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Management and Diagnosis of Psychogenic Cough, Habit Cough, and Tic Cough

Haydour, Qusay, Alahdab, Fares, Farah, Magdoleen, Barrionuevo, Patricia, Vertigan, Anne E., Newcombe, Peter A., Pringsheim, Tamara, Chang, Anne B., Rubin, Bruce K., McGarvey, Lorcan, Weir, Kelly A., Altman, Kenneth W., Feinstein, Anthony, Murad, Mohammad Hassan and Irwin, Richard S. (2014). Management and Diagnosis of Psychogenic Cough, Habit Cough, and Tic Cough. Chest,146(2):355-372.

Document type: Journal Article
Citation counts: Altmetric Score Altmetric Score is 11
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IRMA ID 11436xPUB62
Title Management and Diagnosis of Psychogenic Cough, Habit Cough, and Tic Cough
Author Haydour, Qusay
Alahdab, Fares
Farah, Magdoleen
Barrionuevo, Patricia
Vertigan, Anne E.
Newcombe, Peter A.
Pringsheim, Tamara
Chang, Anne B.
Rubin, Bruce K.
McGarvey, Lorcan
Weir, Kelly A.
Altman, Kenneth W.
Feinstein, Anthony
Murad, Mohammad Hassan
Irwin, Richard S.
Journal Name Chest
Publication Date 2014
Volume Number 146
Issue Number 2
ISSN 0012-3692   (check CDU catalogue open catalogue search in new window)
Scopus ID 2-s2.0-84905656311
Start Page 355
End Page 372
Total Pages 18
Place of Publication United States of America
Publisher American College of Chest Physicians
HERDC Category C1 - Journal Article (DIISR)
Several pharmacologic and nonpharmacologic therapeutic options have been used to treat cough that is not associated with a pulmonary or extrapulmonary etiology.
METHODS: We conducted a systematic review to summarize the evidence supporting different cough management options in adults and children with psychogenic, tic, and habit cough. Medline, EMBASE, the Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, and Scopus were searched from the earliest inception of each database to September 2013. Content experts were contacted, and we searched bibliographies of included studies to identify additional references.
RESULTS: A total of 18 uncontrolled studies were identified, enrolling 223 patients (46% male subjects, 96% children and adolescents). Psychogenic cough was the most common descriptive term used (90% of the studies). Most of the patients (95%) had no cough during sleep; barking or honking quality of cough was described in only eight studies. Hypnosis (three studies), suggestion therapy (four studies), and counseling and reassurance (seven studies) were the most commonly used interventions. Hypnosis was effective in resolving cough in 78% of the patients and improving it in another 5%. Suggestion therapy resolved cough successfully in 96% of the patients. The greatest majority of improvements noted with these forms of therapy occurred in the pediatric age group. The quality of evidence is low due to the lack of control groups, the retrospective nature of all the studies, heterogeneity of definitions and diagnostic criteria, and the high likelihood of reporting bias.
CONCLUSIONS: Only low-quality evidence exists to support a particular strategy to define and treat psychogenic, habit, and tic cough. Patient values, preferences, and availability of potential therapies should guide treatment choice.

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