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Titolo:
Endoscopic sympathetic block - New treatment of choice for social phobia?
Autore:
Pohjavaara, P; Telaranta, T; Vaisanen, E;
Indirizzi:
Tampere City Mental Hlth Care Ctr, Tampere, Finland Tampere City Mental Hlth Care Ctr Tampere Finland Ctr, Tampere, Finland
Titolo Testata:
ANNALES CHIRURGIAE ET GYNAECOLOGIAE
fascicolo: 3, volume: 90, anno: 2001,
pagine: 177 - 184
SICI:
0355-9521(2001)90:3<177:ESB-NT>2.0.ZU;2-D
Fonte:
ISI
Lingua:
ENG
Soggetto:
HYPERHIDROSIS; SURGERY;
Keywords:
social phobia; blushing; hyperhidrosis; ETS; ESB; endoscopic sympathetic block;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
19
Recensione:
Indirizzi per estratti:
Indirizzo: Pohjavaara, P Lapinniemenranta 16 A 8, FIN-33180 Tampere, Finland Lapinniemenranta 16 A 8 Tampere Finland FIN-33180 Finland
Citazione:
P. Pohjavaara et al., "Endoscopic sympathetic block - New treatment of choice for social phobia?", ANN CHIR GY, 90(3), 2001, pp. 177-184

Abstract

Social phobia is a neglected disorder, which can cause very debilitating consequences in patients' lives. The patients tend to isolate and suffer from comorbid disorders such as depression, other anxiety disorders, and drug and alcohol abuse. Traditional treatment methods such as medication and psychotherapy do not help everyone. A prospective, uncontrolled follow-up study with 169 social phobic patients was performed by uni- or bilateral endoscopic sympathetic block of the upper thoracic ganglia. The method is reversible by taking the compression block away, if needed. The selected patients had conservative treatment resistant social phobia according to DSM IV. Structured interview, Davidson's modified brief social phobia scale, and Liebowitz Quality of life questionnaire were used both pre- and postoperatively to assess the value of the treatment. All aspects of social phobia, both somatic and psychological, were highly significantly improved. Reflex sweating as the only remarkable side effect was less than in most series for other indications with sympathetic ablative surgery elsewhere. Endoscopic sympathetic block is recommended as the treatment of choice in severe, conservative therapy resistant social phobia.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 28/09/20 alle ore 15:25:59