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Updated: Jun 9, 2025
The Trier Social Stress Test Protocol for Inducing Psychological Stress
Published on: October 19, 2011
Is SNOT-22 a Reliable Tool During Periods of High Stress? A Retrospective Cohort Study
Reut Book1,2, Anna Lazutkin1,2, Aviad Book3
1Department of Otolaryngology - Head and Neck Surgery, Hadassah Medical Center, Jerusalem, Israel.
Objective:
To assess the impact of a major crisis, such as the October 7, 2023, terror attack, on SNOT-22 scores, especially the extra-rhinologic subdomains.
Methods:
This retrospective cohort study was conducted at the Rhinology Clinic in a Tertiary University Hospital. Patients who visit our Rhinology Clinic routinely complete the SNOT-22, a widely employed questionnaire designed for evaluating health-related quality of life in individuals with rhinologic conditions. Patients were divided into two groups: 5 weeks before the October 7 terror attack and 5 weeks after. Primary outcomes for analyses included the Sedaghat Subdomain model of the SNOT-22. Descriptive analysis and Welch's t-test were used to compare SNOT-22 subdomain scores between groups.
Results:
A total of 159 patients completed the SNOT-22 questionnaire, with 60 before and 99 after October 7, 2023. A general decrease in average scores was observed across all subdomains, with a significant decrease in the Nasal subdomain (p = 0.0388). Subgroup analysis showed an increase in the Ear/Facial subdomain in Arabic and the Sleep and Function subdomains in English, though not statistically significant. In sex-based sub-analysis, female patients showed a significant decrease in the Emotions subdomain.
Conclusion:
Our study was unable to establish a direct link between the terror attack and specific SNOT-22 subdomains. However, the observed trends suggest that SNOT-22 may display variability or unreliability when used during periods of high stress.
Level Of Evidence:
3 Laryngoscope, 135:1309-1314, 2025.
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