Affiliations: Abteilung für Psychotherapie und Psychosomatik, Universität Freiburg, Germany | Neurologische Klinik und Poliklinik, Universität Freiburg, Germany | Neurologische Klinik, Rudolf-Virchow-Krankenhaus, Humboldt-Universität Berlin, Germany | Neurologische Klinik, Universität Düsseldorf, Germany | Neurologische Klinik, Ludwig-Maximilians-Universität München, Germany | Neurologische Klinik, Medizinische Hochschule Hannover, Germany
Note: [] Correspondence to: C.E. Scheidt, Abteilung Psychotherapie und Psychosomatik, Psychiatrische Klinik der Albert-Ludwigs-Universität Freiburg, Hauptstr. 8, 79014 Freiburg, Germany
Abstract: The GSI (General Symptom Index) of the Symptom Checklist 90 R (SCL 90 R) (as a global indicator of the severity of psychiatric symptoms) of 27% of the spasmodic torticollis (ST) sample fell outside the 95% range of the normal control group (two standard deviations). Patients with a higher GSI were younger, more functionally disabled and subject to higher psychosocial stress due to the illness. The highest scores were reached on the subscales of somatization, interpersonal sensitivity and depression. On the depression scale, 23% of the patients' scores were abnormal. This scale correlated significantly with the neurological signs, particularly the TSUI-index and laterocollis. A statistically significant correlation also existed between psychiatric morbidity and a family history of mental disorder. More than 50% of the patients reported that stressful life events had triggered their illness. In order of frequency, a death came first, followed by marital strife, changes in employment and family arguments. The data suggest that psychopathology in ST should generally be considered as a result of a variety of interacting factors, biological, psychological and social.
Keywords: Spasmodic torticollis, Psychosocial adjustment, Life events psychopathology, Coping
