Document Detail

Psychogenic cough treated with biofeedback and psychotherapy. A review and case report.
MedLine Citation:
PMID:  7710731     Owner:  NLM     Status:  MEDLINE    
Psychogenic cough is a barking or honking cough, which is persistent and disruptive to normal activity. The cough may be a debilitating condition that interferes with work and social relationships. Although the frequency of this condition is low, it is not rare. The majority of cases reported involve pediatric or adolescent patients. Surprisingly, there are scant data describing this condition in the adult population and no reports of biofeedback being used to treat this syndrome. We present a case report of an adult patient with psychogenic cough and review the available pediatric and adult literature. A 41-yr-old obese female presented with a complex 7-yr history of intractable, nonproductive, chronic cough. She had been avoiding social activities because of embarrassment by her repeated episodes of coughing. Extensive diagnostic work-up failed to find an organic etiology. Numerous medical and surgical treatments had failed. The patient was treated with a combination of biofeedback-assisted relaxation training, psychotherapy, and physical therapy. Review of the literature revealed only one report on adults, in which three of four patients were successfully treated with a combination of speech therapy, relaxation techniques, breathing exercises, and psychotherapy. Our success suggests a possible future use of this treatment protocol for cases of psychogenic cough.
B Riegel; J E Warmoth; S J Middaugh; W G Kee; L C Nicholson; D M Melton; D K Parikh; J C Rosenberg
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  American journal of physical medicine & rehabilitation / Association of Academic Physiatrists     Volume:  74     ISSN:  0894-9115     ISO Abbreviation:  Am J Phys Med Rehabil     Publication Date:    1995 Mar-Apr
Date Detail:
Created Date:  1995-05-18     Completed Date:  1995-05-18     Revised Date:  2009-11-19    
Medline Journal Info:
Nlm Unique ID:  8803677     Medline TA:  Am J Phys Med Rehabil     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  155-8     Citation Subset:  AIM; IM    
Department of Physical Medicine and Rehabilitation, Medical University of South Carolina, Charleston 29425, USA.
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MeSH Terms
Anxiety Disorders / therapy
Biofeedback, Psychology*
Chronic Disease
Cough / psychology,  therapy*
Psychophysiologic Disorders / therapy*
Psychotherapy / methods*
Somatoform Disorders / therapy

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