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The Habit Cough Syndrome and Its Variations

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Abstract

Involuntary cough without an identified underlying organic reason has been given various names and recommended treatments. Current experience suggests that “habit cough” best describes this entity. Suggestion therapy in its various forms is the treatment of choice. Successful therapy is directed at demonstrating to the patient that he/she has the ability to resist the urge to cough. Attempts at medical treatment or use of placebo therapy, even with the suggestion that the “medicine” will stop the cough, are generally not successful. Continued symptoms for years can occur in the absence of suggestion therapy. Sustained relapse after suggestion therapy is uncommon.

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References

  1. Bernstein L (1963) A respiratory tic: “the barking cough of puberty”. Report of a case treated successfully. Laryngoscope 73:315–319

    Article  PubMed  CAS  Google Scholar 

  2. Baker DC Jr (1963) Chronic cough in children. NY State J Med 63:1535–1539

    Google Scholar 

  3. Berman BA (1966) Habit cough in adolescent children. Ann Allergy 24:43–46

    PubMed  CAS  Google Scholar 

  4. Rabin CB (1968) Disturbances of respiration of functional origin. J Asthma Res 5:295–308

    Article  PubMed  CAS  Google Scholar 

  5. Kravitz H, Gomberg RM, Burnstine RC, Hagler S, Korach A (1969) Psychogenic cough tic in children and adolescents. Nine case histories illustrate the need for re-evaluation of this common but frequently unrecognized problem. Clin Pediatr (Phila) 8:580–583

    Article  CAS  Google Scholar 

  6. Munford PR, Liberman RP (1978) Differential attention in the treatment of operant cough. J Behav Med 1:289–295

    Article  PubMed  CAS  Google Scholar 

  7. Weinberg EG (1980) ‘Honking’: psychogenic cough tic in children. S Afr Med J 57:198–200

    PubMed  CAS  Google Scholar 

  8. Rojas AR, Sachs MI, Yunginger JW, O’Connell EJ (1991) Childhood involuntary cough syndrome: a long-term follow-up study. Ann Allergy 66:106 (abstract)

    Google Scholar 

  9. Lokshin B, Lindgren S, Weinberger M, Koviach J (1991) Outcome of habit cough in children treated with a brief session of suggestion therapy. Ann Allergy 67:579–582

    PubMed  CAS  Google Scholar 

  10. Lokshin B, Weinberger M (1993) The habit cough syndrome: a review. Am J Asthma Allergy Pediatr 7:11–15

    Google Scholar 

  11. Wood RE (1990) Localized tracheomalacia or bronchomalacia in children with intractable cough. J Pediatr 116:404–406

    Article  PubMed  CAS  Google Scholar 

  12. Lavigne JV, Davis AT, Fauber R (1991) Behavioral management of psychogenic cough: alternative to the “bedsheet” and other aversive techniques. Pediatrics 87:532–537

    PubMed  CAS  Google Scholar 

  13. Shuper A, Mukamel M, Mimouni M, Lerman M, Varsano I (1983) Psychogenic cough. Arch Dis Child 58:745–747

    Article  PubMed  CAS  Google Scholar 

  14. Wolff PS (1988) An ingenious way to treat psychogenic cough. MCN Am J Matern Child Nurs 13:118–120

    Article  PubMed  CAS  Google Scholar 

  15. Cohlan SQ, Stone SM (1984) The cough and the bedsheet. Pediatrics 74:11–15

    PubMed  CAS  Google Scholar 

  16. Lorin MI, Slovis TL, Haller JO (1978) Fracture of ribs in psychogenic cough. NY State J Med 78:2078–2079

    CAS  Google Scholar 

  17. Gay M, Blager F, Bartsch K, Emery CF, Rosenstiel-Gross AK, Spears J (1987) Psychogenic habit cough: review and case reports. J Clin Psychiatry 48:483–486

    PubMed  CAS  Google Scholar 

  18. Blager FB, Gay ML, Wood RP (1988) Voice therapy techniques adapted to treatment of habit cough: a pilot study. J Commun Disord 21:393–400

    Article  PubMed  CAS  Google Scholar 

  19. Houstek J, Vyhnalek M, Sukova B, Copova M (1983) Psychogenic cough. Cesk Pediatr 38:405–410

    PubMed  CAS  Google Scholar 

  20. Weinberger M, Abu-Hasan M (2007) Pseudo-asthma: when cough, wheezing, and dyspnea are not asthma. Pediatrics 120:855–864

    Article  PubMed  Google Scholar 

  21. Saito J, Harris WT, Gelfond J, Noah TL, Leigh MW, Johnson R, Davis SD (2006) Physiologic, bronchoscopic, and bronchoalveolar lavage fluid findings in young children with recurrent wheeze and cough. Pediatr Pulmonol 41:709–719

    Article  PubMed  Google Scholar 

  22. Marchant JM, Masters IB, Taylor SM, Cox NC, Seymour GJ, Chang AB (2006) Evaluation and outcome of young children with chronic cough. Chest 129:1132–1141

