Is Globus Hystericus?

Forty-six patients, 9 male, 37 female, presenting to an ear, nose and throat department with a principal complaint of globus sensation were investigated by radiology, manometry, endoscopy and prolonged ambulatory pH monitoring to exclude a physical basis for their symptoms. Patients also underwent assessment by the Eysenck Personality Inventory (EPI) and General Health Questionnaire (GHQ). The only organic abnormalities detected were an abnormal degree of oesophageal acid exposure (seven patients) and oesophageal spasm (one patient). Female patients were neurotic introverts on EPI testing; males were stable ambiverts. High GHQ scores were present in 13 females (35%) and one male and there was a significant correlation between N scores (in the EPI) and GHQ scores. We propose that globus is a useful, single-symptom model for the study of conversion disorders.

Download Full-text

Do Health Questionnaires Which Do Not Consider Sex Differences Miss Important Information?

Psychological Reports ◽

10.2466/pr0.1997.81.1.163 ◽

1997 ◽

Vol 81 (1) ◽

pp. 163-171 ◽

Cited By ~ 5

Author(s):

Linda M. Gibson ◽

M. J. Cook

Keyword(s):

Sex Differences ◽

Sense Of Coherence ◽

General Health ◽

General Health Questionnaire ◽

Well Being ◽

Health Questionnaire ◽

Psychological Well Being ◽

Eysenck Personality Inventory ◽

Resilience Scale ◽

Health Questionnaires

The influence of gender on subsets of scores of Sense of Coherence, Hardiness, and personality traits was assessed in relation to psychological well-being using the Sense of Coherence Questionnaire, the Dispositional Resilience Scale, the Eysenck Personality Inventory, and the 12-item General Health Questionnaire. In a sample of Open University students (67 men aged 21 to 71 years and 239 women aged 19 to 66 years) sex differences were found in subsets of scores of Sense of Coherence, Hardiness, personality, and psychological well-being.

Download Full-text

Neuroticism and psychological distress: To what extent is their association due to person-environment correlation?

European Psychiatry ◽

10.1016/j.eurpsy.2009.11.003 ◽

2011 ◽

Vol 26 (1) ◽

pp. 1-5 ◽

Cited By ~ 15

Author(s):

G.B. Ploubidis ◽

S. Frangou

Keyword(s):

Psychological Distress ◽

High Risk ◽

Life Events ◽

General Health ◽

General Health Questionnaire ◽

Health Questionnaire ◽

Eysenck Personality Inventory ◽

Risk Environments ◽

Inherent Vulnerability ◽

Second Wave

AbstractObjectiveTo examine to what extent the association between neuroticism and psychological distress is related to individuals’ inherent vulnerability or their tendency to self-select high-risk environments or situations.MethodData was drawn from both waves (1984/1985 and 1991) of the Health and Lifestyle Survey. Psychological distress was evaluated using the 30-item General Health Questionnaire (GHQ-30) and neuroticism was assessed with the Eysenck Personality Inventory. A checklist of life events was completed in the second wave only. A Latent State Trait model was estimated to decompose psychological distress into its environmental-contextual and individual-specific components.ResultsNeuroticism accounted for 31 and 10% respectively of the variance of the environmental-contextual and individual-specific psychological distress components.ConclusionsOur results favour the notion that individuals with high-levels of neuroticism tend to self-select situations likely to lead to adversity and distress.

Download Full-text

Dual-probe 24-hour ambulatory pH monitoring for diagnosis of laryngopharyngeal reflux

The Journal of Laryngology & Otology ◽

10.1258/0022215042703660 ◽

2004 ◽

Vol 118 (11) ◽

pp. 845-848 ◽

Cited By ~ 24

Author(s):

W.J. Issing ◽

P.D. Karkos ◽

K. Perreas ◽

C. Folwaczny ◽

O. Reichel

Keyword(s):

Gastroesophageal Reflux Disease ◽

Laryngopharyngeal Reflux ◽

Ph Monitoring ◽

Burning Sensation ◽

Upper Aerodigestive Tract ◽

Ambulatory Ph Monitoring ◽

The Impact ◽

Dual Probe ◽

Ambulatory Ph ◽

Nose And Throat

Background: Patients with gastroesophageal reflux disease may suffer from a variety of symptoms from the upper aerodigestive tract. The objective of this study was to determine the impact of dual-probe 24-hr pH monitoring in the diagnosis of reflux-related otolaryngological disorders.Methods: Twenty-two patients with symptoms such as chronic cough, globus pharyngeus, heartburn,dysphonia and burning sensation of the tongue underwent a complete ear, nose and throat examination, 24-hr dual-probe pH monitoring, and oesophago-gastro-duodenoscopy.Results: pH monitoring revealed gastroesophageal (distal) reflux in all patients and pharyngeal (proximal) reflux in 21 patients. Treatment consisted of a proton pump inhibitor (esomeprazole). Within 4 weeks 68 per cent of patients had no laryngopharyngeal symptoms; within 8 weeks 95 per cent of patients were symptom-free.Conclusions: Patients with atypical reflux symptoms such as hoarseness, globus sensation or throat-clearing responded well to anti-reflux treatment.

Download Full-text