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Illness perception, mood and coping strategies in allergic rhinitis: are there differences among ARIA classes of severity?

Volume: 52 - Issue: 1

First page: 66 - Last page: 71

F. Braido - I. Baiardini - N. Scichilone - A. Musarra - S. Menoni - E. Ridolo - F. Gani - V. Pravettoni - G. Colombo - M. Crivellaro - G.E. Senna - F. Fumagalli - O. Rossi - G.W. Canonica

BACKGROUND: This study was designed to assess if illness perception, mood state and coping strategies differ according to allergic rhinitis (AR) persistence and severity.
METHODS: Illness perception, mood profiles, coping behaviors and rhinitis symptoms were assessed by means of validated tools in patients classified according to ARIA guidelines.
RESULTS: Two hundred and thirty-one patients underwent data analysis. No difference in age, sex, socio-economic status, smoking habits was detected comparing patients according to AR severity, duration or 4 ARIA classes. Patients with intermittent AR reported higher scores than those with persistent AR in confusion–bewilderment of POMS; patients with moderate/severe rhinitis had significantly higher scores than those with mild rhinitis in T5SS, Identity and Consequences. No differences were detected in all assessed outcomes in the 4 ARIA classes.
CONCLUSIONS: The patient’s perspective about AR is independent of persistence and severity of symptoms. This may explain why AR remains under-diagnosed and under-treated, even in its most severe forms. Self-management plans should consider the patient’s perspective.

Rhinology 52-1: 66-71, 2014

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