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Published in: Dysphagia 2/2013

01-06-2013 | Review Article

Diagnosis and Treatment of Phagophobia: A Review

Authors: Laura W. J. Baijens, Krista Koetsenruijter, Walmari Pilz

Published in: Dysphagia | Issue 2/2013

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Abstract

This narrative review summarizes published studies on diagnostic examinations and therapeutic interventions for phagophobia. The electronic databases Embase, PubMed, PsycINFO®, and The Cochrane Library were used. The literature search was limited to publications in the English, German, French, Spanish, or Dutch language. The original articles are summarized in the present narrative review. The body of literature on phagophobia and swallowing fear remains very limited; only 12 studies were found. The present narrative review discovered heterogeneity in the definitions of phagophobia or similar syndromes. A systematic review, including a qualitative analysis, was planned but not carried out as studies were not of sufficient quality to warrant doing so. All the studies had severe methodological shortcomings. In general, the conclusions could not be compared across the studies because of the different study designs, small populations, different ways of evaluating and treating phagophobia, and complex combinations of treatments. A general conclusion is provided.
Literature
1.
go back to reference Kim CH, Hsu JJ, Williams DE, Weaver AL, Zinsmeister AR. A prospective psychological evaluation of patients with dysphagia of various etiologies. Dysphagia. 1996;11:34–40.PubMedCrossRef Kim CH, Hsu JJ, Williams DE, Weaver AL, Zinsmeister AR. A prospective psychological evaluation of patients with dysphagia of various etiologies. Dysphagia. 1996;11:34–40.PubMedCrossRef
2.
go back to reference Katz PO, Dalton CB, Richter JE, Wu WC, Castell DO. Esophageal testing of patients with noncardiac chest pain or dysphagia. Results of three years’ experience with 1,161 patients. Ann Intern Med. 1987;106:593–7.PubMedCrossRef Katz PO, Dalton CB, Richter JE, Wu WC, Castell DO. Esophageal testing of patients with noncardiac chest pain or dysphagia. Results of three years’ experience with 1,161 patients. Ann Intern Med. 1987;106:593–7.PubMedCrossRef
4.
go back to reference de Jongh A, ten Broeke E. Overzichtsartikel. De behandeling van stikfobie: een op de verwerking van de traumatische ervaring gerichte benadering. Tijdschr Psychiatrie. 1998;40:623–34. de Jongh A, ten Broeke E. Overzichtsartikel. De behandeling van stikfobie: een op de verwerking van de traumatische ervaring gerichte benadering. Tijdschr Psychiatrie. 1998;40:623–34.
5.
go back to reference American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 4th ed. text rev. Washington DC: American Psychiatric Association; 2000. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 4th ed. text rev. Washington DC: American Psychiatric Association; 2000.
6.
go back to reference Evans IM, Pechtel P. Phagophobia: behavioral treatment of a complex case involving fear of fear. Clin Case Stud. 2011;10:37–52.CrossRef Evans IM, Pechtel P. Phagophobia: behavioral treatment of a complex case involving fear of fear. Clin Case Stud. 2011;10:37–52.CrossRef
7.
go back to reference Klinger RL, Strang JP. Psychiatric aspects of swallowing disorders. Psychosomatics. 1987;28:572–6.PubMedCrossRef Klinger RL, Strang JP. Psychiatric aspects of swallowing disorders. Psychosomatics. 1987;28:572–6.PubMedCrossRef
11.
go back to reference Cybulska EM. Globus hystericus or depressivus? Hosp Med. 1998;59:640–1.PubMed Cybulska EM. Globus hystericus or depressivus? Hosp Med. 1998;59:640–1.PubMed
12.
