Dyad of pain and depression in chronic rhinosinusitis

Daniel R. Cox, Shaelene Ashby, Adam S. Deconde, Jess C. Mace, Richard R. Orlandi, Timothy Smith, Jeremiah A. Alt

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

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.

Original languageEnglish (US)
Pages (from-to)308-314
Number of pages7
JournalInternational Forum of Allergy and Rhinology
Volume6
Issue number3
DOIs
StatePublished - Mar 1 2016

Fingerprint

Depression
Pain
Quality of Life
Chronic Disease
Health
Pain Measurement
Nose
Observational Studies
Ear
Comorbidity
Sleep
Cohort Studies
Psychology
Equipment and Supplies
Research

Keywords

  • Data collection
  • Depression
  • Pain
  • Quality of life
  • Sinusitis

ASJC Scopus subject areas

  • Immunology and Allergy
  • Otorhinolaryngology

Cite this

Cox, D. R., Ashby, S., Deconde, A. S., Mace, J. C., Orlandi, R. R., Smith, T., & Alt, J. A. (2016). Dyad of pain and depression in chronic rhinosinusitis. International Forum of Allergy and Rhinology, 6(3), 308-314. https://doi.org/10.1002/alr.21664

Dyad of pain and depression in chronic rhinosinusitis. / Cox, Daniel R.; Ashby, Shaelene; Deconde, Adam S.; Mace, Jess C.; Orlandi, Richard R.; Smith, Timothy; Alt, Jeremiah A.

In: International Forum of Allergy and Rhinology, Vol. 6, No. 3, 01.03.2016, p. 308-314.

Research output: Contribution to journalArticle

Cox, DR, Ashby, S, Deconde, AS, Mace, JC, Orlandi, RR, Smith, T & Alt, JA 2016, 'Dyad of pain and depression in chronic rhinosinusitis', International Forum of Allergy and Rhinology, vol. 6, no. 3, pp. 308-314. https://doi.org/10.1002/alr.21664
Cox, Daniel R. ; Ashby, Shaelene ; Deconde, Adam S. ; Mace, Jess C. ; Orlandi, Richard R. ; Smith, Timothy ; Alt, Jeremiah A. / Dyad of pain and depression in chronic rhinosinusitis. In: International Forum of Allergy and Rhinology. 2016 ; Vol. 6, No. 3. pp. 308-314.
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