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Globus hystericus -- office evaluation by phychological testing with the MMPI
The Laryngoscope
|October 1, 1976
Summary
Patients with a lump in the throat often exhibit higher depression and hypochondriasis scores on the Minnesota Multiphasic Personality Inventory. These psychological findings were more pronounced in male patients evaluated.
Area of Science:
- Psychiatry
- Otolaryngology
Background:
- A lump in the throat, or globus sensation, is a common patient complaint.
- The psychological underpinnings of this sensation require further investigation.
Purpose of the Study:
- To investigate the psychological profiles of patients presenting with a globus sensation.
- To determine if specific personality traits correlate with the complaint of a lump in the throat.
Main Methods:
- Ninety-nine patients (23 male, 76 female) with a lump in the throat complaint were assessed.
- The Minnesota Multiphasic Personality Inventory (MMPI) was administered to all participants.
Main Results:
- Patients scored higher than average on depression and hypochondriasis scales of the MMPI.
- The intensity of these psychological findings was notably greater in male patients.
Conclusions:
- Globus sensation may be associated with underlying psychological distress, specifically depression and hypochondriasis.
- Clinicians should consider psychological evaluation in patients with globus sensation, particularly in males.
- The possibility of coexisting organic disease in patients with neurotic traits must not be disregarded.