Eyigör Hülya, Arihan Giray, Ergin Filiz, Barlik Yasemin
Department of Otolaryngology, Aydin State Hospital, Aydin, Turkey.
Kulak Burun Bogaz Ihtis Derg. 2006;16(4):178-82.
We investigated the psychopathological condition of patients with chronic pharyngitis.
The study included 27 patients (23 females, 4 males; mean age 41.7+/-10.4 years; range 21 to 63 years) who had persistent symptoms 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. All the patients and controls were assessed by a psychiatrist with the use of the Structural Clinical Interview for DSM-IV Disorders (SCID).
All the patients were diagnosed to have Axis I psychopathology. The most frequent pathologies were somatisation disorder (n=8, 29.6%) and dysthymic disorder (n=8). Five individuals (15.6%) in the control group received psychiatric diagnoses. Psychiatric disorders were 6.4 times more frequent in the patient group (p=0.00, CI=2.86-14.31). No significant differences 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 differences between the two groups.
We suggest that patients frequently presenting to ENT departments with repeated symptoms of chronic pharyngitis should also receive psychiatric assessment and support.
我们调查了慢性咽炎患者的精神病理状况。
该研究纳入了27例患者（23例女性，4例男性；平均年龄41.7±10.4岁；范围21至63岁），这些患者有持续超过六个月的慢性咽炎症状，耳鼻喉检查和常规检查未发现任何急性感染迹象。27名无慢性咽炎症状且既往无精神疾病诊断的健康受试者（23例女性，4例男性；平均年龄41.8±11.9岁）组成对照组。所有患者和对照均由精神科医生使用《精神疾病诊断与统计手册》第四版障碍的结构性临床访谈（SCID）进行评估。
所有患者均被诊断为有轴I精神病理学问题。最常见的病症是躯体化障碍（n = 8，29.6%）和恶劣心境障碍（n = 8）。对照组中有5人（15.6%）获得了精神疾病诊断。患者组中精神疾病的发生率是对照组的6.4倍（p = 0.00，CI = 2.86 - 14.31）。患者组和对照组在教育水平和职业水平方面未观察到显著差异（分别为p = 0.263和p = 0.362）。两组在与慢性咽炎相关的危险因素方面的比较未显示出显著差异。
我们建议，经常因慢性咽炎反复症状前往耳鼻喉科就诊的患者也应接受精神科评估和支持。
