Document Detail


Relationship between Fatigue, Perfectionism, and Functional Dysphonia.
MedLine Citation:
PMID:  21493299     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Objectives. Increased levels of fatigue and perfectionism were noted during evaluation of cognitive behavioral therapy for the treatment of functional dysphonia. The investigators thus aimed to explore levels of general fatigue and perfectionism in patients with functional dysphonia and controls. Study design. Case-control study. Setting. Teaching hospital, United Kingdom. Subjects and Methods. Patients recruited through speech therapy were asked to recruit a friend as a control, of the same sex and within 5 years of their age. An 11-point fatigue questionnaire, previously validated on a normal population, was analyzed using both Likert (0123) and bimodal (0011) systems, with a score greater than 4 on the bimodal system implying substantial fatigue. A 35-point perfectionism questionnaire was also completed and analyzed for "healthy" and "unhealthy" perfectionist traits. Results. There were 75 cases and 62 controls. The mean fatigue score in patients with functional dysphonia was 17.0 and 14.4 for the controls (Likert, P = .009). Under the bimodal scoring system, the mean fatigue scores in functional dysphonia (5.10) and controls (3.01) were also significantly different (P = .003). The mean perfectionism scores were 98.9 for patients with functional dysphonia and 91.2 for controls (P = 0.043). Conclusions. To the investigators' knowledge, this is the first substantial report that fatigue and perfectionism scores are significantly elevated in functional dysphonia. Functional dysphonia is shown to be analogous to other medically unexplained physical symptoms that are also marked by generic somatopsychic distress and for which multiple factors are implicated in their onset and maintenance. This has implications for both research and treatment.
Authors:
James O'Hara; Tracey Miller; Paul Carding; Janet Wilson; Vincent Deary
Related Documents :
11459249 - Psychosocial and pharmacological treatment of patients following deliberate self-harm: ...
2345839 - The role of internal pilot studies in increasing the efficiency of clinical trials.
7248439 - A new approach to the analysis of clinical drug trials with withdrawals.
21551399 - Acceptability of behavioral treatments for insomnia.
21503739 - Prevalence of depression and suicidal behaviors among male migrant workers in united ar...
10637259 - Content and quality of currently published phase ii cancer trials.
9194019 - Assessing illness-related stress in psoriasis: the psychometric properties of the psori...
21507079 - What is new in topical therapy for psoriasis?
16390499 - Double-blind placebo-controlled study of testosterone patch therapy on bone turnover in...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-3-9
Journal Detail:
Title:  Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery     Volume:  -     ISSN:  1097-6817     ISO Abbreviation:  -     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-4-15     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8508176     Medline TA:  Otolaryngol Head Neck Surg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Department of Otolaryngology Head and Neck Surgery, The Freeman Hospital, Newcastle upon Tyne, UK.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Routine Use of Nasendoscopy to Enhance the Speech and Language Therapist's Decision-Making Process i...
Next Document:  Hearing Evaluation in Patients with Exfoliative and Primary Open-Angle Glaucoma.