Studying the Psychological Profile of Patients with Laryngopharyngeal Reflux

Abstract

Background/Aims: Psychological factors have been claimed to play a role in the predisposition for laryngopharyngeal reflux (LPR) symptoms. The aims of this work were to study the relationship between psychological disorders and LPR and to investigate the effect of potential psychological disorders on patients' self-perception of reflux-related problems. Methods: Forty-two patients with symptoms suggestive of LPR were psychologically evaluated using the Social Readjustment Rating Scale, the Symptom Checklist-90 Revised, the Manifest Anxiety Scale of Taylor, the Minnesota Multiphasic Personality Inventory, and the Zung Self-Rating Depression Scale. Oropharyngeal 24-hour pH monitoring was used to diagnose LPR. LPR-related symptoms were assessed using the reflux symptom index (RSI) and the voice handicap index-10 (VHI-10). Patients were divided into groups based on psychiatric evaluation and pH results. Correlations between psychological profile characteristics and LPR-related parameters were also investigated. Results: No significant difference was found between the positive and negative LPR group for any of the assessed psychological disorders. Also, no significant difference was detected between the positive and negative psychological disorder groups regarding RSI, VHI-10, and pH results. Correlations between psychological profile parameters and LPR-related measures were also nonsignificant. Conclusion: It appears that there is no association between psychological disorders and LPR. The psychological background of the LPR patients had no influence on patients' self-perception of their reflux-related problems.

The association of risk factors with psychiatric symptoms and quality of life in laryngopharyngeal reflux disease patients

“…The sensation of sticking in the throat can appear continuously so that it can cause psychological disorders. [15][16][17] The results showed that there was no significant association between risk factors as gender, age, duration of symptoms, BMI, smoking and diet with psychiatric symptoms: depression, anxiety and stress. In another study also reported that there was no relationship between gender, age, BMI, and smoking habits and the patient's quality of life for LPR.…”

“…It can be caused LPR symptoms resemble symptoms of serious diseases such as cancer making the concerns of patients to seek immediate treatment so that the disease does not develop further into keganasan. 7,15 Severe symptoms of LPR such as pharyngeal globus, persistent psychogenic cough, hoarseness and dysphagia can be a cause of stress, anxiety and depression. Symptoms of LPR such as hoarseness and the sensation of a foreign body in the throat can trigger patient anxiety because of his concern for a sign of malignancy.…”

Relationship between Depression and Laryngopharyngeal Reflux

“…However, in other studies, patients with LPR did not demonstrate any psychological distress 2728. Mesallam et al28 reported that the psychological background of patients with LPR does not affect the patients' self-perception of their reflux-related problem. Chronic laryngeal signs and symptoms associated with gastroesophageal reflux (GERD) are often referred to as LPR or reflux laryngitis.…”

“…A recent cohort study found that one-third of patients with LPR suffer from anxiety and significantly reduced social activities compared with those in controls 26. However, in other studies, patients with LPR did not demonstrate any psychological distress 2728. Mesallam et al28 reported that the psychological background of patients with LPR does not affect the patients' self-perception of their reflux-related problem.…”

The Association between Free Sugars Consumption and Laryngopharyngeal Reflux: A Cross-Sectional Study among Chinese Adolescents

“…We hypothesized that this was related to personal psychological characteristics: low self-esteem was associated with a high level of anxiety, stress and depression [ 35 ]. The association between psychological characteristics and LPR is controversial with only a few researchers discussing this issue [ 7 , 36 , 37 ]. In our previous study, we observed depressive symptoms to be positively associated with LPR symptoms [ 7 ].…”