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PubMed1988

Life events and difficulties preceding the onset of functional dysphonia.

The Bedford College Life Events and Difficulties Schedule was used to determine the experiences of 56 women and 9 men who were interviewed about the 12 months before the onset of functional dysphonia. Thirty (54%) of the women had experienced a difficulty or event which involved conflict over speaking out (CSO), a dimension developed during the course of the study. Only 16% of a comparison group had such experiences. Other types of event and difficulty were no commoner in the dysphonic women than in the comparison group.

Adult↗
PubMed1995

Globus pharyngis: development of a symptom assessment scale.

One hundred and five consecutive patients attending an ENT out-patients' clinic with a diagnosis of globus pharyngis completed a 10-item questionnaire concerning common throat symptoms. Principal components analysis of the questionnaire revealed a general throat pathology factor, and three orthogonal rotated factors which were related to dysphagia, globus sensation, and pain/swelling in the throat. Of 10 throat symptoms, the globus patients most commonly complained of: "Feeling of something stuck in the throat," "Discomfort/irritation in the throat," and "Want to swallow all the time." These were the symptoms which had highest loadings on the 'globus' factor. The clear factor structure and the satisfactory internal consistency of the Glasgow-Edinburgh Throat Scale (GETS) suggest that it offers a clinically useful instrument for assessing and monitoring the severity of some common throat ailments. The degree of distress caused by throat symptoms was predicted independently by the intensity of the globus sensation and by anxiety level.

Adult↗
PubMed1996

Life events and difficulties in relation to the onset of globus pharyngis.

Fifty patients with a diagnosis of globus pharyngis and 33 control patients attending the same ENT clinic were interviewed using the (Royal Holloway &) Bedford College Life Events and Difficulties Schedule (LEDS). Information was elicited concerning life events and difficulties over the 12 months before globus onset, and this was compared with the experiences of the control patients for the year before symptom onset or, where appropriate, before the interview. Globus patients had significantly more severe events than the control patients throughout the year. Moreover, globus patients had significantly fewer close confiding relationships with their partners than did controls. There is evidence, therefore, for both psychological diathesis and social stress factors in the etiology of globus pharyngis.

Adult↗
PubMedDate not supplied

Monocular diplopia.

Monocular diplopia may be of external, optical, neurological, neuromuscular, or psychogenic origin. It may develop spontaneously or it may be induced by surgery or trauma. Because treatment is usually directed toward the cause, determination of the etiology is important. Useful diagnostic techniques are described, as are treatment modalities for monocular diplopia of various origins.

Astigmatism↗
PubMed1985

Somatosensory evoked potentials in hysterical paraplegia.

Somatosensory evoked potentials were determined in three patients with hysterical neurologic deficits after minor trauma. In each case the patient denied any sensation of the stimulus in the affected extremity; however, normal evoked potentials were recorded. Objective evidence of the hysterical nature of the neurologic deficit was, therefore, provided.

Adult↗
PubMed1987

Vocal cord dysfunction: the importance of psychologic factors and provocation challenge testing.

We present three case reports involving patients with vocal cord dysfunction. The onset of symptoms in one case was coincident with a generalized cutaneous reaction to penicillin with laryngeal involvement. The other cases had been misdiagnosed as food allergy and chemical sensitivity. We describe the psychologic factors in these cases in terms of the primary and secondary gain operative in the somatoform disorder of conversion reaction and emphasize the importance of belief and learned sensitivity in the induction of symptoms. The necessity of considering psychologic factors and the use of blinded, controlled, provocation challenges to evaluate subjective symptomatology is underscored. This study emphasizes the heterogenicity of clinical presentations involving vocal cord dysfunction and illustrates the value of fiberoptic-assisted examination of laryngeal function in conjunction with provocation challenge testing in establishing causal relationships for specific clinical symptoms.

Adult↗
PubMed1984

Management of conversion reaction in five adolescent girls.

Hysteria is a topic which has produced a plethora of articles on adults but, in comparison, there is a scarcity when it involves children and young adolescents. There is considerable confusion in definition, classification, incidence and management. More agreement seems to be found when conversion reactions are specifically considered. This article attempts to present the dilemma that confronts the clinician when faced with an individual patient with a conversion reaction. This may especially apply to the present day practitioner who is likely not to have had much personal experience in managing this condition. Some of the relevant literature is summarized and the five patients are presented in tabular form and individually, together with their outcome at follow-up. The findings are discussed and some conclusions are drawn.

Adolescent↗
PubMed1984

The Illness Behavior Questionnaire as an aid to clinical assessment.

The Illness Behavior Questionnaire (IBQ) is a 62-item self-report instrument that provides information relevant to the delineation of a patient's attitudes, ideas, affects, and attributions in relation to illness. The scores generated are described, and nine clinical vignettes are presented, together with IBQ score profiles and interpretations to illustrate the manner in which the latter may complement other clinical data. The ways in which individuals react to their own health status is becoming of greater importance as the taking of responsibility for one's own health is increasingly emphasized. The IBQ provides information that should be relevant to the management of patients, regardless of the specific nature of their illness.

Adult↗