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European Archives of Oto-Rhino-Laryngology

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01-04-2016 | Rhinology

Psychological stress and its relationship with persistent allergic rhinitis

Authors: Diaa El Din Mohamed El Hennawi, Mohamed Rifaat Ahmed, Alaa Mohamed Farid

Published in: European Archives of Oto-Rhino-Laryngology | Issue 4/2016

Abstract

Allergic rhinitis is considered to be a major health problem that impairs quality of life. A possible relationship with psychological stress may exist. The aim of this study is to verify the relationship between persistent allergic rhinitis (PAR) and psychological stress aiming to improve treatment and thereby quality of life (QOL) of patients. Patients with PAR (166) were diagnosed then analyzed using the Kessler Psychological Distress Scale. Patients with allergic rhinitis and who were positive on the Kessler scale (122) were randomly divided equally into a control group which received levocetirizine and a study group which received levocetirizine and imipramine. Nasal symptom assessment and QOL assessment were performed in all patients after treatment. Of the 166 patients with PAR, 122 (73.5 %) were positive on the Kessler Psychological Distress Scale. There was a marked improvement in the study group compared with the control group as regards nasal symptoms with better QOL in the study group (6.93) compared with the control group (2.13). Psychological stress has a strong impact on persistent allergic rhinitis. When stress is controlled by a combined treatment of imipramine and levocetirizine, allergic rhinitis symptoms improved and a better QOL was obtained.

Level of evidence: 3b.

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Title: Psychological stress and its relationship with persistent allergic rhinitis
Authors: Diaa El Din Mohamed El Hennawi
Mohamed Rifaat Ahmed
Alaa Mohamed Farid
Publication date: 01-04-2016
Publisher: Springer Berlin Heidelberg
Published in: European Archives of Oto-Rhino-Laryngology / Issue 4/2016
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-015-3641-6

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Psychological stress and its relationship with persistent allergic rhinitis

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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