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

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

Supplemental Methodology Resources

Data Supplement

Methodology

Number of Source Documents
55
Literature Search Start Date
September 1, 2013
Literature Search End Date
January 9, 2015