Symptoms of swallowing anxiety in panic disorder patients and associated psychopathologic factors

Budak, Ersin; Taymur, İbrahim; Önen, Sınay; Kanat, Bilgen Biçer; Akdeniz, Önder; Demirci, Hakan

doi:10.1007/s40519-017-0367-z

Cited by 5 publications

(5 citation statements)

References 25 publications

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“…A high score on the SAS indicates that swallowing anxiety symptoms increase in individuals. The scale was developed in Turkish, and the Cronbach's alpha value of SAS was calculated as 0.89 (14).…”

Section: Methodsmentioning

confidence: 99%

“…Globus hysteresis is defined as a mental-origin converse symptom accompanied by a sensation of a lump in the throat (esophagus or airway) or a foreign object in connection with swallowing, and phagophobia is defined as swallowing phobia (11-13) . In addition, swallowing anxiety is a concept that has just begun to be studied in the literature, and it is a concept that was originally put forward to evaluate psychological-based swallowing difficulties (14).…”

Section: Introductionmentioning

confidence: 99%

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The Effect of Swallowing Anxiety on Gastroscopy Time and Sedation Type and Its Relationship with Health Literacy

Sakar¹

2021

ehlj

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Aim:The aim of this study is to investigate the effect of swallowing anxiety on gastroscopy time and sedation type and its relationship with health literacy. Methods: Participants between the ages of 18-75, who were registered in Karacabey Ulubatli Hasan Family Health Center and applied with dyspeptic complaints and underwent gastroscopy, were evaluated in the study. Persons who volunteered to participate in the study were examined through the Sociodemographic Data Form, the State Trait Anxiety Inventory (STAI), the Swallowing Anxiety Scale (SAS), and the Health Literacy Scale (HL-EU-Q16).Results: In the study, it was found that women's STAI and SAS mean scores were higher than men's mean scores (p<0.05). It was found that SAS scores differed significantly according to economic status (p<0.05). It was determined that the rate of patients with undergraduate education was higher in the local anesthesia group (p<0.05). It was found that the endoscopy period was longer in the patient group with psychiatric disease than in the group without psychiatric disease (p<0.05). In the study, it was found that there was a significant positive correlation (r=0.22, p=0.002) between SAS scores and STAI-I scores. It was found that there was a significant positive correlation (r=0.37, p<0.001) between SAS scores and STAI-II scores. According to the STAI-I and STAI-II scales, as a result of the ROC analysis in order to predict the presence of anxiety in the patient and whether this anxiety is continuous; It is predicted that if the total score to be obtained from SAS is >19, the patient may have anxiety, and if the total score is >22, the continuity of this anxiety can be mentioned. In addition, a statistically significant negative correlation was found between the ages of the cases and their HL-EU-Q16 scores (r=-0.14, p=0.05). Conclusions: State and trait anxiety symptoms and swallowing anxiety symptoms are common in patients presenting with dyspeptic complaints. In dyspeptic patients, SAS is an appropriate measurement tool in order to determine swallowing problems of psychological origin. It may be beneficial for their mental health to provide anti-anxiety information before endoscopy to people with a score of 19 or higher on SAS. The fact that health literacy results are not associated with anxiety tests is a valuable finding. It suggests that while making the accurate health decisions, individuals exhibit an anxiety-free behavior.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The Effect of Swallowing Anxiety on Gastroscopy Time and Sedation Type and Its Relationship with Health Literacy

Sakar¹

2021

ehlj

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“…Disfaji; MS hastalarında beslenmeyi olumsuz etkilemesi, hastada ağrıya ve rahatsızlığa sebep olması ve yaşam kalitesini düşürmesinin yanı sıra; aspirasyon pnömonisi, dehidratasyon, malnütrisyon, yutma kaygısı gibi akut ve kronik komplikasyonlara da yol açarak mortalite ve morbiditeyi artırmaktadır. [11][12][13] Disfajinin neden olduğu en önemli komplikasyonlardan biri beslenme bozukluğudur. 14 MS hastalarında, disfajiye bağlı yeterli ve dengeli beslenememe durumu vücut ağırlığında azalma ile kendini gösteren erken dönem komplikasyonlarındandır.…”

Section: Disfajinin Komplikasyonlarıunclassified

“…Disfajinin tedavi ve bakımı; diyet modifikasyonlarını, pozisyonel yutma tedavileri ve duyusal uyarma tekniklerini içerir. [1][2][3][4][5][6][7][8][9][10][11][12][13]25 Diyet Modifikasyonları Diyet modifikasyonu, hastanın tolere edebileceği kıvam ve miktardaki besinlerin seçilmesini sağlayarak disfajinin azaltılmasını ve komplikasyonların önlenmesini amaçlar. Literatürde, yoğun kıvamlı sıvı besinlerin verilmesinin, disfajik hastalarda yutmayı kolaylaştırdığını ve malnütrisyon gelişimini önlemede etkin olduğunu gösteren çalışmalar mevcuttur.…”

