Musician's dystonia and comorbid anxiety: Two sides of one coin?
Identifieur interne : 000A05 ( Istex/Corpus ); précédent : 000A04; suivant : 000A06Musician's dystonia and comorbid anxiety: Two sides of one coin?
Auteurs : Leonie Enders ; June T. Spector ; Eckart Altenmüller ; Alexander Schmidt ; Christine Klein ; Hans-Christian JabuschSource :
- Movement Disorders [ 0885-3185 ] ; 2011-02-15.
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- KwdEn :
Abstract
Background:: Psychological abnormalities, including anxiety, have been observed in patients with musician's dystonia (MD). It is unclear if these conditions develop prior to MD or if they are psychoreactive phenomena. Methods:: Psychological conditions were studied in 44 professional musicians with MD, 45 healthy musicians, and 44 healthy nonmusicians using the State‐Trait Anxiety Inventory (STAI) and NEO Five‐Factor Inventory (NEO‐FFI). Results:: Musicians with MD had significantly higher STAI state and trait anxiety scores than healthy musicians (P = .009 and P = .012, respectively) and nonmusicians (P = .013 and P = .001, respectively) and significantly higher NEO‐FFI neuroticism scores than healthy musicians (P = .018) and nonmusicians (P = .001). Duration of dystonia did not correlate with anxiety or neuroticism scores. Conclusions:: Musicians with MD display increased levels of anxiety and neuroticism. The lack of correlation between anxiety and the duration of dystonia suggests that anxiety may not be a psychoreactive phenomenon and is consistent with the hypothesis that anxiety and MD share a common pathophysiological mechanism. © 2011 Movement Disorder Society
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DOI: 10.1002/mds.23607
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ISTEX:D9ED738E92ADD33A738CE004DAEEEC25E6073B67Le document en format XML
<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">Musician's dystonia and comorbid anxiety: Two sides of one coin?</title><author><name sortKey="Enders, Leonie" sort="Enders, Leonie" uniqKey="Enders L" first="Leonie" last="Enders">Leonie Enders</name><affiliation><mods:affiliation>Institute of Music Physiology and Musicians' Medicine, Hannover University of Music, Drama and Media, Hannover, Germany</mods:affiliation></affiliation></author><author><name sortKey="Spector, June T" sort="Spector, June T" uniqKey="Spector J" first="June T." last="Spector">June T. Spector</name><affiliation><mods:affiliation>Occupational & Environmental Medicine Program, University of Washington, Seattle, Washington, USA</mods:affiliation></affiliation></author><author><name sortKey="Altenmuller, Eckart" sort="Altenmuller, Eckart" uniqKey="Altenmuller E" first="Eckart" last="Altenmüller">Eckart Altenmüller</name><affiliation><mods:affiliation>Institute of Music Physiology and Musicians' Medicine, Hannover University of Music, Drama and Media, Hannover, Germany</mods:affiliation></affiliation></author><author><name sortKey="Schmidt, Alexander" sort="Schmidt, Alexander" uniqKey="Schmidt A" first="Alexander" last="Schmidt">Alexander Schmidt</name><affiliation><mods:affiliation>Section of Clinical and Molecular Neurogenetics at the Department of Neurology, University of Lübeck, Lübeck, Germany</mods:affiliation></affiliation><affiliation><mods:affiliation>Department of Neurology, University of Lübeck, Lübeck, Germany</mods:affiliation></affiliation></author><author><name sortKey="Klein, Christine" sort="Klein, Christine" uniqKey="Klein C" first="Christine" last="Klein">Christine Klein</name><affiliation><mods:affiliation>Section of Clinical and Molecular Neurogenetics at the Department of Neurology, University of Lübeck, Lübeck, Germany</mods:affiliation></affiliation><affiliation><mods:affiliation>Department of Neurology, University of Lübeck, Lübeck, Germany</mods:affiliation></affiliation></author><author><name sortKey="Jabusch, Hans Hristian" sort="Jabusch, Hans Hristian" uniqKey="Jabusch H" first="Hans-Christian" last="Jabusch">Hans-Christian Jabusch</name><affiliation><mods:affiliation>Institute of Musicians' Medicine, University of Music Carl Maria von Weber, Dresden, Germany</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:D9ED738E92ADD33A738CE004DAEEEC25E6073B67</idno><date when="2011" year="2011">2011</date><idno type="doi">10.1002/mds.23607</idno><idno type="url">https://api.istex.fr/document/D9ED738E92ADD33A738CE004DAEEEC25E6073B67/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">000A05</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Musician's dystonia and comorbid anxiety: Two sides of one coin?</title><author><name sortKey="Enders, Leonie" sort="Enders, Leonie" uniqKey="Enders L" first="Leonie" last="Enders">Leonie Enders</name><affiliation><mods:affiliation>Institute of Music Physiology and Musicians' Medicine, Hannover University of Music, Drama and Media, Hannover, Germany</mods:affiliation></affiliation></author><author><name sortKey="Spector, June T" sort="Spector, June T" uniqKey="Spector J" first="June T." last="Spector">June T. Spector</name><affiliation><mods:affiliation>Occupational & Environmental Medicine Program, University of Washington, Seattle, Washington, USA</mods:affiliation></affiliation></author><author><name sortKey="Altenmuller, Eckart" sort="Altenmuller, Eckart" uniqKey="Altenmuller E" first="Eckart" last="Altenmüller">Eckart Altenmüller</name><affiliation><mods:affiliation>Institute of Music Physiology and Musicians' Medicine, Hannover University of Music, Drama and Media, Hannover, Germany</mods:affiliation></affiliation></author><author><name sortKey="Schmidt, Alexander" sort="Schmidt, Alexander" uniqKey="Schmidt A" first="Alexander" last="Schmidt">Alexander Schmidt</name><affiliation><mods:affiliation>Section of Clinical and Molecular Neurogenetics at the Department of Neurology, University of Lübeck, Lübeck, Germany</mods:affiliation></affiliation><affiliation><mods:affiliation>Department of Neurology, University of Lübeck, Lübeck, Germany</mods:affiliation></affiliation></author><author><name sortKey="Klein, Christine" sort="Klein, Christine" uniqKey="Klein C" first="Christine" last="Klein">Christine Klein</name><affiliation><mods:affiliation>Section of Clinical and Molecular Neurogenetics at the Department of Neurology, University of Lübeck, Lübeck, Germany</mods:affiliation></affiliation><affiliation><mods:affiliation>Department of Neurology, University of Lübeck, Lübeck, Germany</mods:affiliation></affiliation></author><author><name sortKey="Jabusch, Hans Hristian" sort="Jabusch, Hans Hristian" uniqKey="Jabusch H" first="Hans-Christian" last="Jabusch">Hans-Christian Jabusch</name><affiliation><mods:affiliation>Institute of Musicians' Medicine, University of Music Carl Maria von Weber, Dresden, Germany</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j">Movement Disorders</title><title level="j" type="abbrev">Mov. Disord.</title><idno type="ISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><imprint><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><date type="published" when="2011-02-15">2011-02-15</date><biblScope unit="vol">26</biblScope><biblScope unit="issue">3</biblScope><biblScope unit="page" from="539">539</biblScope><biblScope unit="page" to="542">542</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">D9ED738E92ADD33A738CE004DAEEEC25E6073B67</idno><idno type="DOI">10.1002/mds.23607</idno><idno type="ArticleID">MDS23607</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>NEO‐Five‐Factors Inventory</term><term>State‐Trait Anxiety Inventory</term><term>anxiety</term><term>musician</term><term>psychology</term><term>zdystonia</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Background:: Psychological abnormalities, including anxiety, have been observed in patients with musician's dystonia (MD). It is unclear if these conditions develop prior to MD or if they are psychoreactive phenomena. Methods:: Psychological conditions were studied in 44 professional musicians with MD, 45 healthy musicians, and 44 healthy nonmusicians using the State‐Trait Anxiety Inventory (STAI) and NEO Five‐Factor Inventory (NEO‐FFI). Results:: Musicians with MD had significantly higher STAI state and trait anxiety scores than healthy musicians (P = .009 and P = .012, respectively) and nonmusicians (P = .013 and P = .001, respectively) and significantly higher NEO‐FFI neuroticism scores than healthy musicians (P = .018) and nonmusicians (P = .001). Duration of dystonia did not correlate with anxiety or neuroticism scores. Conclusions:: Musicians with MD display increased levels of anxiety and neuroticism. The lack of correlation between anxiety and the duration of dystonia suggests that anxiety may not be a psychoreactive phenomenon and is consistent with the hypothesis that anxiety and MD share a common pathophysiological mechanism. © 2011 Movement Disorder Society</div></front></TEI><istex><corpusName>wiley</corpusName><author><json:item><name>Leonie Enders cand. med.