go back to reference Smith ME, Berke GS, Gray SD, Dove H, Harnsberger R. Clicking in the throat: cinematic fiction or surgical fact? Arch Otolaryngol Head Neck Surg. 2001;127:1129–31.PubMedCrossRef Smith ME, Berke GS, Gray SD, Dove H, Harnsberger R. Clicking in the throat: cinematic fiction or surgical fact? Arch Otolaryngol Head Neck Surg. 2001;127:1129–31.PubMedCrossRef
13.
go back to reference Schluckangst Balzer W. Überlegungen zur Symptomatik und Psychodynamik der Herzphobie. Psychother Psychosom Med Psychol. 1990;40:397–400. Schluckangst Balzer W. Überlegungen zur Symptomatik und Psychodynamik der Herzphobie. Psychother Psychosom Med Psychol. 1990;40:397–400.
14.
go back to reference Parga F, Xesús M. Eficacia del tratamiento paralelo de dos trastornos fóbicos: Agorafobia y fobia a tragar. Análisis y Modificación de Conducta. 2001;27:983–1013. Parga F, Xesús M. Eficacia del tratamiento paralelo de dos trastornos fóbicos: Agorafobia y fobia a tragar. Análisis y Modificación de Conducta. 2001;27:983–1013.
15.
go back to reference Ball SG, Otto MW. Cognitive behavior treatment of choking phobia: 3 case studies. Psychother Psychosom. 1994;62:207–11.PubMedCrossRef Ball SG, Otto MW. Cognitive behavior treatment of choking phobia: 3 case studies. Psychother Psychosom. 1994;62:207–11.PubMedCrossRef
16.
go back to reference Bishop LC, Riley WT. The psychiatric management of the globus syndrome. Gen Hosp Psychiatry. 1988;9:214–9.CrossRef Bishop LC, Riley WT. The psychiatric management of the globus syndrome. Gen Hosp Psychiatry. 1988;9:214–9.CrossRef
17.
go back to reference Epstein SJ, Deyoub PL. Hypnotherapy for fear of choking: treatment implications of a case report. Int J Clin Exp Hypn. 1981;29:117–27.PubMedCrossRef Epstein SJ, Deyoub PL. Hypnotherapy for fear of choking: treatment implications of a case report. Int J Clin Exp Hypn. 1981;29:117–27.PubMedCrossRef
18.
go back to reference Greenberg DB, Stern TA, Weilburg JB. The fear of choking: three successfully treated cases. Psychosomatics. 1988;29:126–9.PubMedCrossRef Greenberg DB, Stern TA, Weilburg JB. The fear of choking: three successfully treated cases. Psychosomatics. 1988;29:126–9.PubMedCrossRef
19.
go back to reference Scemes S, Wielenska RC, Savoia MG, Bernik M. Choking phobia: full remission following behavior therapy. Rev Bras Psiquiatr. 2009;31:257–60.PubMedCrossRef Scemes S, Wielenska RC, Savoia MG, Bernik M. Choking phobia: full remission following behavior therapy. Rev Bras Psiquiatr. 2009;31:257–60.PubMedCrossRef
20.
go back to reference Shapiro J, Franko DL, Gagne A. Phagophobia: a form of psychogenic dysphagia. A new entity. Ann Otol Rhinol Laryngol. 1997;106:286–90.PubMed Shapiro J, Franko DL, Gagne A. Phagophobia: a form of psychogenic dysphagia. A new entity. Ann Otol Rhinol Laryngol. 1997;106:286–90.PubMed
21.
go back to reference Solyom L, Sookman D. Fear of choking and its treatment: a behavioural approach. Can J Psychiatry. 1980;25:30–4.PubMed Solyom L, Sookman D. Fear of choking and its treatment: a behavioural approach. Can J Psychiatry. 1980;25:30–4.PubMed
22.
go back to reference Millichap F, Lee M, Pring T. A lump in the throat: should speech and language therapists treat globus pharyngeus? Disabil Rehabil. 2005;27:124–30.PubMedCrossRef Millichap F, Lee M, Pring T. A lump in the throat: should speech and language therapists treat globus pharyngeus? Disabil Rehabil. 2005;27:124–30.PubMedCrossRef
23.
go back to reference Vaiman M, Shoval G, Gavriel H. The electrodiagnostic examination of psychogenic swallowing disorders. Eur Arch Otorhinolaryngol. 2008;265:663–8.PubMedCrossRef Vaiman M, Shoval G, Gavriel H. The electrodiagnostic examination of psychogenic swallowing disorders. Eur Arch Otorhinolaryngol. 2008;265:663–8.PubMedCrossRef
24.
