The relationship between mental health symptoms and disease severity, and quality of life in chronic rhinosinusitis patients with nasal polyps: a latent profile analysis

To investigate the heterogeneity of mental health among patients of chronic rhinosinusitis with nasal polyps (CRSwNP), and further look into the relationship between mental health, disease severity, and quality of life. Patients with CRSwNP were investigated using the General information questionnaire, Lund-Mackay score (LMS), 22-item Sino-Nasal Outcomes Test (SNOT-22), 14-item Perceived Stress Scale (PSS-14), as well as Hospital Anxiety and Depression Scale (HADS). Latent profile analysis was applied to investigate the heterogeneity of mental health in CRSwNP patients. Multivariate logistic regression was utilized to analyze the influencing factors of different profiles. 185 patients with CRSwNP were enrolled, including 105 males (56.8%) and 80 females (43.2%), and mean (SD) age was 46.31 (14.41). Three potential profiles of mental health were identified, including ‘positive group’ (30.3%), ‘stable group’ (30.8%), and ‘negative group’ (38.9%). Disease severity was associated with different groups of mental health. Patients with higher disease severity and having a history of systemic steroid use are more likely to be categorized in the ‘stable group’ and ‘negative group’. The total scores and various domains (rhinology symptoms, extra-nasal rhinologic symptoms, ear/facial symptoms, psychological dysfunction, and sleep dysfunction) scores of quality of life are significantly different among the groups. Three potential profiles of mental health in patients of CRSwNP were identified. Severity contributes to the heterogeneity of mental health, and quality of life is associated with mental health. Clinical caregivers could give targeted interventions to improve patients’ quality of life through characteristics of mental health and severity.