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Psychiatric disorder profile in patients with chronic pharyngitis

Year 2006, Volume: 16 Issue: 4, 178 - 182, 27.08.2006

Abstract

Objectives: We investigated the psychopathological condition of patients with chronic pharyngitis.Patients and Methods: The study included 27 patients 23 females, 4 males; mean age 41.7±10.4 years; range 21 to 63 years who had persistent symp- toms of chronic pharyngitis for more than six months, without any evidence for an acute infection on ENT examination and routine tests. Twenty-seven healthy subjects 23 females, 4 males; mean age 41,8±11.9 years without any symptoms of chronic pharyngitis and a previous diagnosis of a psychiatric disorder formed the control group. AH the patients and Controls were assessed by a psychiatrist with the use of the Structural Clinical lnterviewfor DSM-IV Disorders SCID .Results: AH the patients were diagnosed to have Axis I psychopathology. The most frequent pathologies were somatisation disorder n=8,29.6% and dysthymic dis­ order n=8 . Five individuals 15.6% in the control group received psychiatric diagnoses. Psychiatric dis­ orders were 6.4 times more frequent in the patient group p=0.00, Cl=2.86-14.31 . No significant differ- ences were observed between the patient and control groups with respect to educational and occupational levels p=0.263 and p=0.362 , respectively .Comparisons with respect to risk factors associated with chronic pharyngitis showed no significant differ- ences between the two groups.Conclusion: We suggest that patients frequently presenting to ENT departments with repeated symp­ toms of chronic pharyngitis should also receive psy­ chiatric assessment and support.

References

  • DSM-IV diagnostic and statistical manual of mental disorders. Washington, DC: American Psychiatric Association; 1994.
  • Yorulmaz İ. Larengofarengeal reflü. Elektronik Kulak Burun Boğaz ve Baş Boyun Cerrahisi Dergisi 2002;1.
  • Spitzer RL, Williams JB, Gibbon M. Instruction manu- al for the structured clinical interview for DSM-IV. New York: Biometrics Research Department, New York State Psychiatric Institute; 1987.
  • Kaplan HI, Sadock BJ, Grebb JA. Psycological factors affecting medical condition. Kaplan and Sadock’s syn- opsis of psychiatry: behavioral sciences clinical psy- chiatry. 7th ed. Baltimore: Williams & Wilkins; 1994. p. 756-65.
  • Bayar N, Oguzturk O, Koc C. Minnesota Multiphasic Personality Inventory profile of patients with subjec- tive tinnitus. J Otolaryngol 2002;31:317-22.
  • Hiller W, Janca A, Burke KC. Association between tin- nitus and somatoform disorders. J Psychosom Res 1997; 43:613-24.
  • Marciano E, Carrabba L, Giannini P, Sementina C, Verde P, Bruno C, et al. Psychiatric comorbidity in a population of outpatients affected by tinnitus. Int J Audiol 2003;42:4-9.
  • Holgers KM, Zoger S, Svedlund J, Erlandsson SI. Psychiatric profile of tinnitus patients referred to an audi- ologic clinic. In: Proceedings of the Sixth International Tinnitus Seminar; Cambridge; 1999. p. 283-5.
  • Ardic NA, Topuz B, Ozuer MZ, Kara CO, Katircioglu O. Evaluation of the psychological component in patients with chronic pharyngitis. Kulak Burun Bogaz Ihtis Derg 1999;6:179-82.
  • Levenson H, Glenn N, Hirschfeld ML. Duration of chronic pain and the Minnesota Multiphasic Personality Inventory: profiles of industrially injured workers. J Occup Med 1988;30:809-12.

Kronik farenjitli hastalarda psikiyatrik hastalık profili

Year 2006, Volume: 16 Issue: 4, 178 - 182, 27.08.2006

Abstract

Amaç: Kronik farenjit tanısı ile takip edilen hastalarda psikopatolojik yapı araştırıldı. Hastalar ve Yöntemler: En az altı aydır kronik farenjit semptomları olan, kulak burun boğaz muayenesinde ve incelemelerinde akut enfeksiyon tablosuolmayan 27 hasta çalışmaya alındı. Kontrolgrubunu kronik farenjit semptom ve bulguları olmayan ve daha önce hiç psikiyatrik tanı almamış 27 kişi 23 kadın, 4 erkek; ort. yaş 41.8±11.9 oluşturdu.Tüm hastalara ve kontrol grubuna psikiyatri hekimitarafından DSM-IV tanı ölçütlerine göre ruhsal muayene ve yapısal klinik görüşme Structural ClinicalInterview-SCID uygulandı.Bulgular: Tüm hastalarda eksen I’e göre psikiyatrikbozukluk saptandı. En sık saptanan patolojiler, sekizhastada %29.6 somatizasyon bozukluğu, sekiz hastada distimik bozukluktu. Kontrol grubunda da beş kişiye %15.6 psikiyatrik tanı kondu. Kronik farenjitlihastalarda psikiyatrik patoloji 6.4 kat fazla bulundu p=0.00, güven aralığı 2.86-14.31 . Hasta ve kontrolgrupları arasında eğitim düzeyi ve meslek açısındananlamlı fark yoktu sırasıyla, p=0.263 ve p=0.362 .Kronik farenjiti etkileyen alkol, sigara kullanımı, KBBmuayenesinde eşlik eden patolojiler, genel hastalıklarve ameliyat öyküsü gibi risk faktörleri açısından ikigrup arasında anlamlı fark saptanmadı. Sonuç: Kronik farenjit tanısıyla kulak burun boğazhekimlerine defalarca başvuran ve yakınmaları geçmeyen hastaların, psikiyatri hekimleriyle birlikte değerlendirilmesi ve tedavi edilmesini öneriyoruz