    Article  PubMed  Google Scholar 

  23. Chang AB, Redding GJ, Everard ML (2008) Chronic wet cough: protracted bronchitis, chronic suppurative lung disease and bronchiectasis. Pediatr Pulmonol 43:519–531

    Article  PubMed  CAS  Google Scholar 

  24. Donnelly D, Critchlow A, Everard ML (2007) Outcomes in children treated for persistent bacterial bronchitis. Thorax 62:80–84

    Article  PubMed  Google Scholar 

  25. Kompare M, Weinberger M (2011) Protracted bacterial bronchitis in young children: association with airway malacia. J Pediatr (in press)

  26. Mink CM, Cherry JD, Christenson P et al (1992) A search for Bordetella pertussis infection in university students. Clin Infect Dis 14:464–471

    Article  PubMed  CAS  Google Scholar 

  27. Wright SW, Edwards KM, Decker MD et al (1995) Pertussis infection in adults with persistent cough. JAMA 273:1044–1046

    Article  PubMed  CAS  Google Scholar 

  28. Nennig ME, Shinefield HR, Edwards KM et al (1996) Prevalence and incidence of adult pertussis in an urban population. JAMA 275:1672–1674

    Article  PubMed  CAS  Google Scholar 

  29. Craig AS, Wright SW, Edwards KM et al (2007) Outbreak of pertussis on a college campus. Am J Med 120:364–368

    Article  PubMed  Google Scholar 

  30. Harnden A, Grant C, Harrison T et al (2005) Whooping cough in school age children with persistent cough: prospective cohort study in primary care. BMJ 333:174–177

    Article  Google Scholar 

  31. Størdal K, Johannesdottir GB, Bentsen BS, Knudsen PK, Carlsen KC, Closs O, Handeland M, Holm HK, Sandvik L (2005) Acid suppression does not change respiratory symptoms in children with asthma and gastro-oesophageal reflux disease. Arch Dis Child 90:956–960

    Article  PubMed  Google Scholar 

  32. Chang AB, Connor FL, Petsky HL, Eastburn MM, Lewindon PJ, Hall C, Wilson SJ, Katelaris PH (2011) An objective study of acid reflux and cough in children using an ambulatory pHmetry-cough logger. Arch Dis Child 96:468–472

    Article  PubMed  CAS  Google Scholar 

  33. Chang AB, Cox NC, Purcell J, Marchant JM, Lewindon PJ, Cleghorn GJ, Ee LC, Withers GD, Patrick MK, Faoagali J (2005) Airway cellularity, lipid laden macrophages and microbiology of gastric juice and airways in children with reflux oesophagitis. Respir Res 6:72

    Article  PubMed  CAS  Google Scholar 

  34. Chang AB, Cox NC, Faoagali J, Cleghorn GJ, Beem C, Ee LC, Withers GD, Patrick MK, Lewindon PJ (2006) Cough & reflux esophagitis in children: their co-existence and airway cellularity. BMC Pediatr 6:4

    Article  PubMed  Google Scholar 

  35. Campanella SG, Asher MI (2001) Current controversies: sinus disease and the lower airways. Pediatr Pulmonol 31:165–172

    Article  PubMed  CAS  Google Scholar 

  36. Alexander AB, Chai H, Creer TL et al (1973) The elimination of chronic cough by response suppression shaping. J Behav Ther Exp Psychiatry 4:75–80

    Article  Google Scholar 

  37. Creer TL, Chai H, Hoffman A (1977) A single application of an aversive stimulus to eliminate chronic cough. J Behav Ther Exp Psychiatry 8:107–109

    Article  Google Scholar 

  38. Anbar RD, Hall HR (2004) Childhood habit cough treated with self-hypnosis. J Pediatr 144:213–217

    Article  PubMed  Google Scholar 

  39. Anbar RD (2007) User friendly hypnosis as an adjunct for treatment of habit cough: a case report. Am J Clin Hypn 50:171–175

    Article  PubMed  Google Scholar 

  40. Anbar RD (2009) Childhood habit cough treated with consultation by telephone: a case report. Cough 5:2

    Article  PubMed  Google Scholar 

  41. Labbé EE (2006) Biofeedback and cognitive coping in the treatment of pediatric habit cough. Appl Psychophysiol Biofeedback 31:167–172

    Article  PubMed  Google Scholar 

  42. Sipp JA, Haver KE, Masek BJ, Hartnick CJ (2007) Botulinum toxin A: a novel adjunct treatment for debilitating habit cough in children. Ear Nose Throat J 86:570–572

    PubMed  Google Scholar 

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Correspondence to Miles Weinberger.

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Weinberger, M. The Habit Cough Syndrome and Its Variations. Lung 190, 45–53 (2012). https://doi.org/10.1007/s00408-011-9317-0

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  • DOI: https://doi.org/10.1007/s00408-011-9317-0

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