A prospective psychological evaluation of patients with dysphagia of various etiologies

Chung H. Kim, Joseph J. Hsu, Donald E. Williams, Amy L. Weaver, Alan R. Zinsmeister

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

We hypothesized that patients who complain of dysphagia without demonstrable organic abnormality may have an underlying psychological dysfunction. We thus conducted a comprehensive assessment in three groups of patients with dysphagia. Dysphagia was classified as obstructive (Obst) when an obstructive lesion was present on esophagoscopy or barium swallow, motility-related (Mot) when abnormal motility was shown on esophageal manometry in the presence of normal esophagoscopy or barium swallow, or nonobstructive, nonmotility-related (NONM) when manometry and esophagoscopy or barium swallow were both normal. We prospectively evaluated 71 patients with Obst-dysphagia, 15 patients with Mot-dysphagia and 10 patients with NONM-dysphagia with a battery of standardized psychological tests including the Minnesota Multiphasic Personality Inventory (MMPI), the Symptom Checklist-90-Revised (SCL-90-R), and the Millon Behavioral Health Inventory (MBHI). The results indicate that patients with NONM-dysphagia have psychological attributes similar to those found in patients with Obst-dysphagia or Motdysphagia. Combination of scores for parameters such as somatization, depression, and anxiety could not distinguish among the three groups of dysphagia patients. We thus conclude that patients with NONM-dysphagia, as a group, have similar psychological profiles compared to patients with dysphagia due to organic causes.

Original languageEnglish (US)
Pages (from-to)34-40
Number of pages7
JournalDysphagia
Volume11
Issue number1
DOIs
StatePublished - 1996

Fingerprint

Deglutition Disorders
Psychology
Esophagoscopy
Barium
Deglutition
Manometry
Psychological Tests
MMPI
Checklist
Anxiety
Depression
Equipment and Supplies

Keywords

  • Deglutition
  • Deglutition disorders
  • Dysphagia
  • Psychological testing

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Gastroenterology

Cite this

Kim, C. H., Hsu, J. J., Williams, D. E., Weaver, A. L., & Zinsmeister, A. R. (1996). A prospective psychological evaluation of patients with dysphagia of various etiologies. Dysphagia, 11(1), 34-40. https://doi.org/10.1007/BF00385798

A prospective psychological evaluation of patients with dysphagia of various etiologies. / Kim, Chung H.; Hsu, Joseph J.; Williams, Donald E.; Weaver, Amy L.; Zinsmeister, Alan R.

In: Dysphagia, Vol. 11, No. 1, 1996, p. 34-40.

Research output: Contribution to journalArticle

Kim, CH, Hsu, JJ, Williams, DE, Weaver, AL & Zinsmeister, AR 1996, 'A prospective psychological evaluation of patients with dysphagia of various etiologies', Dysphagia, vol. 11, no. 1, pp. 34-40. https://doi.org/10.1007/BF00385798
Kim, Chung H. ; Hsu, Joseph J. ; Williams, Donald E. ; Weaver, Amy L. ; Zinsmeister, Alan R. / A prospective psychological evaluation of patients with dysphagia of various etiologies. In: Dysphagia. 1996 ; Vol. 11, No. 1. pp. 34-40.
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