Patients’ Perspectives on Qualitative Olfactory Dysfunction: Thematic Analysis of Social Media Posts

BackgroundThe impact of qualitative olfactory disorders is underestimated. Parosmia, the distorted perception of familiar odors, and phantosmia, the experience of odors in the absence of a stimulus, can arise following postinfectious anosmia, and the incidences of both have i...

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Main Authors: Jane K Parker, Christine E Kelly, Barry C Smith, Aidan F Kirkwood, Claire Hopkins, Simon Gane
Format: Article
Language:English
Published: JMIR Publications 2021-12-01
Series:JMIR Formative Research
Online Access:https://formative.jmir.org/2021/12/e29086
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author Jane K Parker
Christine E Kelly
Barry C Smith
Aidan F Kirkwood
Claire Hopkins
Simon Gane
author_facet Jane K Parker
Christine E Kelly
Barry C Smith
Aidan F Kirkwood
Claire Hopkins
Simon Gane
author_sort Jane K Parker
collection DOAJ
description BackgroundThe impact of qualitative olfactory disorders is underestimated. Parosmia, the distorted perception of familiar odors, and phantosmia, the experience of odors in the absence of a stimulus, can arise following postinfectious anosmia, and the incidences of both have increased substantially since the outbreak of COVID-19. ObjectiveThe aims of this study are to explore the symptoms and sequalae of postinfectious olfactory dysfunction syndrome using unstructured and unsolicited threads from social media, and to articulate the perspectives and concerns of patients affected by these debilitating olfactory disorders. MethodsA thematic analysis and content analysis of posts in the AbScent Parosmia and Phantosmia Support group on Facebook was conducted between June and December 2020. ResultsIn this paper, we identify a novel symptom, olfactory perseveration, which is a triggered, identifiable, and usually unpleasant olfactory percept that persists in the absence of an ongoing stimulus. We also observe fluctuations in the intensity and duration of symptoms of parosmia, phantosmia, and olfactory perseveration. In addition, we identify a group of the most common items (coffee, meat, onion, and toothpaste) that trigger distortions; however, people have difficulty describing these distortions, using words associated with disgust and revulsion. The emotional aspect of living with qualitative olfactory dysfunction was evident and highlighted the detrimental impact on mental health. ConclusionsQualitative and unsolicited data acquired from social media has provided useful insights into the patient experience of parosmia and phantosmia, which can inform rehabilitation strategies and ongoing research into understanding the molecular triggers associated with parosmic distortions and research into patient benefit.
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spelling doaj.art-b070819cb12d4be3962fd6f5c77b682b2023-08-28T20:00:42ZengJMIR PublicationsJMIR Formative Research2561-326X2021-12-01512e2908610.2196/29086Patients’ Perspectives on Qualitative Olfactory Dysfunction: Thematic Analysis of Social Media PostsJane K Parkerhttps://orcid.org/0000-0003-4121-5481Christine E Kellyhttps://orcid.org/0000-0002-4476-3208Barry C Smithhttps://orcid.org/0000-0002-8345-7633Aidan F Kirkwoodhttps://orcid.org/0000-0002-5263-3737Claire Hopkinshttps://orcid.org/0000-0003-3993-1569Simon Ganehttps://orcid.org/0000-0002-0356-8190 BackgroundThe impact of qualitative olfactory disorders is underestimated. Parosmia, the distorted perception of familiar odors, and phantosmia, the experience of odors in the absence of a stimulus, can arise following postinfectious anosmia, and the incidences of both have increased substantially since the outbreak of COVID-19. ObjectiveThe aims of this study are to explore the symptoms and sequalae of postinfectious olfactory dysfunction syndrome using unstructured and unsolicited threads from social media, and to articulate the perspectives and concerns of patients affected by these debilitating olfactory disorders. MethodsA thematic analysis and content analysis of posts in the AbScent Parosmia and Phantosmia Support group on Facebook was conducted between June and December 2020. ResultsIn this paper, we identify a novel symptom, olfactory perseveration, which is a triggered, identifiable, and usually unpleasant olfactory percept that persists in the absence of an ongoing stimulus. We also observe fluctuations in the intensity and duration of symptoms of parosmia, phantosmia, and olfactory perseveration. In addition, we identify a group of the most common items (coffee, meat, onion, and toothpaste) that trigger distortions; however, people have difficulty describing these distortions, using words associated with disgust and revulsion. The emotional aspect of living with qualitative olfactory dysfunction was evident and highlighted the detrimental impact on mental health. ConclusionsQualitative and unsolicited data acquired from social media has provided useful insights into the patient experience of parosmia and phantosmia, which can inform rehabilitation strategies and ongoing research into understanding the molecular triggers associated with parosmic distortions and research into patient benefit.https://formative.jmir.org/2021/12/e29086
spellingShingle Jane K Parker
Christine E Kelly
Barry C Smith
Aidan F Kirkwood
Claire Hopkins
Simon Gane
Patients’ Perspectives on Qualitative Olfactory Dysfunction: Thematic Analysis of Social Media Posts
JMIR Formative Research
title Patients’ Perspectives on Qualitative Olfactory Dysfunction: Thematic Analysis of Social Media Posts
title_full Patients’ Perspectives on Qualitative Olfactory Dysfunction: Thematic Analysis of Social Media Posts
title_fullStr Patients’ Perspectives on Qualitative Olfactory Dysfunction: Thematic Analysis of Social Media Posts
title_full_unstemmed Patients’ Perspectives on Qualitative Olfactory Dysfunction: Thematic Analysis of Social Media Posts
title_short Patients’ Perspectives on Qualitative Olfactory Dysfunction: Thematic Analysis of Social Media Posts
title_sort patients perspectives on qualitative olfactory dysfunction thematic analysis of social media posts
url https://formative.jmir.org/2021/12/e29086
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