Treatment of social phobia by endoscopic thoracic sympathicotomy.
OBJECTIVE
To analyse the severity of various symptoms and the developmental life history in social phobia. To estimate the value of ETS in the treatment of chronic social phobia.


METHODS
Prospective study.


METHODS
Clinic for Psychoneurology and Surgery in Tampere, Finland.


METHODS
Consecutive series of patients (n = 51).


METHODS
Endoscopic thoracic sympathicotomy.


METHODS
Qualitative ideographic inquiry. Questionnaire of the symptom severity using visual analogue scale.


RESULTS
The life history included mental and physical abuse in 61%, paternal alcoholism in 26%. Four family subtypes were named: quarrelsome, cruel, alcoholic, and perfectionist. The pathognomonic symptoms of social phobia: hyperhidrosis, palpitation, blushing, tremor, and anxiety, were all highly significantly (p < 0.001) alleviated by ETS. 88% of the patients were satisfied with the result. There were no complications.


CONCLUSIONS
ETS seems a promising alternative to conservative therapy for social phobia.
Telaranta
T
T
Privatix Clinic, Tampere, Finland. timo@privatix.fi
D000328:Adult; D001821:Blushing; D004724:Endoscopy; D005260:Female; D006801:Humans; D006945:Hyperhidrosis / Q000601:surgery; D008297:Male; D017060:Patient Satisfaction; D010698:Phobic Disorders / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D011446:Prospective Studies; D013562:Sympathectomy / Q000379:methods*; D013906:Thoracoscopy; D016896:Treatment Outcome; D014202:Tremor / Q000601:surgery