</name><affiliations><json:string>Institute of Music Physiology and Musicians' Medicine, Hannover University of Music, Drama and Media, Hannover, Germany</json:string></affiliations></json:item><json:item><name>June T. Spector MD, MPH</name><affiliations><json:string>Occupational & Environmental Medicine Program, University of Washington, Seattle, Washington, USA</json:string></affiliations></json:item><json:item><name>Eckart Altenmüller MD, MA</name><affiliations><json:string>Institute of Music Physiology and Musicians' Medicine, Hannover University of Music, Drama and Media, Hannover, Germany</json:string></affiliations></json:item><json:item><name>Alexander Schmidt MD</name><affiliations><json:string>Section of Clinical and Molecular Neurogenetics at the Department of Neurology, University of Lübeck, Lübeck, Germany</json:string><json:string>Department of Neurology, University of Lübeck, Lübeck, Germany</json:string></affiliations></json:item><json:item><name>Christine Klein MD</name><affiliations><json:string>Section of Clinical and Molecular Neurogenetics at the Department of Neurology, University of Lübeck, Lübeck, Germany</json:string><json:string>Department of Neurology, University of Lübeck, Lübeck, Germany</json:string></affiliations></json:item><json:item><name>Hans‐Christian Jabusch MD</name><affiliations><json:string>Institute of Musicians' Medicine, University of Music Carl Maria von Weber, Dresden, Germany</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>zdystonia</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>musician</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>psychology</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>anxiety</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>State‐Trait Anxiety Inventory</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>NEO‐Five‐Factors Inventory</value></json:item></subject><language><json:string>eng</json:string></language><abstract>Background:: Psychological abnormalities, including anxiety, have been observed in patients with musician's dystonia (MD). It is unclear if these conditions develop prior to MD or if they are psychoreactive phenomena. Methods:: Psychological conditions were studied in 44 professional musicians with MD, 45 healthy musicians, and 44 healthy nonmusicians using the State‐Trait Anxiety Inventory (STAI) and NEO Five‐Factor Inventory (NEO‐FFI). Results:: Musicians with MD had significantly higher STAI state and trait anxiety scores than healthy musicians (P = .009 and P = .012, respectively) and nonmusicians (P = .013 and P = .001, respectively) and significantly higher NEO‐FFI neuroticism scores than healthy musicians (P = .018) and nonmusicians (P = .001). Duration of dystonia did not correlate with anxiety or neuroticism scores. Conclusions:: Musicians with MD display increased levels of anxiety and neuroticism. The lack of correlation between anxiety and the duration of dystonia suggests that anxiety may not be a psychoreactive phenomenon and is consistent with the hypothesis that anxiety and MD share a common pathophysiological mechanism. © 2011 Movement Disorder Society</abstract><qualityIndicators><score>7.064</score><pdfVersion>1.3</pdfVersion><pdfPageSize>612 x 810 pts</pdfPageSize><refBibsNative>true</refBibsNative><abstractCharCount>1187</abstractCharCount><pdfWordCount>10733</pdfWordCount><pdfCharCount>72444</pdfCharCount><pdfPageCount>18</pdfPageCount><abstractWordCount>172</abstractWordCount></qualityIndicators><title>Musician's dystonia and comorbid anxiety: Two sides of one coin?</title><genre><json:string>Serial article</json:string></genre><host><volume>26</volume><pages><total>4</total><last>542</last><first>539</first></pages><issn><json:string>0885-3185</json:string></issn><issue>3</issue><subject><json:item><value>Brief Report</value></json:item></subject><genre></genre><language><json:string>unknown</json:string></language><title>Movement Disorders</title><doi><json:string>10.1002/(ISSN)1531-8257</json:string></doi></host><publicationDate>2011</publicationDate><copyrightDate>2011</copyrightDate><doi><json:string>10.1002/mds.23607</json:string></doi><id>D9ED738E92ADD33A738CE004DAEEEC25E6073B67</id><fulltext><json:item><original>true</original><mimetype>application/pdf</mimetype><extension>pdf</extension><uri>https://api.istex.fr/document/D9ED738E92ADD33A738CE004DAEEEC25E6073B67/fulltext/pdf</uri></json:item><json:item><original>false</original><mimetype>application/zip</mimetype><extension>zip</extension><uri>https://api.istex.fr/document/D9ED738E92ADD33A738CE004DAEEEC25E6073B67/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/document/D9ED738E92ADD33A738CE004DAEEEC25E6073B67/fulltext/tei"><teiHeader type="text"><fileDesc><titleStmt><title level="a" type="main" xml:lang="en">Musician's dystonia and comorbid anxiety: Two sides of one coin?