LCQ LCQ Psychological Domain 2 — Questions and Answers
Question 1: A low score on the LCQ psychological domain in a patient with idiopathic chronic cough should prompt the clinician to consider:
- Increasing the dose of bronchodilators
- Referring for psychological support or cognitive behavioral therapy (Correct answer)
- Ordering additional lung function tests
- Increasing dietary salt intake
Correct answer: Referring for psychological support or cognitive behavioral therapy
A low psychological domain score indicates significant emotional distress, warranting consideration of psychological support or CBT alongside medical management.
Question 2: Which of the following best describes the relationship between LCQ psychological domain scores and cough severity?
- There is no relationship
- Higher cough severity consistently predicts lower (worse) psychological domain scores (Correct answer)
- Psychological scores are unaffected by cough frequency
- Lower cough severity always worsens psychological scores
Correct answer: Higher cough severity consistently predicts lower (worse) psychological domain scores
Studies show that greater cough severity is associated with lower LCQ psychological domain scores, reflecting worse psychological quality of life.
Question 3: Feeling that coughing has taken over one's life is most likely captured in which LCQ domain?
- Physical domain
- Social domain
- Psychological domain (Correct answer)
- Not assessed by the LCQ
Correct answer: Psychological domain
The sense that cough dominates one's life is an emotional cognitive appraisal captured in the psychological domain.
Question 4: Speech pathology cough suppression therapy (CST) has been shown to improve the LCQ psychological domain. This is primarily because CST:
- Reduces anxiety by improving perceived control over coughing (Correct answer)
- Directly treats depression with medication
- Provides social support networks for cough patients
- Improves lung function values
Correct answer: Reduces anxiety by improving perceived control over coughing
CST reduces the psychological burden by improving the patient's sense of control over coughing, which alleviates anxiety and improves psychological domain scores.
Question 5: The psychological domain of the LCQ contains how many items?
- 3
- 4
- 5 (Correct answer)
- 6
Correct answer: 5
The LCQ psychological domain contains 5 items addressing emotional consequences such as embarrassment, depression, anxiety, irritability, and feeling distressed.
Question 6: Which patient characteristic is most likely to predict a severely low LCQ psychological domain score at baseline?
- Male sex
- Duration of cough less than 2 weeks
- Long-standing chronic cough of more than 2 years duration (Correct answer)
- Non-smoker status
Correct answer: Long-standing chronic cough of more than 2 years duration
Patients with chronic cough lasting more than 2 years tend to show the greatest psychological burden, reflected in lower LCQ psychological domain scores.
LCQ LCQ Psychological Domain 2
A low score on the LCQ psychological domain in a patient with idiopathic chronic cough should prompt the clinician to consider: