Somatic Cough Syndrome And Tic Cough In Adults And Children
Publication Date: July 1, 2015
Last Updated: March 14, 2022
Recommendations/Suggestions
In adults or children with chronic cough, we suggest that the presence or absence of night time cough or cough with a barking or honking character should not be used to diagnose or exclude psychogenic or habit cough. (2, C)
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In adults with a persistently troublesome chronic cough, we suggest that the presence of depression and/or anxiety not be used as diagnostic criteria for psychogenic cough because patients with a persistently troublesome chronic cough can develop these psychologic symptoms when their coughs remain untreatable. (2, C)
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In adults and children with chronic cough that has remained medically unexplained after a comprehensive evaluation based upon the most current evidencebased management guideline, we recommend that the diagnosis of tic cough be made when the patient manifests the core clinical features of tics that include suppressibility, distractibility, suggestibility, variability, and the presence of a premonitory sensation whether the cough is single or one of many tics. (1, C)
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In adults and children with chronic cough, we suggest against using the diagnostic terms habit cough and psychogenic cough.
(Ungraded Consensus-Based Statement)
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In adults and children with chronic cough, we suggest substituting the diagnostic term tic cough for habit cough to be consistent with the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5) classifi cation of diseases and because the definition and features of a tic capture the habitual nature of cough. (, )
(Ungraded Consensus-Based Statement)
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When disseminating research findings on tic cough, we suggest adding the parenthetical term ( habit ) (eg, tic cough [ habit ]) for three years, to help smooth the adoption of the new name, avoid confusion in the medical literature, and facilitate bibliographic database searches.
(Ungraded Consensus-Based Statement)
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In adults and children, we suggest substituting the diagnostic term somatic cough disorder for psychogenic cough to be consistent with the DSM-5 classification of diseases. (-)
(Ungraded Consensus-Based Statement)
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When disseminating research fi ndings on somatic cough disorder, we suggest adding the parenthetical term ( psychogenic ) (eg, somatic cough disorder [ psychogenic ]) for three years, to help smooth the adoption of the new name, avoid confusion in the medical literature, and facilitate bibliographic database searches.
(Ungraded Consensus-Based Statement)
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In adults and children, we suggest that the diagnosis of somatic cough disorder can only be made after an extensive evaluation has been performed that includes ruling out tic disorders and uncommon causes and the patient meets the DSM-5 criteria for a somatic symptom disorder. (2, C)
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In children with chronic cough diagnosed with somatic cough disorder (previously referred to as psychogenic cough), we suggest non-pharmacological trials of hypnosis or suggestion therapy or combinations of reassurance, counseling, or referral to a psychologist and/or psychiatrist. (2, C)
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Recommendation Grading
Overview
Title
Somatic Cough Syndrome And Tic Cough In Adults And Children
Authoring Organization
American College of Chest Physicians
Publication Month/Year
July 1, 2015
Last Updated Month/Year
January 10, 2024
Supplemental Implementation Tools
Document Type
Guideline
External Publication Status
Published
Country of Publication
US
Document Objectives
We conducted a systematic review on the management of psychogenic cough, habit cough, and tic cough to update the recommendations and suggestions of the 2006 guideline on this topic.
Target Patient Population
Adults and children with pshychogenic cough
Inclusion Criteria
Male, Female, Adolescent, Adult, Child, Older adult
Health Care Settings
Ambulatory, Hospital, Outpatient, School
Intended Users
Nurse, nurse practitioner, physician, physician assistant
Scope
Counseling, Diagnosis, Treatment, Management
Diseases/Conditions (MeSH)
D003371 - Cough, D063868 - Patient Outcome Assessment
Keywords
cough, somatic cough syndrome
Source Citation
Supplemental Methodology Resources
Methodology
Number of Source Documents
55
Literature Search Start Date
September 1, 2013
Literature Search End Date
January 9, 2015