TY - JOUR
T1 - Anxiety and Depression Diagnoses and the Cough Severity Index
T2 - A Retrospective Study
AU - Hari, Gopika
AU - Naunheim, Matthew
AU - Kallogjeri, Dorina
AU - Huston, Molly
N1 - Publisher Copyright:
© The Author(s) 2023.
PY - 2023
Y1 - 2023
N2 - Background: As mental health comorbidities can impact patient perception of symptoms, understanding a potential association of anxiety and depression with patients’ perception of their cough may provide insight into preferred treatment plans. Methods: A retrospective cohort study of patients presenting with chronic cough was completed. Demographics, anxiety and depression diagnoses, and patient-reported outcome measures were collected. Patient-reported outcomes between the four groups of patients—anxiety only, depression only, anxiety and depression, and none of these conditions—were compared using Kruskal–Wallis and Mann–Whitney U tests that were used for post-hoc analysis. Results: Cough Severity Index scores were higher in those with both anxiety and depression as compared to neither, with a median score of 26 (range: 5-39) versus 19 (range: 1-38), respectively (P =.041). These results were persistent also after controlling for sex and smoking status in the robust regression analysis. Conclusions: Patients with prior diagnoses of anxiety and depression self-reported more severe symptoms for chronic cough. Adequately understanding the association of mental health with perceived cough severity may help for more individualized, successful treatment plans.
AB - Background: As mental health comorbidities can impact patient perception of symptoms, understanding a potential association of anxiety and depression with patients’ perception of their cough may provide insight into preferred treatment plans. Methods: A retrospective cohort study of patients presenting with chronic cough was completed. Demographics, anxiety and depression diagnoses, and patient-reported outcome measures were collected. Patient-reported outcomes between the four groups of patients—anxiety only, depression only, anxiety and depression, and none of these conditions—were compared using Kruskal–Wallis and Mann–Whitney U tests that were used for post-hoc analysis. Results: Cough Severity Index scores were higher in those with both anxiety and depression as compared to neither, with a median score of 26 (range: 5-39) versus 19 (range: 1-38), respectively (P =.041). These results were persistent also after controlling for sex and smoking status in the robust regression analysis. Conclusions: Patients with prior diagnoses of anxiety and depression self-reported more severe symptoms for chronic cough. Adequately understanding the association of mental health with perceived cough severity may help for more individualized, successful treatment plans.
KW - Cough
KW - anxiety
KW - depression
KW - mental health
UR - http://www.scopus.com/inward/record.url?scp=85162675716&partnerID=8YFLogxK
U2 - 10.1177/01455613231180336
DO - 10.1177/01455613231180336
M3 - Article
C2 - 37317544
AN - SCOPUS:85162675716
SN - 0145-5613
JO - Ear, Nose and Throat Journal
JF - Ear, Nose and Throat Journal
ER -