title: [Psychosomatic aspects of idiopathic spasmodic torticollis. Results of a multicenter study].
abstract: Idiopathic spasmodic torticollis (IST) is one of the most frequent dystonic movement disorders. Its classification as a focal dystonia, as well as its treatment with botulinum toxin resulted in groups of patients being regularly seen by neurologic specialists. In a multicentre study, we investigated psychosocial changes, coping and psychopathology, and their interrelations with signs, symptoms and course. 256 patients were included in the study (59.3% women, 40.7% men). The mean age was 49.1 years. Rotating torticollis occurred more often than latero-retrocollis and antero-retrocollis. A family history of IST was seen in 3.1% of the total sample. 34% of the patients had additional dystonic symptoms. Most frequently, these affected the upper extremities (13%), less often the legs. 19.1% of the patients had experienced a period of complete remission. The General Symptom Index of the SCL 90-R in 27% of the patients ranged above the double standard deviation of the normal controls, indicating a clinically significant psychopathology.
authors.affiliation: Abteilung für Psychosomatik und Psychotherapeutische Medizin, Universität Freiburg.
authors.forename: C E
authors.initials: CE
authors.lastname: Scheidt
authors.forename: O
authors.initials: O
authors.lastname: Rayki
authors.forename: T
authors.initials: T
authors.lastname: Nickel
authors.forename: F
authors.initials: F
authors.lastname: Heinen
authors.forename: J
authors.initials: J
authors.lastname: Wissel
authors.forename: W
authors.initials: W
authors.lastname: Poewe
authors.forename: R
authors.initials: R
authors.lastname: Benecke
authors.forename: G
authors.initials: G
authors.lastname: Arnold
authors.forename: W
authors.initials: W
authors.lastname: Oertel
authors.forename: R
authors.initials: R
authors.lastname: Dengler
authors.forename: G
authors.initials: G
authors.lastname: Deuschl
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D005260:Female; D006801:Humans; D008016:Life Change Events; D008297:Male; D008875:Middle Aged; D009460:Neurologic Examination; D010555:Personality Inventory; D011602:Psychophysiologic Disorders / Q000175:diagnosis / Q000235:genetics / Q000523:psychology*; D012307:Risk Factors; D012803:Sick Role; D014103:Torticollis / Q000175:diagnosis / Q000235:genetics / Q000523:psychology*
vernacular_title: Psychosomatische Aspekte des idiopathischen spasmodischen Torticollis. Ergebnisse einer multizentrischen Untersuchung.