go back to reference Barofsky I, Fontaine KR. Do psychogenic dysphagia patients have an eating disorder? Dysphagia. 1998;13:24–7.PubMedCrossRef Barofsky I, Fontaine KR. Do psychogenic dysphagia patients have an eating disorder? Dysphagia. 1998;13:24–7.PubMedCrossRef
25.
go back to reference Shapiro F. EMDR: eye movement desensitization of reprocessing: basic principles, protocols and procedures. 2nd ed. New York: Guilford Press; 2001. Shapiro F. EMDR: eye movement desensitization of reprocessing: basic principles, protocols and procedures. 2nd ed. New York: Guilford Press; 2001.
26.
go back to reference Beck AT. The past and future of cognitive therapy. J Psychother Pract Res. 1997;6:276–84.PubMed Beck AT. The past and future of cognitive therapy. J Psychother Pract Res. 1997;6:276–84.PubMed
28.
go back to reference Hamilton A. Diagnosis and rating of anxiety. Br J Psychiat Spec Publ. 1969;3:76–9. Hamilton A. Diagnosis and rating of anxiety. Br J Psychiat Spec Publ. 1969;3:76–9.
29.
go back to reference Taylor JA. A personality scale of manifest anxiety. J Abnorm Psychol. 1953;153(48):285–90. Taylor JA. A personality scale of manifest anxiety. J Abnorm Psychol. 1953;153(48):285–90.
30.
31.
go back to reference Deary IJ, Wilson JA, Harris MB, MacDougall G. Globus pharyngis: development of a symptom assessment scale (IS GETS!). J Psychosom Res. 1995;39:203–13.PubMedCrossRef Deary IJ, Wilson JA, Harris MB, MacDougall G. Globus pharyngis: development of a symptom assessment scale (IS GETS!). J Psychosom Res. 1995;39:203–13.PubMedCrossRef
32.
go back to reference Guy W. Clinical Global Impressions. In: ECDEU assessment manual for psychopharmacology, revised. Rockville, MD: U.S. Department of Health, Education, and Welfare, Public Health Service, Alcohol, Drug Abuse, and Mental Health Administration, National Institute of Mental Health, Psychopharmacology Research Branch, Division of Extramural Research Programs; 1976. Guy W. Clinical Global Impressions. In: ECDEU assessment manual for psychopharmacology, revised. Rockville, MD: U.S. Department of Health, Education, and Welfare, Public Health Service, Alcohol, Drug Abuse, and Mental Health Administration, National Institute of Mental Health, Psychopharmacology Research Branch, Division of Extramural Research Programs; 1976.
33.
go back to reference Wolpe J. The practice of behaviour therapy. 4th ed. New York: Pergamon Press; 1990. Wolpe J. The practice of behaviour therapy. 4th ed. New York: Pergamon Press; 1990.
34.
go back to reference Hathaway SR, McKinley JC. A multiphasic personality schedule (Minnesota): I. Construction of the schedule. J Psychol. 1940;10:249–54.CrossRef Hathaway SR, McKinley JC. A multiphasic personality schedule (Minnesota): I. Construction of the schedule. J Psychol. 1940;10:249–54.CrossRef
35.
go back to reference Buck JN. House-tree-person technique: revised manual. Los Angeles: Western Psychological Services; 1966. Buck JN. House-tree-person technique: revised manual. Los Angeles: Western Psychological Services; 1966.
36.
go back to reference Ertekin C, Tarlaci S, Aydogdu I, Kiylioglu N, Yuceyar N, Turman AB, Secil Y, Esmeli F. Electrophysiological evaluation of pharyngeal phase of swallowing in patients with Parkinson’s disease. Mov Disord. 2002;17:942–9.PubMedCrossRef Ertekin C, Tarlaci S, Aydogdu I, Kiylioglu N, Yuceyar N, Turman AB, Secil Y, Esmeli F. Electrophysiological evaluation of pharyngeal phase of swallowing in patients with Parkinson’s disease. Mov Disord. 2002;17:942–9.PubMedCrossRef
Metadata
Title
Diagnosis and Treatment of Phagophobia: A Review
Authors
Laura W. J. Baijens
Krista Koetsenruijter
Walmari Pilz
Publication date
01-06-2013
Publisher
Springer-Verlag
Published in
Dysphagia / Issue 2/2013
Print ISSN: 0179-051X
Electronic ISSN: 1432-0460
DOI
https://doi.org/10.1007/s00455-013-9454-0

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