Psychiatric disorders in patients with chronic rhinosinusitis and its associated factor analysis

Abstract

To investigate the characteristics of psychiatric comorbidity in patients with chronic rhinosinusitis. 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). 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). Psychiatric disorders are prevalent in patients with CRS. CRS patients' psychological status was worse than that of the healthy person.