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Increased Incidence of Stress-related Tic Habit Cough in Children During the Recent Greek Financial Crisis

Titulo Increased Incidence of Stress-related Tic Habit Cough in Children During the Recent Greek Financial Crisis
Autoría Papadopoulou A, Mermiri DT, Gritzelas G, Tsouridi O, Dimara E, Yapijakis C, Chrousos GP.
Fuente In Vivo. 2021 May-Jun 35(3):1811-1820. doi: 10.21873/invivo.12442. 10.21873/invivo.12442
Resumen Background/aim: Tic habit cough (THC) is not easily recognized and requires a high index of suspicion. Since there is evidence for stress-related etiology, the study presents our experience during the eight-year period of the recent Greek financial crisis. Patients and methods: This is a descriptive prospective cross-sectional clinical study using a consistent approach to diagnosis, possible triggers and treatment options. Results: Fifty-one children (26 girls, age 9.5±3.1y) from a total of 3,793 new referrals for chronic cough fulfilled the criteria of THC (1.34%). Incidence rates per 1,000 person-years were 1.34 (95%CI=0.34-5.40), 3.91 (95%CI=1.86-8.19), 4.03 (95%CI=2.01-8.06) and 14.60 (95%CI=10.43-20.44) for every two years. Poisson analysis showed an increased trend during the four time periods with an incidence rate ratio equal to 2.21 (95%CI=1.58-3.09, p<0.001). THC was mainly attributed to learning difficulties, as well as stress-related impact of peer or family bullying, family financial problems and child anxiety disorders. Conclusion: The incidence of THC is associated with the negative aspects of stressors during a period of financial crisis. The potential underlining psycho-physiological mechanisms are discussed as well as the fact that prompt diagnosis may result in successful interventions. Keywords: Tic habit cough; cognitive behavioural therapy; cough reflex; lifestyle; stress.
URL www.ncbi.nlm.nih.gov/pubmed/33910867