0
Original Research: Signs and Symptoms of Chest Diseases |

Management and Diagnosis of Psychogenic Cough, Habit Cough, and Tic CoughPsychogenic, Habit, and Tic Cough: A Systematic Review

Qusay Haydour, MD; Fares Alahdab, MD; Magdoleen Farah, MBBS; Patricia Barrionuevo, MD; Anne E. Vertigan, PhD; Peter A. Newcombe, PhD; Tamara Pringsheim, MD; Anne B. Chang, PhD; Bruce K. Rubin, MD; Lorcan McGarvey, MD; Kelly A. Weir, BSpThy, MSpPath; Kenneth W. Altman, MD, PhD; Anthony Feinstein, PhD; Mohammad Hassan Murad, MD, MPH; Richard S. Irwin, MD, Master FCCP
Author and Funding Information

From the Mayo Clinic (Drs Haydour, Alahdab, Farah, Barrionuevo, and Murad), The Knowledge and Evaluation Research Unit and the Center for the Science of Health Care Delivery, Rochester, MN; Unidad de Conocimiento y Evidencia (Dr Barrionuevo), Universidad Peruana Cayetano Heredia, Lima, Peru; John Hunter Hospital (Dr Vertigan), Department of Speech Pathology, Newcastle, NSW, Australia; University of Queensland (Dr Newcombe), School of Psychology, Brisbane, QLD, Australia; University of Calgary (Dr Pringsheim), Calgary, AB, Canada; Royal Children’s Hospital and Menzies School of Health Research (Dr Chang), Charles Darwin University, Brisbane, Brisbane, QLD, Australia; Children’s Hospital of Richmond and Virginia Commonwealth University (Dr Rubin), Richmond, VA; Centre for Infection and Immunity (Dr McGarvey), The Queen’s University of Belfast, Belfast, Northern Ireland; Royal Children’s Hospital Department of Speech Pathology and Queensland Children’s Medical Research Institute (Ms Weir), The University of Queensland, Brisbane, QLD, Australia; Mount Sinai Hospital (Dr Altman), New York, NY; Sunnybrook Health Sciences Centre (Dr Feinstein), Toronto, ON, Canada; and UMass Memorial Medical Center (Dr Irwin), Worcester, MA.

CORRESPONDENCE TO: Qusay Haydour, MD, 257 Napa Dr, Augusta, GA 30909; e-mail: q.haydour@gmail.com


FUNDING/SUPPORT: The authors have reported to CHEST that no funding was received for this study.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.


Chest. 2014;146(2):355-372. doi:10.1378/chest.14-0795
Text Size: A A A
Published online

BACKGROUND:  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.

Figures in this Article

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Figures

Tables

References

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Related Content

Customize your page view by dragging & repositioning the boxes below.

Find Similar Articles
CHEST Journal Articles
PubMed Articles
  • CHEST Journal
    Print ISSN: 0012-3692
    Online ISSN: 1931-3543