Psychosocial Interventions in Laryngopharyngeal Reflux: An Institutional Experience.

IF 0.6 Q4 SURGERY

Indian Journal of Otolaryngology and Head and Neck Surgery Pub Date : 2025-06-01 Epub Date: 2025-04-24 DOI:10.1007/s12070-025-05493-6

Sanjay Kumar, Anghusman Dutta, Ran Singh

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引用次数: 0

Abstract

Introduction: Laryngopharyngeal reflux (LPR) results from the retrograde flow of gastric contents into the upper aerodigestive tract, causing chronic cough, throat clearing, and dysphonia. Unlike gastroesophageal reflux disease (GERD), LPR lacks typical oesophageal symptoms, complicating diagnosis and treatment. Proton pump inhibitors (PPIs) are commonly prescribed but show inconsistent efficacy. Psychological distress, including anxiety and depression, may contribute to LPR symptom persistence, yet few studies have examined psychosocial interventions in LPR management.

Methodology: This prospective, observational cohort study was conducted over two years (January 2022- December 2024) at a tertiary care hospital. A total of 100 LPR patients were assigned to a Standard Treatment Group (pharmacological and dietary therapy) or a Psychosocial Intervention Group (receiving additional Cognitive-Behavioural Therapy (CBT) and Mindfulness-Based Stress Reduction (MBSR)). LPR severity (Reflux Symptom Score [RSS] and Reflux Sign Assessment [RSA]) and psychological distress (GAD-7, PHQ-9, PSS) were assessed at baseline and 3, 6, 12, and 24 months.

Results: The Psychosocial Intervention Group showed greater symptom reduction (RSS: 7.8 ± 1.3 vs. 5.2 ± 1.1, p = 0.012; RSA: 5.6 ± 1.0 vs. 3.8 ± 0.9, p = 0.009). Psychological distress scores declined significantly (p < 0.01). The intervention improved treatment response (85% vs. 65%) and quality of life (70% vs. 50%). Regression analysis identified psychological distress as a predictor of treatment resistance, while psychosocial interventions improved likelihood of symptom resolution (OR = 2.54, p < 0.001).

Conclusion: Psychosocial distress significantly influences LPR severity and treatment outcomes. Integrating CBT and MBSR with standard therapy enhances symptom relief and quality of life, supporting a multidisciplinary treatment approach.

Supplementary information: The online version contains supplementary material available at 10.1007/s12070-025-05493-6.

查看原文本刊更多论文

喉咽反流的社会心理干预：一个机构经验。

喉咽反流（LPR）是由胃内容物逆行流进上气消化道引起的，引起慢性咳嗽、清喉和发音困难。与胃食管反流病（GERD）不同，LPR缺乏典型的食管症状，使诊断和治疗复杂化。质子泵抑制剂（PPIs）是常用的处方，但疗效不一致。心理困扰，包括焦虑和抑郁，可能导致LPR症状持续存在，但很少有研究检查LPR管理中的社会心理干预。方法：这项前瞻性、观察性队列研究在一家三级保健医院进行了两年多（2022年1月至2024年12月）。共有100名LPR患者被分配到标准治疗组（药物和饮食治疗）或社会心理干预组（接受额外的认知行为治疗（CBT）和正念减压（MBSR））。在基线和3、6、12和24个月时评估LPR严重程度（反流症状评分[RSS]和反流体征评估[RSA]）和心理困扰（GAD-7、PHQ-9、PSS）。结果：心理社会干预组症状减轻更明显(RSS: 7.8±1.3比5.2±1.1,p = 0.012；RSA: 5.6±1.0 vs. 3.8±0.9,p = 0.009)。结论：心理社会困扰显著影响LPR严重程度和治疗效果。将CBT和正念减压疗法与标准疗法相结合，可增强症状缓解和生活质量，支持多学科治疗方法。补充信息：在线版本包含补充资料，下载地址：10.1007/s12070-025- 05496 -6。

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来源期刊

Indian Journal of Otolaryngology and Head and Neck Surgery Medicine-Otorhinolaryngology

CiteScore

0.80

自引率

0.00%

发文量

226

审稿时长

6-12 weeks

期刊介绍： Indian Journal of Otolaryngology and Head & Neck Surgery was founded as Indian Journal of Otolaryngology in 1949 as a scientific Journal published by the Association of Otolaryngologists of India and was later rechristened as IJOHNS to incorporate the changes and progress. IJOHNS, undoubtedly one of the oldest Journals in India, is the official publication of the Association of Otolaryngologists of India and is about to publish it is 67th Volume in 2015. The Journal published quarterly accepts articles in general Oto-Rhino-Laryngology and various subspecialities such as Otology, Rhinology, Laryngology and Phonosurgery, Neurotology, Head and Neck Surgery etc. The Journal acts as a window to showcase and project the clinical and research work done by Otolaryngologists community in India and around the world. It is a continued source of useful clinical information with peer review by eminent Otolaryngologists of repute in their respective fields. The Journal accepts articles pertaining to clinical reports, Clinical studies, Research articles in basic and applied Otolaryngology, short Communications, Clinical records reporting unusual presentations or lesions and new surgical techniques. The journal acts as a catalyst and mirrors the Indian Otolaryngologist’s active interests and pursuits. The Journal also invites articles from senior and experienced authors on interesting topics in Otolaryngology and allied sciences from all over the world. The print version is distributed free to about 4000 members of Association of Otolaryngologists of India and the e-Journal shortly going to make its appearance on the Springer Board can be accessed by all the members. Association of Otolaryngologists of India and M/s Springer India group have come together to co-publish IJOHNS from January 2007 and this bondage is going to provide an impetus to the Journal in terms of international presence and global exposure.