Management and diagnosis of psychogenic cough, habit cough, and tic cough: A systematic review

BACKGROUND: Several pharmacologic and nonpharmacologic therapeutic options have been used to treat cough that is not associated with a pulmonary or extrapulmonary etiology.

METHODS: We conducted a systematic review to summarize the evidence supporting different cough management options in adults and children with psychogenic, tic, and habit cough. Medline, EMBASE, the Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, and Scopus were searched from the earliest inception of each database to September 2013. Content experts were contacted, and we searched bibliographies of included studies to identify additional references.

RESULTS: A total of 18 uncontrolled studies were identified, enrolling 223 patients (46% male subjects, 96% children and adolescents). Psychogenic cough was the most common descriptive term used (90% of the studies). Most of the patients (95%) had no cough during sleep; barking or honking quality of cough was described in only eight studies. Hypnosis (three studies), suggestion therapy (four studies), and counseling and reassurance (seven studies) were the most commonly used interventions. Hypnosis was effective in resolving cough in 78% of the patients and improving it in another 5%. Suggestion therapy resolved cough successfully in 96% of the patients. The greatest majority of improvements noted with these forms of therapy occurred in the pediatric age group. The quality of evidence is low due to the lack of control groups, the retrospective nature of all the studies, heterogeneity of definitions and diagnostic criteria, and the high likelihood of reporting bias.

CONCLUSIONS: Only low-quality evidence exists to support a particular strategy to define and treat psychogenic, habit, and tic cough. Patient values, preferences, and availability of potential therapies should guide treatment choice.

The Split in Stalin's Secretariat, 1939-1948

The question of the relationship between the Party and the State is crucial for understanding Soviet political system. Jonathan Harris goes to the heart of the matter by examining two principal views about the Communist Party’s role in Soviet society during the late 1930s and 1940s. Drawing on a meticulous analysis of the main party publications during this period, the author reconstructs the main battle lines between Georgii Malenkov and Andrei Zhdanov, the two antagonists of the book.
The book provides a very detailed and extensive analysis of the debates about Party's role in Soviet system as it appeared in the official press. However, without a much needed discussion of the 1948 reform of the Party apparatus and use of archival sources, there are few arguments which were not already present in the original article by Jonathan Harris published in 1976.