</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><availability><p>Wiley Subscription Services, Inc., A Wiley Company</p></availability><date>2011</date></publicationStmt><notesStmt><note type="content">*Relevant conflicts of interest/financial disclosures: Nothing to report. Full financial disclosures and author roles may be found in the online version of this article.</note></notesStmt><sourceDesc><biblStruct type="inbook"><analytic><title level="a" type="main" xml:lang="en">Musician's dystonia and comorbid anxiety: Two sides of one coin?</title><author><persName><forename type="first">Leonie</forename><surname>Enders</surname><roleName type="degree">cand. med.</roleName></persName><note type="biography">Leonie Enders and June Spector contributed equally to this article.</note><affiliation>Leonie Enders and June Spector contributed equally to this article.</affiliation><affiliation>Institute of Music Physiology and Musicians' Medicine, Hannover University of Music, Drama and Media, Hannover, Germany</affiliation></author><author><persName><forename type="first">June T.</forename><surname>Spector</surname><roleName type="degree">MD, MPH</roleName></persName><note type="biography">Leonie Enders and June Spector contributed equally to this article.</note><affiliation>Leonie Enders and June Spector contributed equally to this article.</affiliation><affiliation>Occupational & Environmental Medicine Program, University of Washington, Seattle, Washington, USA</affiliation></author><author><persName><forename type="first">Eckart</forename><surname>Altenmüller</surname><roleName type="degree">MD, MA</roleName></persName><affiliation>Institute of Music Physiology and Musicians' Medicine, Hannover University of Music, Drama and Media, Hannover, Germany</affiliation></author><author><persName><forename type="first">Alexander</forename><surname>Schmidt</surname><roleName type="degree">MD</roleName></persName><affiliation>Section of Clinical and Molecular Neurogenetics at the Department of Neurology, University of Lübeck, Lübeck, Germany</affiliation><affiliation>Department of Neurology, University of Lübeck, Lübeck, Germany</affiliation></author><author><persName><forename type="first">Christine</forename><surname>Klein</surname><roleName type="degree">MD</roleName></persName><affiliation>Section of Clinical and Molecular Neurogenetics at the Department of Neurology, University of Lübeck, Lübeck, Germany</affiliation><affiliation>Department of Neurology, University of Lübeck, Lübeck, Germany</affiliation></author><author><persName><forename type="first">Hans‐Christian</forename><surname>Jabusch</surname><roleName type="degree">MD</roleName></persName><note type="correspondence"><p>Correspondence: Institute of Musicians' Medicine, Dresden University of Music Carl Maria von Weber, Wettiner Platz 13, D‐01067 Dresden, Germany</p></note><affiliation>Institute of Musicians' Medicine, University of Music Carl Maria von Weber, Dresden, Germany</affiliation></author></analytic><monogr><title level="j">Movement Disorders</title><title level="j" type="abbrev">Mov. Disord.</title><idno type="pISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><idno type="DOI">10.1002/(ISSN)1531-8257</idno><imprint><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><date type="published" when="2011-02-15"></date><biblScope unit="vol">26</biblScope><biblScope unit="issue">3</biblScope><biblScope unit="page" from="539">539</biblScope><biblScope unit="page" to="542">542</biblScope></imprint></monogr><idno type="istex">D9ED738E92ADD33A738CE004DAEEEC25E6073B67</idno><idno type="DOI">10.1002/mds.23607</idno><idno type="ArticleID">MDS23607</idno></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>2011</date></creation><langUsage><language ident="en">en</language></langUsage><abstract xml:lang="en"><p>Background:: Psychological abnormalities, including anxiety, have been observed in patients with musician's dystonia (MD). It is unclear if these conditions develop prior to MD or if they are psychoreactive phenomena. Methods:: Psychological conditions were studied in 44 professional musicians with MD, 45 