Article2002

Treatment of social phobia by endoscopic thoracic sympathicotomy

74 citations0/0 files storedThe European Journal of Surgery

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Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes Obsessive-Compulsive Spectrum Disorders Sympathectomy and Hyperhidrosis Treatments

Abstract

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. DESIGN: Prospective study. SETTING: Clinic for Psychoneurology and Surgery in Tampere, Finland. SUBJECTS: Consecutive series of patients (n = 51). INTERVENTIONS: Endoscopic thoracic sympathicotomy. MAIN OUTCOME MEASURES: 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. CONCLUSION: ETS seems a promising alternative to conservative therapy for social phobia.

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References

1990Basics of qualitative research 1985Social Phobia 1996Childhood physical and sexual abuse in patients with anxiety disorders and in a community sample 1996The impact of social phobia on quality of life 1988The peripheral sympathetic nervous system. Its role in normal and pathologic anxiety.1990Noradrenergic function in panic disorder.1995The diagnosis of social phobia.1992Heart Rate and Plasma Norepinephrine Responsivity to Orthostatic Challenge in Anxiety Disorders

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