{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T05:25:12Z","timestamp":1793597112127,"version":"4.5.0"},"reference-count":31,"publisher":"Cambridge University Press (CUP)","issue":"4","license":[{"start":{"date-parts":[[2026,2,6]],"date-time":"2026-02-06T00:00:00Z","timestamp":1770336000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S0022215126104381_sec1a\">\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Chronic rhinosinusitis with nasal polyps patients awaiting functional endoscopic sinus surgery have unmet psychological needs. This study evaluated cognitive behavioural therapy\u2019s efficacy in relieving their anxiety, depression and sinus symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0022215126104381_sec2b\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A single-centred randomised controlled trial enrolled 144 patients (51 females, 93 males), randomising 72 to six weeks of cognitive behavioural therapy (cognitive restructuring, behavioural activation) and 72 to routine pre-operative education. Outcomes were assessed via Self-rating Anxiety Scale, Self-rating Depression Scale and Sino-Nasal Outcome Test at pre-intervention and 1, 3, 6 and 12 months post\u2013functional endoscopic sinus surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0022215126104381_sec3c\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Compared with the control group, the cognitive behavioural therapy group had significantly lower scores at all post\u2013functional endoscopic sinus surgery time points (all\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001), with benefits sustained for one year. Efficacy was consistent across most subgroups (ages and disease duration), except the 61- to 70-year-old cognitive behavioural therapy subgroup with late-phase score increases (still lower than controls).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0022215126104381_sec4d\">\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Six weeks of structured cognitive behavioural therapy improves chronic rhinosinusitis with nasal polyps patients\u2019 pre-operative mental health and sinus symptoms and should be core to their multimodal pre-rehabilitation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s0022215126104381","type":"journal-article","created":{"date-parts":[[2026,2,6]],"date-time":"2026-02-06T11:45:06Z","timestamp":1770378306000},"page":"407-413","source":"Crossref","is-referenced-by-count":1,"title":["Effectiveness of a cognitive behavioural therapy on patients with chronic rhinosinusitis with nasal polyps: a randomised controlled trial"],"prefix":"10.1017","volume":"140","author":[{"given":"Qi","family":"Wang","sequence":"first","affiliation":[{"name":"The First Affiliated Hospital with Nanjing Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ran","family":"Shi","sequence":"additional","affiliation":[{"name":"The First Affiliated Hospital with Nanjing Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yujie","family":"Yan","sequence":"additional","affiliation":[{"name":"The First Affiliated Hospital with Nanjing Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-8320-2030","authenticated-orcid":false,"given":"Ping","family":"Liu","sequence":"additional","affiliation":[{"name":"The First Affiliated Hospital with Nanjing Medical 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