Dyad of pain and depression in chronic rhinosinusitis

Background Pain and depression often coexist as comorbidities in patients with chronic disease and exert a major impact on quality of life (QOL). Little is known about the relationship between pain and depression in chronic rhinosinusitis (CRS). Our objective was to investigate this relationship and...

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Veröffentlicht in:International forum of allergy & rhinology 2016-03, Vol.6 (3), p.308-314
Hauptverfasser: Cox, Daniel R., Ashby, Shaelene, DeConde, Adam S., Mace, Jess C., Orlandi, Richard R., Smith, Timothy L., Alt, Jeremiah A.
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container_end_page 314
container_issue 3
container_start_page 308
container_title International forum of allergy & rhinology
container_volume 6
creator Cox, Daniel R.
Ashby, Shaelene
DeConde, Adam S.
Mace, Jess C.
Orlandi, Richard R.
Smith, Timothy L.
Alt, Jeremiah A.
description Background Pain and depression often coexist as comorbidities in patients with chronic disease and exert a major impact on quality of life (QOL). Little is known about the relationship between pain and depression in chronic rhinosinusitis (CRS). Our objective was to investigate this relationship and to analyze the effect of pain and depression on QOL in CRS. Methods Patients with CRS were prospectively recruited as part of an observational cohort study. A total of 70 participants provided pain scores using both the Brief Pain Inventory Short Form (BPI‐SF) and the Short Form McGill Pain Questionnaire (SF‐MPQ). Patients at risk for depression were identified using the Patient Health Questionnaire–2 (PHQ‐2). CRS‐specific QOL was determined using the 22‐item Sino‐Nasal Outcome Test (SNOT‐22). Results Significant positive correlations were found between depression scores and all pain measures (R = 0.475 to 0.644, p < 0.001). Patients with a PHQ‐2 score ≥1 had significantly higher scores on all reported pain measures. Significant positive correlations were found between all pain measures, the total SNOT‐22 score, and 3 SNOT‐22 subdomains (sleep, psychological dysfunction, and ear/facial symptoms; R = 0.323 to 0.608, p < 0.05). Conclusion Adult patients with CRS at risk for depression experience more pain and have overall worse disease‐specific QOL. Further research investigating the complex interactions between depression and pain and the role it plays in CRS disease‐specific QOL is warranted.
doi_str_mv 10.1002/alr.21664
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Little is known about the relationship between pain and depression in chronic rhinosinusitis (CRS). Our objective was to investigate this relationship and to analyze the effect of pain and depression on QOL in CRS. Methods Patients with CRS were prospectively recruited as part of an observational cohort study. A total of 70 participants provided pain scores using both the Brief Pain Inventory Short Form (BPI‐SF) and the Short Form McGill Pain Questionnaire (SF‐MPQ). Patients at risk for depression were identified using the Patient Health Questionnaire–2 (PHQ‐2). CRS‐specific QOL was determined using the 22‐item Sino‐Nasal Outcome Test (SNOT‐22). Results Significant positive correlations were found between depression scores and all pain measures (R = 0.475 to 0.644, p &lt; 0.001). Patients with a PHQ‐2 score ≥1 had significantly higher scores on all reported pain measures. Significant positive correlations were found between all pain measures, the total SNOT‐22 score, and 3 SNOT‐22 subdomains (sleep, psychological dysfunction, and ear/facial symptoms; R = 0.323 to 0.608, p &lt; 0.05). Conclusion Adult patients with CRS at risk for depression experience more pain and have overall worse disease‐specific QOL. Further research investigating the complex interactions between depression and pain and the role it plays in CRS disease‐specific QOL is warranted.</description><identifier>ISSN: 2042-6976</identifier><identifier>EISSN: 2042-6984</identifier><identifier>DOI: 10.1002/alr.21664</identifier><identifier>PMID: 26954903</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>Adult ; Chronic Disease ; Chronic illnesses ; Cohort Studies ; Comorbidity ; data collection ; depression ; Depression - epidemiology ; Female ; Humans ; Male ; Middle Aged ; pain ; Pain - epidemiology ; Prospective Studies ; Quality of Life ; Rhinitis - epidemiology ; Risk Factors ; sinusitis ; Sinusitis - epidemiology ; Studies ; Surveys and Questionnaires ; United States - epidemiology</subject><ispartof>International forum of allergy &amp; rhinology, 2016-03, Vol.6 (3), p.308-314</ispartof><rights>2015 ARS‐AAOA, LLC</rights><rights>2015 ARS-AAOA, LLC.</rights><rights>2016 ARS-AAOA, LLC</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5514-6c10db622f583840db7782ea1606807349bf40f717a6b27bdb3ac9fcd3f2aa823</citedby><cites>FETCH-LOGICAL-c5514-6c10db622f583840db7782ea1606807349bf40f717a6b27bdb3ac9fcd3f2aa823</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Falr.21664$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Falr.21664$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>230,314,776,780,881,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26954903$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cox, Daniel R.