Psychiatric disorders in patients with benign and malignant sinonasal tumors: a prospective cross-sectional study
ObjectiveTo assess the prevalence of depression, anxiety, insomnia, and somatic symptom disorder (SSD) in patients with benign and malignant sinonasal tumors.Materials and methodsPretreatment patients with sinonasal tumors were prospectively recruited on the rhinology ward of a tertiary hospital fro...
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Frontiers Media S.A.
2024-12-01
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| Series: | Frontiers in Psychology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyg.2024.1444522/full |
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| author | Guang-Ye Zhan Guang-Ye Zhan Guang-Ye Zhan Hui-Fang Wang Dong-Fang Wang Yi-Hui Wen Yi-Hui Wen Hua Zhong Hua Zhong Wei-Ping Wen Wei-Ping Wen Jian Li Jian Li Jian Li Liang Peng Liang Peng |
| author_facet | Guang-Ye Zhan Guang-Ye Zhan Guang-Ye Zhan Hui-Fang Wang Dong-Fang Wang Yi-Hui Wen Yi-Hui Wen Hua Zhong Hua Zhong Wei-Ping Wen Wei-Ping Wen Jian Li Jian Li Jian Li Liang Peng Liang Peng |
| author_sort | Guang-Ye Zhan |
| collection | DOAJ |
| description | ObjectiveTo assess the prevalence of depression, anxiety, insomnia, and somatic symptom disorder (SSD) in patients with benign and malignant sinonasal tumors.Materials and methodsPretreatment patients with sinonasal tumors were prospectively recruited on the rhinology ward of a tertiary hospital from July 2021 to March 2022. The electronic questionnaire which contains the rhinological symptom scale, the 22-item Sinonasal Outcome Test (SNOT-22) Scale, the Patient Health Questionnaire-9 (PHQ-9), the Generalized Anxiety Disorder-7 (GAD-7), the Insomnia Severity Index (ISI), and the Patient Health Questionnaire-15 (PHQ-15) was filled out by patients at admission. The associations between the scores of symptom/SNOT-22 and psychometric tests were assessed by the Pearson correlation coefficient (r) and simple linear regression. The receiver operating characteristic (ROC) analysis was used to evaluate the performance of the SNOT-22 score in predicting psychiatric disorders.ResultsThirteen patients with benign sinonasal tumors and 15 patients with malignant sinonasal tumors were recruited. The benign and malignant groups did not differ significantly regarding symptomatology and mental wellbeing. Of the total patients, 9 were at risk of depression (PHQ-9 > 4), 10 were at risk of anxiety (GAD-7 > 4), 11 were at risk of insomnia (ISI > 7), and 11 were at risk of SSD (PHQ-15 > 4). The overall symptom, facial pain/pressure, postnasal drip, and SNOT-22 scores were positively associated with scores of psychometric tests. Patients with a high SNOT-22 score (>18) are likely to be affected by comorbid psychiatric disorders. When interpreting the results of this study, it should be noted that screening tools, not diagnostic tools, were used to identify psychiatric risk.ConclusionDepression, anxiety, insomnia, and SSD are prevalent in patients with sinonasal tumors. Otolaryngologists should have a low threshold to ask the patient about psychiatric symptoms, especially for patients with an SNOT-22 score > 18. |
| format | Article |
| id | doaj-art-c3aa452935ba438c8cd8ba93964fd89d |
| institution | OA Journals |
| issn | 1664-1078 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Psychology |
| spelling | doaj-art-c3aa452935ba438c8cd8ba93964fd89d2025-08-20T02:39:02ZengFrontiers Media S.A.Frontiers in Psychology1664-10782024-12-011510.3389/fpsyg.2024.14445221444522Psychiatric disorders in patients with benign and malignant sinonasal tumors: a prospective cross-sectional studyGuang-Ye Zhan0Guang-Ye Zhan1Guang-Ye Zhan2Hui-Fang Wang3Dong-Fang Wang4Yi-Hui Wen5Yi-Hui Wen6Hua Zhong7Hua Zhong8Wei-Ping Wen9Wei-Ping Wen10Jian Li11Jian Li12Jian Li13Liang Peng14Liang Peng15Department of Otorhinolaryngology Head and Neck Surgery, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, ChinaInstitute of Otorhinolaryngology Head and Neck Surgery, Sun Yat-sen University, Guangzhou, Guangdong, ChinaDepartment of Otorhinolaryngology, SanMing First Hospital, Fujian Medical University, Sanming, Fujian, ChinaDepartment of Otorhinolaryngology Head and Neck Surgery, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, ChinaDepartment of Otorhinolaryngology Head and Neck Surgery, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, ChinaDepartment of Otorhinolaryngology Head and Neck Surgery, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, ChinaInstitute of Otorhinolaryngology Head and Neck Surgery, Sun Yat-sen