healthy musicians, and 44 healthy nonmusicians using the State‐Trait Anxiety Inventory (STAI) and NEO Five‐Factor Inventory (NEO‐FFI). Results:: Musicians with MD had significantly higher STAI state and trait anxiety scores than healthy musicians (P = .009 and P = .012, respectively) and nonmusicians (P = .013 and P = .001, respectively) and significantly higher NEO‐FFI neuroticism scores than healthy musicians (P = .018) and nonmusicians (P = .001). Duration of dystonia did not correlate with anxiety or neuroticism scores. Conclusions:: Musicians with MD display increased levels of anxiety and neuroticism. The lack of correlation between anxiety and the duration of dystonia suggests that anxiety may not be a psychoreactive phenomenon and is consistent with the hypothesis that anxiety and MD share a common pathophysiological mechanism. © 2011 Movement Disorder Society</p></abstract><textClass xml:lang="en"><keywords scheme="keyword"><list><head>Keywords</head><item><term>zdystonia</term></item><item><term>musician</term></item><item><term>psychology</term></item><item><term>anxiety</term></item><item><term>State‐Trait Anxiety Inventory</term></item><item><term>NEO‐Five‐Factors Inventory</term></item></list></keywords></textClass><textClass><keywords scheme="Journal Subject"><list><head>Article category</head><item><term>Brief Report</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="2010-08-23">Received</change><change when="2010-11-29">Registration</change><change when="2011-02-15">Published</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><original>false</original><mimetype>text/plain</mimetype><extension>txt</extension><uri>https://api.istex.fr/document/D9ED738E92ADD33A738CE004DAEEEC25E6073B67/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Wiley Subscription Services, Inc., A Wiley Company</publisherName><publisherLoc>Hoboken</publisherLoc></publisherInfo><doi registered="yes">10.1002/(ISSN)1531-8257</doi><issn type="print">0885-3185</issn><issn type="electronic">1531-8257</issn><idGroup><id type="product" value="MDS"></id></idGroup><titleGroup><title type="main" xml:lang="en" sort="MOVEMENT DISORDERS">Movement Disorders</title><title type="short">Mov. 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href="file:MDS.MDS23607.pdf"></link></linkGroup></publicationMeta><contentMeta><countGroup><count type="figureTotal" number="1"></count><count type="tableTotal" number="1"></count><count type="referenceTotal" number="30"></count><count type="wordTotal" number="2952"></count></countGroup><titleGroup><title type="main" xml:lang="en">Musician's dystonia and comorbid anxiety: Two sides of one coin?<link href="#fn1"></link></title></titleGroup><creators><creator xml:id="au1" creatorRole="author" affiliationRef="#af1" noteRef="#fn2"><personName><givenNames>Leonie</givenNames><familyName>Enders</familyName><degrees>cand. med.</degrees></personName></creator><creator xml:id="au2" creatorRole="author" affiliationRef="#af2" noteRef="#fn2"><personName><givenNames>June T.</givenNames><familyName>Spector</familyName><degrees>MD, MPH</degrees></personName></creator><creator xml:id="au3" creatorRole="author" affiliationRef="#af1"><personName><givenNames>Eckart</givenNames><familyName>Altenmüller</familyName><degrees>MD, MA</degrees></personName></creator><creator xml:id="au4" creatorRole="author" affiliationRef="#af3 #af4"><personName><givenNames>Alexander</givenNames><familyName>Schmidt</familyName><degrees>MD</degrees></personName></creator><creator xml:id="au5" creatorRole="author" affiliationRef="#af3 #af4"><personName><givenNames>Christine</givenNames><familyName>Klein</familyName><degrees>MD</degrees></personName></creator><creator xml:id="au6" creatorRole="author" affiliationRef="#af5" corresponding="yes"><personName><givenNames>Hans‐Christian</givenNames><familyName>Jabusch</familyName><degrees>MD</degrees></personName><contactDetails><email>jabusch@hfmdd.de</email></contactDetails></creator></creators><affiliationGroup><affiliation xml:id="af1" countryCode="DE" type="organization"><unparsedAffiliation>Institute of Music Physiology and Musicians' Medicine, Hannover University of Music, Drama and Media, Hannover, Germany</unparsedAffiliation></affiliation><affiliation xml:id="af2" countryCode="US" type="organization"><unparsedAffiliation>Occupational & Environmental Medicine Program, University of Washington, Seattle, Washington, USA</unparsedAffiliation></affiliation><affiliation