Pain Catastrophizing and Quality of Life in Adults With Chronic Rhinosinusitis

Abstract

Objectives/Hypothesis Psychological comorbidity is common in patients with chronic rhinosinusitis (CRS) and is correlated with decreased overall and disease‐specific quality of life (QoL). Prior research reported that anxiety and depression, as measured by the hospital anxiety and depression scale (HADS), are associated with worse CRS‐specific QoL, as assessed via the Rhinosinusitis Disability Index (RSDI). Furthermore, patients prone to anxiety/depression may display an exaggerated response to real or anticipated discomfort; the pain catastrophizing scale (PCS) is a validated instrument designed to measure this phenomenon. This study is intended to explore the role of pain catastrophizing in relation to anxiety, depression, and disease‐specific QoL in patients with facial pain attributed to CRS. Study Design Prospective cohort study. Methods Diagnosis of presumed CRS was based upon current American Academy of Otolaryngology – Head & Neck Surgery (AAO‐HNS) guidelines; all participants reported facial pain as a component of their CRS symptomatology. RSDI, HADS, and PCS questionnaires were administered upon presentation prior to intervention, and objective measurements of sinonasal inflammation were obtained via nasal endoscopy and computed tomography (CT). Results Seventy‐five patients were enrolled in the study. Significant positive correlations were found between PCS and HADS, total RSDI, and RSDI emotional sub‐scores (P < .05). The incidence of objective evidence of disease, as measured via nasal endoscopy and CT, was not significantly different in catastrophizing patients. Conclusions Pain catastrophizing correlates with anxiety/depression and worse disease‐specific QoL in patients meeting symptomatic criteria for CRS. Otolaryngologists should be aware that catastrophic thinking can intensify a patient's perception of sinonasal symptoms, and clinicians may consider management of psychological comorbidity to optimize rhinologic outcomes. Level of Evidence 4 Laryngoscope, 131:1939–1945, 2021

The relationship between meaning of life, perceived social support, spiritual well-being and pain catastrophizing with quality of life in migraine patients: the mediating role of pain self-efficacy

“…Pain catastrophizing also has a significant indirect relationship with quality of life through pain self-efficacy mediation (B =− 0.015). Therefore the results of the present study with the research of Alvarez-Astorga et al [ 39 ]; Sewell et al [ 33 ]; McPack et al [ 58 ]; De Carlo et al [ 57 ]; Hayashi et al [ 87 ]; Galvez Sanchez et al [ 88 ]; Kazi et al are consistent [ 56 ] And all have reported significant inverse relationships between pain catastrophizing and quality of life. In explaining these findings, it can be said that pain perception is a complex phenomenon and has cognitive, emotional, behavioral and motivational dimensions that affect each person differently [ 33 ].…”

“…According to the research of Alvarez-Astorga et al [ 39 ] pain catastrophizing increases the symptoms of migraine in patients. Based on studies conducted by Kazi et al [ 56 ] in patients with Chronic rhinosinusitis; De Carlo et al [ 57 ] in young patients with Inflammatory bowel disease; Sewell et al [ 33 ] in chronic illnesses; MackPeak et al [ 58 ] in women with endometriosis; pain catastrophizing is associated with higher levels of pain that reduced quality of life. Research by Kalapurakkel et al [ 45 ] showed that higher levels of pain self-efficacy are recognized as a protective psychological resource in patients experiencing chronic pain and are associated with better performance.…”

Five‐year EuroQol 5‐Dimension Outcomes After Endoscopic Sinus Surgery

“…Patients with CRS experience elevated rates of depression and anxiety with associated pain and pain catastrophizing, which has been associated with reduced quality of life. 23,24,28,29 Indeed, patients with CRS are 1.5 times more likely to develop depression and anxiety than those without CRS. 24 In this study population, we see almost 50% of patients reporting problems in the anxiety/ depression domain with sustained reductions in anxiety/ depression through five years after ESS.…”

“…Patients with CRS experience elevated rates of depression and anxiety with associated pain and pain catastrophizing, which has been associated with reduced quality of life 23,24,28,29 . Indeed, patients with CRS are 1.5 times more likely to develop depression and anxiety than those without CRS 24 .…”

Risk Factors for Maxillary Sinus Pathology after Surgery for Midfacial Fracture: A Multivariate Analysis

“…The symptoms of maxillary sinusitis include nasal congestion, nasal discharge, facial pain, rhinocnesmus, etc., [ 11 , 12 ]. Acute maxillary sinusitis can lead to life-threatening complications while chronic disease can seriously affect quality of life because of recurrent episodes and related discomfort [ 13 , 14 , 15 ]. Decreasing the incidence of maxillary sinusitis has become a goal of facial fracture management.…”