Abstract
Objectives; to evaluate the quality of life among patients with
chronic rhino sinusitis and the risk of developing depression.
Design; An observation cross section study.
Setting; the quality of life was assessed using 2-item
sinonasal outcome test (SNOT-22) while Patient Health Questionnaire-2
(PHQ-2) used for screen of depression and Stress was analyzed using the
Kessler Psychological Distress Scale (10 items representing five
psychological distress traits were assessed with a five-point scale)
Participants; 1072 patients with chronic rhino sinusitis.
Main outcome measures; Influence of Chronic Rhino sinusitis on
Quality of Life and Risk of Depression and Lost Productivity.
Results; the level of quality of life affection was moderate in
159 (24.77%) and severe in 483 (75.23%) of participants with CRS. The
mean score of PHQ-2 for assessing the risk of major depression was 4.17
+ 1.74 in participants with CRS. 135 (21.03%) were normal (not at risk
of major depression) and 507 (78.97%) were at risk of major depression.
According to the Kessler Psychological Distress Scale: 759 patients
(70.8%) were positive with a mean total perceived stress score of 16.92
± 7.34, whereas 313(29.2%) were negative with a mean total perceived
stress score of 6.08 ± 2.7. The difference was statistically significant
Conclusions; Patients with CRS are at risk of depression, poor
quality of life and bad work performance. Despite the supportive
treatment that used to provide to such patients, a clinical
comprehensive approach should be considered to relief the impact on
patients’ quality of life.
Level of evidence : IV