Psychogenic cough: A profile of 32 cases
Psychogenic cough: A profile of 32 cases
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DOI：
10.2190/9ctg-8fr7-fbqj-181v
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发表时间：
2002-01-01
影响因子：
2
通讯作者：
Vaid, L
中科院分区：
文献类型：
--
作者：
Bhatia, MS;Chandra, R;Vaid, L
目的：心因性或神经性咳嗽通常被视为一种临床异常现象，并且在很大程度上被忽视。尽管这种情况并不罕见，但其临床特征尚不清楚。方法：本研究报告了 32 例心因性咳嗽病例。结果：32例中，女性19例（59.4%），男性13例（40.6%）。大部分患者咳嗽持续1个月以上。学校恐惧症（儿童）、害怕被拒绝以及需要关注是最常见的诱发或持续因素。 20 名患者（62.5%）患有精神疾病，最常见的是转换障碍（21.9%），其次是混合焦虑和抑郁障碍（12.5%）。采用药物治疗和/或心理治疗，12例（37.5%）缓解，16例（50.0%）好转，4例（12.5%）症状持续。结论：需要进一步研究这种重要精神疾病的治疗和结果。
Objective: Psychogenic or nervous cough has generally been viewed as a clinical oddity and largely ignored. Though it is not rare, its clinical profile is not yet well known. Method: In the present study, a series of 32 cases of psychogenic cough is reported. Results: Of 32 cases, there were 19 females (59.4 percent) and 13 males (40.6 percent). A majority of patients had cough for more than one month. School phobia (in children) and fear of rejection and need for attention were the most common precipitating or perpetuating factors. Twenty patients (62.5 percent) had a psychiatric disorder, the most common being conversion disorder (21.9 percent) followed by mixed anxiety and depressive disorder (12.5 percent). Drug therapy and/or psychotherapy were used as treatment with 12 cases (37.5 percent) showing remission, 16 cases (50.0 percent) having improvement, and 4 cases (12.5 percent) continuing with the complaint. Conclusion: Further studies are warranted to study the treatment and outcome of this important psychiatric disorder.