22 评分与心理测试评分密切相关,是这些精神障碍的独立预测指标。SNOT-22得分较高(大于30分)的患者很可能合并有精神疾病,应由耳鼻喉科医生进行进一步评估:结论:抑郁、焦虑、失眠和 SSD 在 CRS 患者中很普遍。结论:抑郁、焦虑、失眠和 SSD 在 CRS 患者中普遍存在,耳鼻喉科医生在询问患者精神症状时应降低门槛,尤其是 SNOT-22 评分大于 30 分的患者。
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来源期刊
Clinical Otolaryngology
Clinical Otolaryngology 医学-耳鼻喉科学
CiteScore
4.00
自引率
4.80%
发文量
106
审稿时长
>12 weeks
期刊介绍: Clinical Otolaryngology is a bimonthly journal devoted to clinically-oriented research papers of the highest scientific standards dealing with: current otorhinolaryngological practice audiology, otology, balance, rhinology, larynx, voice and paediatric ORL head and neck oncology head and neck plastic and reconstructive surgery continuing medical education and ORL training The emphasis is on high quality new work in the clinical field and on fresh, original research. Each issue begins with an editorial expressing the personal opinions of an individual with a particular knowledge of a chosen subject. The main body of each issue is then devoted to original papers carrying important results for those working in the field. In addition, topical review articles are published discussing a particular subject in depth, including not only the opinions of the author but also any controversies surrounding the subject. • Negative/null results In order for research to advance, negative results, which often make a valuable contribution to the field, should be published. However, articles containing negative or null results are frequently not considered for publication or rejected by journals. We welcome papers of this kind, where appropriate and valid power calculations are included that give confidence that a negative result can be relied upon.
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