Phobia as a Symptom in Hyperthyroidism

Ficarra, Bernard J.; Nelson, Ralph A.

doi:10.1176/ajp.103.6.831

Cited by 23 publications

(3 citation statements)

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“…For instance, there is a well-known associa tion of hyperthyroidism to phobic symptoms, particularly agoraphobia [78][79][80], Achieve ment of normal thyroid function may result in the disappearance of phobic symptoms in many cases [78][79][80], but not in other instances [14], It is indeed difficult to conceptualize a complex, multifactorial, slow-incubation dis turbance such as panic disorder with agora phobia [20] as being simply the consequence of increased anxiety, depression and irritabil ity due to hyperthyroidism.…”

Section: Hyperthyroidismmentioning

confidence: 99%

Psychosomatic View of Endocrine Disorders

Fava

Sonino²,

Morphy³

1993

Psychother Psychosom

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This review is concerned with the clinical and research implications of psychosomatic research in endocrinology. A possible role of life events in the pathogenesis of endocrine disease, the psychological distress associated with acute illness, and the issue of quality of life in clinical endocrinology are surveyed. In particular, the psychosomatic aspects of Cushing’s syndrome, Addison’s disease, hyperthyroidism, hypothyroidism, hyperprolactinemia, acromegaly, growth hormone deficiency, and hirsutism are considered.

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Section: Hyperthyroidismmentioning

confidence: 99%

Psychosomatic View of Endocrine Disorders

Fava

Sonino²,

Morphy³

1993

Psychother Psychosom

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“…The high incidence of childhood phobias in hyperthyroid patients has been reported by Ficarra and Nelson. 3 It is our belief that the struggle to maintain repression of the emerging fear of death, and to avoid anxiety through active mastery, is etiologically significant in triggering overactivity of the thvroid gland. This would explain the clinical observation that many patients, after medical or surgical treatment for acute hyperthyroidism (which restores their thyroid function to normal), do not revert to their former counterphobic type of behavior.…”

Section: Resultsmentioning

confidence: 99%

A Psychophysiological Investigation of Hyperthyroidism

et al. 1965

Psychosomatic Medicine

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Acute hyperthyroid patients, 7 treated and 43 untreated, and 31 control subjects were psychologically and physiologically tested before, during, and after viewing stressor and nonstressor motion pictures.In untreated patients, the thyroid gland was capable of responding to emotional stimulation within 2 min. Thyroid and autonomic nervous system (ANS) reactions were significantly greater with the stressor film than with nonstressors. The more emotionally disturbed showed greater thyroid and ANS activation than the less disturbed, regardless of stimulus film shown.In treated patients and control subjects, thyroid and ANS response to the stressor film was minimal.Protein-bound iodine-131 was a more sensitive indicator of thyroid response than untagged protein-bound iodine.

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“…[13] found 12 patients with Graves' disease among 295 phobic patients. It has also been reported that phobias and hyperthyroidism frequently coexist [14], Hyperthyroidism may induce anxiety, yet anxiety may increase a person's vulnerability to hyperthy roidism [15,16], Weller [ 17] reported that the first case of Graves' disease developed 11 months after the onset of agoraphobia. There were several similar subsequent re ports [18,19], However, no one reported the precise thy roid function at the onset of anxiety disorders or mood disorders which preceded hyperthyroid Graves' disease.…”

Section: Discussionmentioning

confidence: 99%

Graves’ Disease after the Onset of Panic Disorder

Matsubayashi

Tamai

Matsumoto

et al. 1996

Psychother Psychosom

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Background: It is still unknown whether anxiety disorders observed in Graves’ disease are a consequence of increased thyroid hormone levels or precede the onset of Graves’ disease. Methods: Two case reports are described. Results: In 2 patients Graves’ disease occurred in the setting of previously established euthyroid panic disorder. The interval between the onset of panic disorder and that of hyperthyroidism was 4 and 5 years, respectively. Antithyroid drug treatment reduced psychiatric symptoms, but only to a partial degree. Conclusion: The findings indicate that panic disorder may not only be a consequence of Graves’ disease but may precede its onset and potentially predispose to its development.

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Phobia as a Symptom in Hyperthyroidism

Cited by 23 publications

References 1 publication

Psychosomatic View of Endocrine Disorders

Psychosomatic View of Endocrine Disorders

A Psychophysiological Investigation of Hyperthyroidism

Graves’ Disease after the Onset of Panic Disorder

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