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Chronic rhinosinusitis and mood disturbance.

Erskine, S E and Hopkins, C and Clark, A and Anari, S and Robertson, A and Sunkaraneni, S and Wilson, J A and Beezhold, J and Philpott, C M (2017) Chronic rhinosinusitis and mood disturbance. Rhinology, 55 (2). pp. 113-119. ISSN 0300-0729.

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Official URL: http://www.rhinologyjournal.com/Abstract.php?id=15...

Abstract

BACKGROUND

This study is part of the Chronic Rhinosinusitis Epidemiology Study (CRES). The overarching aim is to determine factors that influence the onset and severity of chronic rhinosinusitis (CRS). The aim of this analysis is to determine whether those with CRS are more likely to report psychiatric morbidity and in particular mood disturbance compared with healthy controls.

METHODS

CRES consists of a study-specific questionnaire regarding demographic and socioeconomic factors and past medical history as well as a nasal symptom score (SNOT-22) and SF-36 (QoL - quality of life tool). Both of these tools contain mental health or emotional well-being domains. Participants were specifically asked whether they had ever consulted with their General Practitioner for anxiety or depression. Questionnaires were distributed to patients with CRS attending ENT outpatient clinics at 30 centres across the United Kingdom from 2007-2013. Controls were also recruited at these sites. Patients were divided into subgroups of CRS according to the absence/presence of polyps (CRSsNPs/CRSwNPs) or allergic fungal rhinosinusitis (AFRS).

RESULTS

Consultations with a family physician for depression or anxiety were higher amongst those with CRS than controls, but this was only significant for those with CRSsNPs. Odds ratio (OR) for CRSsNPs vs controls: 1.89; OR for CRSwNPs: 1.40. Patients with CRS showed significantly higher mental health morbidity than controls across the mental health and emotional wellbeing domains of the SF-36 and SNOT-22. Mean difference in the mental health domain of SF-36 was 8.3 for CRSsNPs and 5.3 for CRSwNPs. For the emotional domain of SNOT-22, differences were 7.7 and 6.3 respectively.

CONCLUSIONS

Depression and anxiety are significantly more common in patients with CRS compared to healthy controls, especially in those with CRSsNPs. This added mental health morbidity needs consideration when managing these patients in primary and secondary care settings.

Item Type: Article
Subjects: WV Otorhinolaryngology. ENT medicine
Divisions: Ambulatory Care > ENT
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Depositing User: Mrs Yolande Brookes
Date Deposited: 21 Jul 2017 15:18
Last Modified: 21 Jul 2017 15:18
URI: http://www.repository.heartofengland.nhs.uk/id/eprint/1437

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