xml:id="af3" countryCode="DE" type="organization"><unparsedAffiliation>Section of Clinical and Molecular Neurogenetics at the Department of Neurology, University of Lübeck, Lübeck, Germany</unparsedAffiliation></affiliation><affiliation xml:id="af4" countryCode="DE" type="organization"><unparsedAffiliation>Department of Neurology, University of Lübeck, Lübeck, Germany</unparsedAffiliation></affiliation><affiliation xml:id="af5" countryCode="DE" type="organization"><unparsedAffiliation>Institute of Musicians' Medicine, University of Music Carl Maria von Weber, Dresden, Germany</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en" type="author"><keyword xml:id="kwd1">zdystonia</keyword><keyword xml:id="kwd2">musician</keyword><keyword xml:id="kwd3">psychology</keyword><keyword xml:id="kwd4">anxiety</keyword><keyword xml:id="kwd5">State‐Trait Anxiety Inventory</keyword><keyword xml:id="kwd6">NEO‐Five‐Factors Inventory</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><title type="main">Abstract</title><section xml:id="abs1-1"><title type="main">Background:</title><p>Psychological abnormalities, including anxiety, have been observed in patients with musician's dystonia (MD). It is unclear if these conditions develop prior to MD or if they are psychoreactive phenomena.</p></section><section xml:id="abs1-2"><title type="main">Methods:</title><p>Psychological conditions were studied in 44 professional musicians with MD, 45 healthy musicians, and 44 healthy nonmusicians using the State‐Trait Anxiety Inventory (STAI) and NEO Five‐Factor Inventory (NEO‐FFI).</p></section><section xml:id="abs1-3"><title type="main">Results:</title><p>Musicians with MD had significantly higher STAI state and trait anxiety scores than healthy musicians (<i>P</i> = .009 and <i>P</i> = .012, respectively) and nonmusicians (<i>P</i> = .013 and <i>P</i> = .001, respectively) and significantly higher NEO‐FFI neuroticism scores than healthy musicians (<i>P</i> = .018) and nonmusicians (<i>P</i> = .001). Duration of dystonia did not correlate with anxiety or neuroticism scores.</p></section><section xml:id="abs1-4"><title type="main">Conclusions:</title><p>Musicians with MD display increased levels of anxiety and neuroticism. The lack of correlation between anxiety and the duration of dystonia suggests that anxiety may not be a psychoreactive phenomenon and is consistent with the hypothesis that anxiety and MD share a common pathophysiological mechanism. © 2011 Movement Disorder Society</p></section></abstract></abstractGroup></contentMeta><noteGroup><note xml:id="fn1"><p><b>Relevant conflicts of interest/financial disclosures</b>: Nothing to report. Full financial disclosures and author roles may be found in the online version of this article.</p></note><note xml:id="fn2"><p>Leonie Enders and June Spector contributed equally to this article.</p></note></noteGroup></header></component></istex:document></istex:metadataXml><!--Version 0.6 générée le 4-12-2015--><mods version="3.6"><titleInfo lang="en"><title>Musician's dystonia and comorbid anxiety: Two sides of one coin?</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Musician's dystonia and comorbid anxiety: Two sides of one coin?</title></titleInfo><name type="personal"><namePart type="given">Leonie</namePart><namePart type="family">Enders</namePart><namePart type="termsOfAddress">cand. med.</namePart><affiliation>Institute of Music Physiology and Musicians' Medicine, Hannover University of Music, Drama and Media, Hannover, Germany</affiliation><description>Leonie Enders and June Spector contributed equally to this article.</description><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">June T.</namePart><namePart type="family">Spector</namePart><namePart type="termsOfAddress">MD, MPH</namePart><affiliation>Occupational & Environmental Medicine Program, University of Washington, Seattle, Washington, USA</affiliation><description>Leonie Enders and June Spector contributed equally to this article.