Section: Disfajinin Tedavi Ve Bakımıunclassified

Multiple skleroz hastalarında disfaji ve disfajiye yönelik hemşirelik yaklaşımları

Kesik

Özdemir

2020

Mersin Üniversitesi Sağlık Bilimleri Dergisi

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Disfaji; multiple skleroz hastalarında sıklıkla görülen ve hayati komplikasyonlara neden olabilen bir bulgudur. Literatürde, disfajinin multiple skleroz hastalarında görülme sıklığının %33 ile %43 aralığında olduğu bildirilmektedir. Disfajinin; multiple sklerozun alevlenme dönemlerinde 2-3 haftadan 2-4 aya kadar sürebileceği, kronikleşerek remisyon dönemlerinde de devam edebileceği bildirilmiştir. Disfaji, hastada beslenmeyi olumsuz etkiler ve yaşam kalitesini düşürür. Aspirasyon pnömonisi, dehidratasyon, malnütrisyon, yutma kaygısı multiple skleroz hastalarında disfajiye bağlı gelişen önemli beslenme komplikasyonlarıdır. Bozulan beslenme örüntüsü, bu hastalarda mortalite ve morbiditeyi artıran nedenler arasında ilk sıralarda yer almaktadır. Multiple skleroz hastalarında disfajinin noninvaziv ve nonfarmakolojik hemşirelik yaklaşımları ile kontrol altına alınması mümkündür. Bu derlemede, Multiple Skleroz hastalarında önemli bir bulgu olan disfaji ve disfajinin tanılanması, tedavisi ve bakımı aşamalarında hemşirenin rolü tartışılmıştır.

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“…Thus, it is tentatively inferred that there is an association between state/trait anxiety and somatic symptoms in ADs. Till now, only a clinical trial focused on the association between state/trait anxiety and swallowing difficulty in PD patients ( 27 ), but this feature could not represent core somatic symptoms in PD. In all, studies are scarce on the correlation between state/trait anxiety and PD patients’ somatic symptoms.…”

Section: Introductionmentioning

confidence: 99%

Serum BDNF levels and state anxiety are associated with somatic symptoms in patients with panic disorder

et al. 2023

Front. Psychiatry

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BackgroundWe aimed to explore the predictive role of serum BDNF and anxiety-related variables in changes in somatic symptoms post-escitalopram treatment in panic disorder (PD) patients.MethodsNinety PD patients and 99 healthy controls (HCs) were enrolled. PD patients received an 8-week escitalopram treatment. All patients were administered the Panic Disorder Severity Scale–Chinese Version (PDSS-CV) and State-Trait Anxiety Inventory (STAI) to assess panic and anxiety-related symptoms, respectively. Patient Health Questionnaire 15-item scale (PHQ-15) was performed to measure somatic symptoms, and the blood sample was collected to detect serum BDNF levels in all participants. We performed partial correlation analysis and multiple linear regression to explore correlates of PHQ-15 and predictors of PHQ-15 changes post-escitalopram treatment after controlling for age, gender, education levels (set as a dummy variable), the current duration, comorbid AP, and/or GAD.ResultsCompared to HCs, PD patients had lower serum BDNF levels and higher PHQ-15 scores that could be improved post-escitalopram treatment. Lower baseline STAI state (b = −0.07, p = 0.004), and PDSS-CV scores (b = −0.25, p = 0.007), but higher baseline serum BDNF levels (b = 0.35, p = 0.007) contributed to the prediction of PHQ-15 changes post-escitalopram treatment.ConclusionState anxiety, serum BDNF levels, and panic severity could predict changes in somatic symptoms post-escitalopram treatment, our results highlighted that serum BDNF could serve as a biological indicator for improving somatic symptoms in PD patients.

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Symptoms of swallowing anxiety in panic disorder patients and associated psychopathologic factors

Abstract: Swallowing difficulty items in PD patients involved anxious, phobic and somatic symptoms associated with swallowing. In addition, swallowing difficulty symptoms in PD patients can be confounded with eating disorder symptoms.

Cited by 5 publications

References 25 publications

The Effect of Swallowing Anxiety on Gastroscopy Time and Sedation Type and Its Relationship with Health Literacy

The Effect of Swallowing Anxiety on Gastroscopy Time and Sedation Type and Its Relationship with Health Literacy

Multiple skleroz hastalarında disfaji ve disfajiye yönelik hemşirelik yaklaşımları

Serum BDNF levels and state anxiety are associated with somatic symptoms in patients with panic disorder

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