Movement Disorders (revue)

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Musician's dystonia and comorbid anxiety: Two sides of one coin?

Identifieur interne : 001529 ( Main/Exploration ); précédent : 001528; suivant : 001530

Musician's dystonia and comorbid anxiety: Two sides of one coin?

Auteurs : Leonie Enders [Allemagne] ; June T. Spector [États-Unis] ; Eckart Altenmüller [Allemagne] ; Alexander Schmidt [Allemagne] ; Christine Klein [Allemagne] ; Hans-Christian Jabusch [Allemagne]

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RBID : ISTEX:D9ED738E92ADD33A738CE004DAEEEC25E6073B67

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English descriptors

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


Affiliations:


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<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>
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