</description><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Eckart</namePart><namePart type="family">Altenmüller</namePart><namePart type="termsOfAddress">MD, MA</namePart><affiliation>Institute of Music Physiology and Musicians' Medicine, Hannover University of Music, Drama and Media, Hannover, Germany</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Alexander</namePart><namePart type="family">Schmidt</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Section of Clinical and Molecular Neurogenetics at the Department of Neurology, University of Lübeck, Lübeck, Germany</affiliation><affiliation>Department of Neurology, University of Lübeck, Lübeck, Germany</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Christine</namePart><namePart type="family">Klein</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Section of Clinical and Molecular Neurogenetics at the Department of Neurology, University of Lübeck, Lübeck, Germany</affiliation><affiliation>Department of Neurology, University of Lübeck, Lübeck, Germany</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Hans‐Christian</namePart><namePart type="family">Jabusch</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Institute of Musicians' Medicine, University of Music Carl Maria von Weber, Dresden, Germany</affiliation><description>Correspondence: Institute of Musicians' Medicine, Dresden University of Music Carl Maria von Weber, Wettiner Platz 13, D‐01067 Dresden, Germany</description><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre authority="originalCategForm">article</genre><originInfo><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><place><placeTerm type="text">Hoboken</placeTerm></place><dateIssued encoding="w3cdtf">2011-02-15</dateIssued><dateCaptured encoding="w3cdtf">2010-08-23</dateCaptured><dateValid encoding="w3cdtf">2010-11-29</dateValid><copyrightDate encoding="w3cdtf">2011</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType><extent unit="figures">1</extent><extent unit="tables">1</extent><extent unit="references">30</extent><extent unit="words">2952</extent></physicalDescription><abstract lang="en">Background:: Psychological abnormalities, including anxiety, have been observed in patients with musician's dystonia (MD). It is unclear if these conditions develop prior to MD or if they are psychoreactive phenomena. Methods:: Psychological conditions were studied in 44 professional musicians with MD, 45 healthy musicians, and 44 healthy nonmusicians using the State‐Trait Anxiety Inventory (STAI) and NEO Five‐Factor Inventory (NEO‐FFI). Results:: Musicians with MD had significantly higher STAI state and trait anxiety scores than healthy musicians (P = .009 and P = .012, respectively) and nonmusicians (P = .013 and P = .001, respectively) and significantly higher NEO‐FFI neuroticism scores than healthy musicians (P = .018) and nonmusicians (P = .001). Duration of dystonia did not correlate with anxiety or neuroticism scores. Conclusions:: Musicians with MD display increased levels of anxiety and neuroticism. The lack of correlation between anxiety and the duration of dystonia suggests that anxiety may not be a psychoreactive phenomenon and is consistent with the hypothesis that anxiety and MD share a common pathophysiological mechanism. © 2011 Movement Disorder Society</abstract><note type="content">*Relevant conflicts of interest/financial disclosures: Nothing to report. Full financial disclosures and author roles may be found in the online version of this article.</note><subject lang="en"><genre>Keywords</genre><topic>zdystonia</topic><topic>musician</topic><topic>psychology</topic><topic>anxiety</topic><topic>State‐Trait Anxiety Inventory</topic><topic>NEO‐Five‐Factors Inventory</topic></subject><relatedItem type="host"><titleInfo><title>Movement Disorders</title></titleInfo><titleInfo type="abbreviated"><title>Mov. Disord.</title></titleInfo><subject><genre>article category</genre><topic>Brief Report</topic></subject><identifier type="ISSN">0885-3185</identifier><identifier type="eISSN">1531-8257</identifier><identifier type="DOI">10.1002/(ISSN)1531-8257</identifier><identifier type="PublisherID">MDS</identifier><part><date>2011</date><detail type="volume"><caption>vol.</caption><number>26</number></detail><detail type="issue"><caption>no.</caption><number>3</number></detail><extent unit="pages"><start>539</start><end>542</end><total>4</total></extent></part></relatedItem><identifier type="istex">D9ED738E92ADD33A738CE004DAEEEC25E6073B67</identifier><identifier type="DOI">10.1002/mds.23607</identifier><identifier type="ArticleID">MDS23607</identifier><accessCondition type="use and reproduction" contentType="copyright">Copyright © 2011 Movement Disorder Society</accessCondition><recordInfo><recordOrigin>Wiley Subscription Services, Inc., A Wiley Company</recordOrigin><recordContentSource>WILEY</recordContentSource></recordInfo></mods></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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