The European journal of surgery. Supplement. : = Acta chirurgica. Supplement · 1998
Treatment of social phobia by endoscopic thoracic sympathicotomy.
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Telaranta T
Аннотация
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.
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.