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Psychiatric disorders in patients with chronic rhinosinusitis and its associated factor analysis
Pages: 969-974
Year: Issue:  12
Journal: Chinese Journal of Otorhinolaryngology Head and Neck Surgery

Keyword:  Mental disordersPsychological testsSinusitis;
Abstract: Objective To investigate the characteristics of psychiatric comorbidity in patients with chronic rhinosinusitis.Methods The psychological investigation and evaluation were done in 80 patients with chronic rhinosinusitis by using self-reporting inventory 90 (SCL-90),visual analogue scale (VAS),Lund-Mackay score and Lund-Kennedy score.The results were compared with healthy Chinese population,including factors of age,gender,educational level,course of disease,the number of operation and smoking history(using rank-sum test analysis,SPSS 19.0).Results Mild and mild-to-moild levels of psychosis were noted in 68.75% with high score for somatization (t =4.46,P =0.00),obsession (t =4.78,P =0.00),interpersonal sensitivity(t =2.42,P =0.02),anxiety (t =2.47,P =0.02),psychoticism (t =3.01,P =0.01) and other(t =6.31,P =0.00) compared with control group.The factor scores of relation sensibility in female group were higher than male group (Z =-3.04,P =0.00).The factor scores of Somatization (Z =-3.42,P =0.00),Obsession (Z =-2.42,P =0.01),Interpersonal Sensitivity (Z =-3.46,P =0.00),General Symptomatic Index (Z =-2.11,P =0.04) in long course group were higher than short course group.The factor scores of panic in junior group were higher than senior group (Z =-2.25,P =0.02).The factor scores of somatization in smoking group were higher than less-smoking group(Z =-3.11,P =0.00).There was no difference in score of SCL-90 with educational background and surgical history (all P > 0.05).Conclusions Psychiatric disorders are prevalent in patients with CRS.CRS patients' psychological status was worse than that of the healthy person.
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