Chest
Original Research: CoughPrevalence of Depressive Symptoms Among Patients With Chronic Cough
Section snippets
Materials and Methods
Between July 2004 and April 2005, patients with chronic cough presenting for their initial evaluation at the Montefiore Cough Center (Bronx, NY) completed the Center for Epidemiologic Studies Depression Scale (CES-D). The CES-D, a widely used and validated instrument, is a 20-item self-report questionnaire designed to measure depressive symptomatology.5 A score ≥ 16 reflects significant depressive symptomatology and risk for clinical depression.5 The CES-D was administered verbally by one of
Results
One hundred patients (79 women, 21 men) completed the CES-D at their initial visit. Three subjects were not enrolled because of a preexistent diagnosis of depression and/or use of an antidepressant medication. The predominance of women in this study accurately reflects the overall percentage of women seen at the Montefiore Cough Center since its inception, and mirrors the experience at other subspecialty cough centers where women, who have enhanced cough reflex sensitivity compared to men,6, 7
Discussion
Chronic cough can result in significant morbidity and loss of quality of life.3, 4 Patients have a host of physical complaints, including chest and throat discomfort, sleep deprivation, nausea and/or vomiting after paroxysms of cough and, especially in women, urinary incontinence. Furthermore, many patients with chronic cough become socially isolated; fear of severe coughing in public places forces them to abandon activities such as attending movies and concerts, eating in restaurants, and
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Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (www.chestjournal.org/misc/reprints.shtml).
The authors have no conflicts of interest related to this work to disclose.
Presented in part at the American Thoracic Society International Conference, San Diego, CA, May 23, 2005.