[Psychosomatic aspects of idiopathic spasmodic torticollis. Results of a multicenter study].
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.
Scheidt
C E
CE
Abteilung für Psychosomatik und Psychotherapeutische Medizin, Universität Freiburg.
Rayki
O
O
Nickel
T
T
Heinen
F
F
Wissel
J
J
Poewe
W
W
Benecke
R
R
Arnold
G
G
Oertel
W
W
Dengler
R
R
Deuschl
G
G
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*
Psychosomatische Aspekte des idiopathischen spasmodischen Torticollis. Ergebnisse einer multizentrischen Untersuchung.