References

  • DSM-IV diagnostic and statistical manual of mental disorders. Washington, DC: American Psychiatric Association; 1994.
  • Yorulmaz İ. Larengofarengeal reflü. Elektronik Kulak Burun Boğaz ve Baş Boyun Cerrahisi Dergisi 2002;1.
  • Spitzer RL, Williams JB, Gibbon M. Instruction manu- al for the structured clinical interview for DSM-IV. New York: Biometrics Research Department, New York State Psychiatric Institute; 1987.
  • Kaplan HI, Sadock BJ, Grebb JA. Psycological factors affecting medical condition. Kaplan and Sadock’s syn- opsis of psychiatry: behavioral sciences clinical psy- chiatry. 7th ed. Baltimore: Williams & Wilkins; 1994. p. 756-65.
  • Bayar N, Oguzturk O, Koc C. Minnesota Multiphasic Personality Inventory profile of patients with subjec- tive tinnitus. J Otolaryngol 2002;31:317-22.
  • Hiller W, Janca A, Burke KC. Association between tin- nitus and somatoform disorders. J Psychosom Res 1997; 43:613-24.
  • Marciano E, Carrabba L, Giannini P, Sementina C, Verde P, Bruno C, et al. Psychiatric comorbidity in a population of outpatients affected by tinnitus. Int J Audiol 2003;42:4-9.
  • Holgers KM, Zoger S, Svedlund J, Erlandsson SI. Psychiatric profile of tinnitus patients referred to an audi- ologic clinic. In: Proceedings of the Sixth International Tinnitus Seminar; Cambridge; 1999. p. 283-5.
  • Ardic NA, Topuz B, Ozuer MZ, Kara CO, Katircioglu O. Evaluation of the psychological component in patients with chronic pharyngitis. Kulak Burun Bogaz Ihtis Derg 1999;6:179-82.
  • Levenson H, Glenn N, Hirschfeld ML. Duration of chronic pain and the Minnesota Multiphasic Personality Inventory: profiles of industrially injured workers. J Occup Med 1988;30:809-12.
There are 10 citations in total.

Details

Primary Language Turkish
Journal Section Research Article
Authors

Hülya Eyigör This is me

Giray Arıhan This is me

Filiz Ergin This is me

Yasemin Barlık This is me

Publication Date August 27, 2006
Published in Issue Year 2006 Volume: 16 Issue: 4

Cite

APA Eyigör, H., Arıhan, G., Ergin, F., Barlık, Y. (2006). Kronik farenjitli hastalarda psikiyatrik hastalık profili. The Turkish Journal of Ear Nose and Throat, 16(4), 178-182.
AMA Eyigör H, Arıhan G, Ergin F, Barlık Y. Kronik farenjitli hastalarda psikiyatrik hastalık profili. Tr-ENT. August 2006;16(4):178-182.
Chicago Eyigör, Hülya, Giray Arıhan, Filiz Ergin, and Yasemin Barlık. “Kronik Farenjitli Hastalarda Psikiyatrik hastalık Profili”. The Turkish Journal of Ear Nose and Throat 16, no. 4 (August 2006): 178-82.
EndNote Eyigör H, Arıhan G, Ergin F, Barlık Y (August 1, 2006) Kronik farenjitli hastalarda psikiyatrik hastalık profili. The Turkish Journal of Ear Nose and Throat 16 4 178–182.
IEEE H. Eyigör, G. Arıhan, F. Ergin, and Y. Barlık, “Kronik farenjitli hastalarda psikiyatrik hastalık profili”, Tr-ENT, vol. 16, no. 4, pp. 178–182, 2006.
ISNAD Eyigör, Hülya et al. “Kronik Farenjitli Hastalarda Psikiyatrik hastalık Profili”. The Turkish Journal of Ear Nose and Throat 16/4 (August 2006), 178-182.
JAMA Eyigör H, Arıhan G, Ergin F, Barlık Y. Kronik farenjitli hastalarda psikiyatrik hastalık profili. Tr-ENT. 2006;16:178–182.
MLA Eyigör, Hülya et al. “Kronik Farenjitli Hastalarda Psikiyatrik hastalık Profili”. The Turkish Journal of Ear Nose and Throat, vol. 16, no. 4, 2006, pp. 178-82.
Vancouver Eyigör H, Arıhan G, Ergin F, Barlık Y. Kronik farenjitli hastalarda psikiyatrik hastalık profili. Tr-ENT. 2006;16(4):178-82.