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Social Anxiety, Tremor Severity, and Tremor Disability: A Search for Clinically Relevant Measures
Background. While social anxiety has been reported among essential tremor (ET) patients, very little is known about the relation between self-report measures of social anxiety, tremor severity and disability, and cognition. Methods. Sixty-three individuals diagnosed with ET took part in a comprehens...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3820092/ https://www.ncbi.nlm.nih.gov/pubmed/24236276 http://dx.doi.org/10.1155/2013/257459 |
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author | Lundervold, Duane A. Ament, Patrick A. Holt, Peter |
author_facet | Lundervold, Duane A. Ament, Patrick A. Holt, Peter |
author_sort | Lundervold, Duane A. |
collection | PubMed |
description | Background. While social anxiety has been reported among essential tremor (ET) patients, very little is known about the relation between self-report measures of social anxiety, tremor severity and disability, and cognition. Methods. Sixty-three individuals diagnosed with ET took part in a comprehensive study examining neurocognition and behavioral functioning. A psychiatric diagnostic interview, three social anxiety questionnaires, and an idiographic-based behavioral assessment to pinpoint anxiety provoking situations and related distress were completed. Results. Thirty percent of the participants met diagnostic criteria for social anxiety disorder (SAD). Social anxiety questionnaires were negligibly related to tremor severity and disability. Idiographic behavioral assessment of subjective distress was moderately related to resting tremor severity and disability and strongly related to social anxiety questionnaires scores. Only one cognitive variable was related to tremor severity. Conclusions. These findings suggest that (a) self-report measures of social anxiety with ET patients may underestimate distress; (b) emphasis on tremor severity may be misleading; (c) tremor disability may be a more sensitive and functional measure related to cognition and effect; (d) SAD is wide spread and does not appear to be related to dysregulated executive function; and (e) development of an ET-specific measure of social anxiety is called for. |
format | Online Article Text |
id | pubmed-3820092 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-38200922013-11-27 Social Anxiety, Tremor Severity, and Tremor Disability: A Search for Clinically Relevant Measures Lundervold, Duane A. Ament, Patrick A. Holt, Peter Psychiatry J Research Article Background. While social anxiety has been reported among essential tremor (ET) patients, very little is known about the relation between self-report measures of social anxiety, tremor severity and disability, and cognition. Methods. Sixty-three individuals diagnosed with ET took part in a comprehensive study examining neurocognition and behavioral functioning. A psychiatric diagnostic interview, three social anxiety questionnaires, and an idiographic-based behavioral assessment to pinpoint anxiety provoking situations and related distress were completed. Results. Thirty percent of the participants met diagnostic criteria for social anxiety disorder (SAD). Social anxiety questionnaires were negligibly related to tremor severity and disability. Idiographic behavioral assessment of subjective distress was moderately related to resting tremor severity and disability and strongly related to social anxiety questionnaires scores. Only one cognitive variable was related to tremor severity. Conclusions. These findings suggest that (a) self-report measures of social anxiety with ET patients may underestimate distress; (b) emphasis on tremor severity may be misleading; (c) tremor disability may be a more sensitive and functional measure related to cognition and effect; (d) SAD is wide spread and does not appear to be related to dysregulated executive function; and (e) development of an ET-specific measure of social anxiety is called for. Hindawi Publishing Corporation 2013 2013-07-31 /pmc/articles/PMC3820092/ /pubmed/24236276 http://dx.doi.org/10.1155/2013/257459 Text en Copyright © 2013 Duane A. Lundervold et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Lundervold, Duane A. Ament, Patrick A. Holt, Peter Social Anxiety, Tremor Severity, and Tremor Disability: A Search for Clinically Relevant Measures |
title | Social Anxiety, Tremor Severity, and Tremor Disability: A Search for Clinically Relevant Measures |
title_full | Social Anxiety, Tremor Severity, and Tremor Disability: A Search for Clinically Relevant Measures |
title_fullStr | Social Anxiety, Tremor Severity, and Tremor Disability: A Search for Clinically Relevant Measures |
title_full_unstemmed | Social Anxiety, Tremor Severity, and Tremor Disability: A Search for Clinically Relevant Measures |
title_short | Social Anxiety, Tremor Severity, and Tremor Disability: A Search for Clinically Relevant Measures |
title_sort | social anxiety, tremor severity, and tremor disability: a search for clinically relevant measures |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3820092/ https://www.ncbi.nlm.nih.gov/pubmed/24236276 http://dx.doi.org/10.1155/2013/257459 |
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