CHEST Guidelines-Somatic-Cough-Syndrome-(Previously-Referred-to-as-

Somatic-Cough-Syndrome-(Previously-Referred-to-as-

Pdf Summary

The 2015 CHEST Guideline and Expert Panel Report provides updated recommendations on the management of somatic cough syndrome (formerly psychogenic cough) and tic cough (formerly habit cough) in adults and children. This update revises previous terminology and recommendations from the 2006 guidelines, based on a systematic literature review using low-quality evidence due to the lack of validated diagnostic criteria.<br /><br />Key changes in terminology are suggested; the term "psychogenic cough" is recommended to be replaced by "somatic cough disorder," consistent with DSM-5 classifications, acknowledging cerebral correlates for disorders previously considered psychogenic. The term "habit cough" should be replaced by "tic cough," as it aligns with DSM-5 recognized tic disorders, characterized by features such as suppressibility and distractibility.<br /><br />The guidelines discuss the insufficiency of nighttime cough absence or a barking cough as the sole criteria for diagnosing these cough types. They also caution against using depression and anxiety solely as diagnostic criteria for psychogenic cough due to their possible development in response to chronic, untreatable cough.<br /><br />In terms of management, pharmacologic interventions for these cough types appear generally ineffective. Instead, the guidelines suggest considering non-pharmacologic strategies, including hypnosis, suggestion therapy, counseling, and psychotherapy, for children with somatic cough disorder.<br /><br />The report emphasizes that the diagnosis of somatic cough disorder should be considered only after ruling out other conditions and based on DSM-5 criteria. The panel also outlines areas for future research, such as the need for rigorous studies with standardized diagnostic protocols and randomized controlled trials, to improve the understanding and treatment of somatic and tic cough disorders.

Keywords

somatic cough syndrome

tic cough

CHEST Guideline

DSM-5

psychogenic cough

habit cough

diagnostic criteria

non-pharmacologic strategies

systematic literature review

future research