University, Guangzhou, Guangdong, ChinaDepartment of Otorhinolaryngology Head and Neck Surgery, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, ChinaInstitute of Otorhinolaryngology Head and Neck Surgery, Sun Yat-sen University, Guangzhou, Guangdong, ChinaDepartment of Otorhinolaryngology Head and Neck Surgery, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, ChinaInstitute of Otorhinolaryngology Head and Neck Surgery, Sun Yat-sen University, Guangzhou, Guangdong, ChinaDepartment of Otorhinolaryngology Head and Neck Surgery, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, ChinaInstitute of Otorhinolaryngology Head and Neck Surgery, Sun Yat-sen University, Guangzhou, Guangdong, ChinaDepartment of Otorhinolaryngology, Guangxi Hospital Division of the First Affiliated Hospital, Sun Yat-sen University, Nanning, Guangxi, ChinaDepartment of Otorhinolaryngology Head and Neck Surgery, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, ChinaInstitute of Otorhinolaryngology Head and Neck Surgery, Sun Yat-sen University, Guangzhou, Guangdong, ChinaObjectiveTo assess the prevalence of depression, anxiety, insomnia, and somatic symptom disorder (SSD) in patients with benign and malignant sinonasal tumors.Materials and methodsPretreatment patients with sinonasal tumors were prospectively recruited on the rhinology ward of a tertiary hospital from July 2021 to March 2022. The electronic questionnaire which contains the rhinological symptom scale, the 22-item Sinonasal Outcome Test (SNOT-22) Scale, the Patient Health Questionnaire-9 (PHQ-9), the Generalized Anxiety Disorder-7 (GAD-7), the Insomnia Severity Index (ISI), and the Patient Health Questionnaire-15 (PHQ-15) was filled out by patients at admission. The associations between the scores of symptom/SNOT-22 and psychometric tests were assessed by the Pearson correlation coefficient (r) and simple linear regression. The receiver operating characteristic (ROC) analysis was used to evaluate the performance of the SNOT-22 score in predicting psychiatric disorders.ResultsThirteen patients with benign sinonasal tumors and 15 patients with malignant sinonasal tumors were recruited. The benign and malignant groups did not differ significantly regarding symptomatology and mental wellbeing. Of the total patients, 9 were at risk of depression (PHQ-9 > 4), 10 were at risk of anxiety (GAD-7 > 4), 11 were at risk of insomnia (ISI > 7), and 11 were at risk of SSD (PHQ-15 > 4). The overall symptom, facial pain/pressure, postnasal drip, and SNOT-22 scores were positively associated with scores of psychometric tests. Patients with a high SNOT-22 score (>18) are likely to be affected by comorbid psychiatric disorders. When interpreting the results of this study, it should be noted that screening tools, not diagnostic tools, were used to identify psychiatric risk.ConclusionDepression, anxiety, insomnia, and SSD are prevalent in patients with sinonasal tumors. Otolaryngologists should have a low threshold to ask the patient about psychiatric symptoms, especially for patients with an SNOT-22 score > 18.https://www.frontiersin.org/articles/10.3389/fpsyg.2024.1444522/fulldepressionanxietyinsomniasomatic symptom disordersinonasal tumor |
| spellingShingle | Guang-Ye Zhan Guang-Ye Zhan Guang-Ye Zhan Hui-Fang Wang Dong-Fang Wang Yi-Hui Wen Yi-Hui Wen Hua Zhong Hua Zhong Wei-Ping Wen Wei-Ping Wen Jian Li Jian Li Jian Li Liang Peng Liang Peng Psychiatric disorders in patients with benign and malignant sinonasal tumors: a prospective cross-sectional study Frontiers in Psychology depression anxiety insomnia somatic symptom disorder sinonasal tumor |
| title | Psychiatric disorders in patients with benign and malignant sinonasal tumors: a prospective cross-sectional study |
| title_full | Psychiatric disorders in patients with benign and malignant sinonasal tumors: a prospective cross-sectional study |
| title_fullStr | Psychiatric disorders in patients with benign and malignant sinonasal tumors: a prospective cross-sectional study |
| title_full_unstemmed | Psychiatric disorders in patients with benign and malignant sinonasal tumors: a prospective cross-sectional study |
| title_short | Psychiatric disorders in patients with benign and malignant sinonasal tumors: a prospective cross-sectional study |
| title_sort | psychiatric disorders in patients with benign and malignant sinonasal tumors a prospective cross sectional study |
| topic | depression anxiety insomnia somatic symptom disorder sinonasal tumor |
| url | https://www.frontiersin.org/articles/10.3389/fpsyg.2024.1444522/full |
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