</creatorcontrib><creatorcontrib>Ashby, Shaelene</creatorcontrib><creatorcontrib>DeConde, Adam S.</creatorcontrib><creatorcontrib>Mace, Jess C.</creatorcontrib><creatorcontrib>Orlandi, Richard R.</creatorcontrib><creatorcontrib>Smith, Timothy L.</creatorcontrib><creatorcontrib>Alt, Jeremiah A.</creatorcontrib><title>Dyad of pain and depression in chronic rhinosinusitis</title><title>International forum of allergy &amp; rhinology</title><addtitle>Int Forum Allergy Rhinol</addtitle><description>Background Pain and depression often coexist as comorbidities in patients with chronic disease and exert a major impact on quality of life (QOL). Little is known about the relationship between pain and depression in chronic rhinosinusitis (CRS). Our objective was to investigate this relationship and to analyze the effect of pain and depression on QOL in CRS. Methods Patients with CRS were prospectively recruited as part of an observational cohort study. A total of 70 participants provided pain scores using both the Brief Pain Inventory Short Form (BPI‐SF) and the Short Form McGill Pain Questionnaire (SF‐MPQ). Patients at risk for depression were identified using the Patient Health Questionnaire–2 (PHQ‐2). CRS‐specific QOL was determined using the 22‐item Sino‐Nasal Outcome Test (SNOT‐22). Results Significant positive correlations were found between depression scores and all pain measures (R = 0.475 to 0.644, p &lt; 0.001). Patients with a PHQ‐2 score ≥1 had significantly higher scores on all reported pain measures. Significant positive correlations were found between all pain measures, the total SNOT‐22 score, and 3 SNOT‐22 subdomains (sleep, psychological dysfunction, and ear/facial symptoms; R = 0.323 to 0.608, p &lt; 0.05). Conclusion Adult patients with CRS at risk for depression experience more pain and have overall worse disease‐specific QOL. Further research investigating the complex interactions between depression and pain and the role it plays in CRS disease‐specific QOL is warranted.</description><subject>Adult</subject><subject>Chronic Disease</subject><subject>Chronic illnesses</subject><subject>Cohort Studies</subject><subject>Comorbidity</subject><subject>data collection</subject><subject>depression</subject><subject>Depression - epidemiology</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>pain</subject><subject>Pain - epidemiology</subject><subject>Prospective Studies</subject><subject>Quality of Life</subject><subject>Rhinitis - epidemiology</subject><subject>Risk Factors</subject><subject>sinusitis</subject><subject>Sinusitis - epidemiology</subject><subject>Studies</subject><subject>Surveys and Questionnaires</subject><subject>United States - epidemiology</subject><issn>2042-6976</issn><issn>2042-6984</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kc1OGzEUha0KVFCaRV-gGokNLCbxv2c2SCjQBClAVbWlO8vj8RCHiR3sTCFvj9NABJXqja_s755z7QPAZwQHCEI8VG0YYMQ5_QAOMaQ452VB93a14AegH-McpsUQY0h8BAeYl4yWkBwCdr5WdeabbKmsy5Srs9osg4nRepelEz0L3lmdhZl1PlrXRbuy8RPYb1QbTf9l74GfXy9-jCb59GZ8OTqb5joZ0ZxrBOuKY9ywghQ01UIU2CjEIS-gILSsGgobgYTiFRZVXRGly0bXpMFKFZj0wOlWd9lVC1Nr41ZBtXIZ7EKFtfTKyvc3zs7knf8jqShYMkwCxy8CwT90Jq7kwkZt2lY547sokRAYUcHIxuvoH3Tuu-DS8zYUwhRDyBN1sqV08DEG0-yGQVBu8pApD_k3j8R-eTv9jnz9_QQMt8Cjbc36_0rybPr9VTLfdti4Mk-7DhXuJRdEMHl7PZbfJmT0m9_-klfkGZVwoqk</recordid><startdate>201603</startdate><enddate>201603</enddate><creator>Cox, Daniel R.</creator><creator>Ashby, Shaelene</creator><creator>DeConde, Adam S.</creator><creator>Mace, Jess C.</creator><creator>Orlandi, Richard R.</creator><creator>Smith, Timothy L.</creator><creator>Alt, Jeremiah A.</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>201603</creationdate><title>Dyad of pain and depression in chronic rhinosinusitis</title><author>Cox, Daniel R. ; 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Significant positive correlations were found between all pain measures, the total SNOT‐22 score, and 3 SNOT‐22 subdomains (sleep, psychological dysfunction, and ear/facial symptoms; R = 0.323 to 0.608, p &lt; 0.05). Conclusion Adult patients with CRS at risk for depression experience more pain and have overall worse disease‐specific QOL. Further research investigating the complex interactions between depression and pain and the role it plays in CRS disease‐specific QOL is warranted.</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>26954903</pmid><doi>10.1002/alr.21664</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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source Wiley Online Library - AutoHoldings Journals; MEDLINE
subjects Adult
Chronic Disease
Chronic illnesses
Cohort Studies
Comorbidity
data collection
depression
Depression - epidemiology
Female
Humans
Male
Middle Aged
pain
Pain - epidemiology
Prospective Studies
Quality of Life
Rhinitis - epidemiology
Risk Factors
sinusitis
Sinusitis - epidemiology
Studies
Surveys and Questionnaires
United States - epidemiology
title Dyad of pain and depression in chronic rhinosinusitis
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