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Screening for Psychiatric Disorders in Chronic Rhinosinusitis Patients Waiting for Surgery: A Prospective
Liang Peng1,2, Hui-Fang Wang1, Dong-Fang Wang1
1Department of Otorhinolaryngology Head and Neck Surgery, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China.
Summary
Depression, anxiety, insomnia, and somatic symptom disorder are common in chronic rhinosinusitis (CRS) patients awaiting surgery. High SNOT-22 scores predict these conditions, prompting further psychiatric evaluation.
Area of Science:
- Otolaryngology
- Psychiatry
- Medical Psychology
Background:
- Chronic rhinosinusitis (CRS) significantly impacts patients' quality of life.
- Psychiatric comorbidities are frequently observed in patients with chronic diseases.
Purpose of the Study:
- To determine the prevalence of depression, anxiety, insomnia, and somatic symptom disorder (SSD) in CRS patients awaiting surgery.
- To evaluate the 22-item Sinonasal Outcome Test (SNOT-22) as a predictor for these psychiatric disorders.
Main Methods:
- Prospective cross-sectional study conducted in a tertiary hospital's rhinology ward.
- Adult CRS patients undergoing endoscopic sinus surgery completed validated questionnaires: PHQ-9, GAD-7, ISI, PHQ-15, and SNOT-22.
Main Results:
- High prevalence rates were found for depression (36.5%), anxiety (31.5%), insomnia (51%), and SSD (43.4%).
- SNOT-22 scores strongly correlated with psychometric test scores.
- SNOT-22 emerged as an independent predictor of depression, anxiety, insomnia, and SSD.
Conclusions:
- Depression, anxiety, insomnia, and SSD are highly prevalent in CRS patients.
- Otolaryngologists should consider screening for psychiatric symptoms, particularly in patients with SNOT-22 scores above 30.
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