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Diagnosis and Treatment of Phagophobia: A Review

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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.

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References

  1. 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.

    Article  PubMed  CAS  Google Scholar 

  2. 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.

    Article  PubMed  CAS  Google Scholar 

  3. McNally RJ. Choking phobia: a review of the literature. Compr Psychiatry. 1994;35:83–9.

    Article  PubMed  CAS  Google Scholar 

  4. 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.

    Google Scholar 

  5. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 4th ed. text rev. Washington DC: American Psychiatric Association; 2000.

  6. Evans IM, Pechtel P. Phagophobia: behavioral treatment of a complex case involving fear of fear. Clin Case Stud. 2011;10:37–52.

    Article  Google Scholar 

  7. Klinger RL, Strang JP. Psychiatric aspects of swallowing disorders. Psychosomatics. 1987;28:572–6.

    Article  PubMed  CAS  Google Scholar 

  8. Dawodu ST. Swallowing disorders. http://emedicine.com Accessed Jul 15 2011.

  9. Wikipedia the Free Encyclopedia. http://en.wikipedia.org/wiki/Phagophobia. Accessed Feb 2013.

  10. Wikipedia the Free Encyclopedia. http://en.wikipedia.org/wiki/Globus_pharyngis. Accessed Feb 2013.

  11. Cybulska EM. Globus hystericus or depressivus? Hosp Med. 1998;59:640–1.

    PubMed  CAS  Google Scholar 

  12. 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.

    Article  PubMed  CAS  Google Scholar 

  13. Schluckangst Balzer W. Überlegungen zur Symptomatik und Psychodynamik der Herzphobie. Psychother Psychosom Med Psychol. 1990;40:397–400.

    Google Scholar 

  14. 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.

    Google Scholar 

  15. Ball SG, Otto MW. Cognitive behavior treatment of choking phobia: 3 case studies. Psychother Psychosom. 1994;62:207–11.

    Article  PubMed  CAS  Google Scholar 

  16. Bishop LC, Riley WT. The psychiatric management of the globus syndrome. Gen Hosp Psychiatry. 1988;9:214–9.

    Article  Google Scholar 

  17. Epstein SJ, Deyoub PL. Hypnotherapy for fear of choking: treatment implications of a case report. Int J Clin Exp Hypn. 1981;29:117–27.

    Article  PubMed  CAS  Google Scholar 

  18. Greenberg DB, Stern TA, Weilburg JB. The fear of choking: three successfully treated cases. Psychosomatics. 1988;29:126–9.

    Article  PubMed  CAS  Google Scholar 

  19. Scemes S, Wielenska RC, Savoia MG, Bernik M. Choking phobia: full remission following behavior therapy. Rev Bras Psiquiatr. 2009;31:257–60.

    Article  PubMed  Google Scholar 

  20. Shapiro J, Franko DL, Gagne A. Phagophobia: a form of psychogenic dysphagia. A new entity. Ann Otol Rhinol Laryngol. 1997;106:286–90.

    PubMed  CAS  Google Scholar 

  21. Solyom L, Sookman D. Fear of choking and its treatment: a behavioural approach. Can J Psychiatry. 1980;25:30–4.

    PubMed  CAS  Google Scholar 

  22. 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.

    Article  PubMed  CAS  Google Scholar 

  23. Vaiman M, Shoval G, Gavriel H. The electrodiagnostic examination of psychogenic swallowing disorders. Eur Arch Otorhinolaryngol. 2008;265:663–8.

    Article  PubMed  Google Scholar 

  24. Barofsky I, Fontaine KR. Do psychogenic dysphagia patients have an eating disorder? Dysphagia. 1998;13:24–7.

    Article  PubMed  CAS  Google Scholar 

  25. Shapiro F. EMDR: eye movement desensitization of reprocessing: basic principles, protocols and procedures. 2nd ed. New York: Guilford Press; 2001.

    Google Scholar 

  26. Beck AT. The past and future of cognitive therapy. J Psychother Pract Res. 1997;6:276–84.

    PubMed  CAS  Google Scholar 

  27. Corah NL. Development of a dental anxiety scale. J Dent Res. 1969;48:596.

    Article  PubMed  CAS  Google Scholar 

  28. Hamilton A. Diagnosis and rating of anxiety. Br J Psychiat Spec Publ. 1969;3:76–9.

    Google Scholar 

  29. Taylor JA. A personality scale of manifest anxiety. J Abnorm Psychol. 1953;153(48):285–90.

    Google Scholar 

  30. Hamilton M. A rating scale for depression. J Neurol Neurosurg Psychiatry. 1960;23:56–62.

    Article  PubMed  CAS  Google Scholar 

  31. 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.

    Article  PubMed  CAS  Google Scholar 

  32. 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. Wolpe J. The practice of behaviour therapy. 4th ed. New York: Pergamon Press; 1990.

    Google Scholar 

  34. Hathaway SR, McKinley JC. A multiphasic personality schedule (Minnesota): I. Construction of the schedule. J Psychol. 1940;10:249–54.

    Article  Google Scholar 

  35. Buck JN. House-tree-person technique: revised manual. Los Angeles: Western Psychological Services; 1966.

    Google Scholar 

  36. 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.

    Article  PubMed  Google Scholar 

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The authors have no conflicts of interest to disclose.

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Authors and Affiliations

  1. Department of Otorhinolaryngology, Head and Neck Surgery, Maastricht University Medical Center, PO Box 5800, 6202 AZ, Maastricht, The Netherlands

    Laura W. J. Baijens, Krista Koetsenruijter & Walmari Pilz

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  1. Laura W. J. Baijens
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  2. Krista Koetsenruijter
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  3. Walmari Pilz
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Correspondence to Laura W. J. Baijens.

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Baijens, L.W.J., Koetsenruijter, K. & Pilz, W. Diagnosis and Treatment of Phagophobia: A Review. Dysphagia 28, 260–270 (2013). https://doi.org/10.1007/s00455-013-9454-0

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  • DOI: https://doi.org/10.1007/s00455-013-9454-0

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