{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T03:57:49Z","timestamp":1784865469435,"version":"3.55.0"},"reference-count":29,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2020,11,5]],"date-time":"2020-11-05T00:00:00Z","timestamp":1604534400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81500773"],"award-info":[{"award-number":["81500773"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int Forum Allergy Rhinol"],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Individuals affected by empty nose syndrome secondary to turbinate\u2010sparing techniques (ENS\u2010type) experience decreased productivity and lifestyle disruption owing to considerable nasal\u2010associated discomfort. This study aimed to evaluate the effect of psychosomatic intervention on ENS\u2010type.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A prospective self\u2010controlled study was conducted, and 28 patients suffering from ENS\u2010type who met the diagnostic criteria for somatic symptom disorder (SSD) according to the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM\u20105) received cognitive and behavioral therapy (CBT) plus antidepressants. Nasal symptom burden was evaluated using the 25\u2010item Sino\u2010Nasal Outcome Test (SNOT\u201025). Somatic symptom burden, anxiety severity, and depression severity were assessed by the 25\u2010item Patient Health Questionnaire (PHQ\u201015), the 9\u2010item PHQ (PHQ\u20109), and the 7\u2010item Generalized Anxiety Disorder (GAD\u20107) scale, respectively. Patient assessments were completed prior to treatment and 3 and 12 months after the intervention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The total scores of the SNOT\u201025 declined posttreatment, showing a significant difference at the 3\u2010month and 12\u2010month follow\u2010ups compared with the baseline scores (<jats:italic>p<\/jats:italic> &lt; 0.001). The severity of the 5 most common subjective symptoms, including \u201cnose is too open,\u201d \u201cwaking up at night,\u201d \u201clack of a good night's sleep,\u201d \u201cdifficulty falling asleep,\u201d and \u201creduced concentration,\u201d declined significantly at 3 and 12 months posttreatment compared to baseline levels. Statistically significant changes in the PHQ\u201015, PHQ\u20109, and GAD\u20107 scores were observed at 3 and 12 months posttreatment compared to baseline scores (<jats:italic>p<\/jats:italic> &lt; 0.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This study showed that some patients with ENS\u2010type meeting the diagnostic criteria for SSD might benefit from psychiatric treatment.<\/jats:p><\/jats:sec>","DOI":"10.1002\/alr.22726","type":"journal-article","created":{"date-parts":[[2020,11,5]],"date-time":"2020-11-05T16:54:18Z","timestamp":1604595258000},"page":"984-992","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["The clinical effect of psychosomatic interventions on empty nose syndrome secondary to turbinate\u2010sparing techniques: a prospective self\u2010controlled study"],"prefix":"10.1002","volume":"11","author":[{"given":"Peng","family":"Tian","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology\u2013Head and Neck Surgery, Sun Yat\u2010Sen Memorial Hospital Sun Yat\u2010Sen University  Guangzhou Guangdong People's Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Junwu","family":"Hu","sequence":"additional","affiliation":[{"name":"Department of Psychology, School of Public Health Southern Medical University  Guangzhou Guangdong People's Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yun","family":"Ma","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology\u2013Head and Neck Surgery, Sun Yat\u2010Sen Memorial Hospital Sun Yat\u2010Sen University  Guangzhou Guangdong People's Republic of 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