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J Korean Soc Laryngol Phoniatr Logop > Volume 27(2); 2016 > Article
Journal of The Korean Society of Laryngology, Phoniatrics and Logopedics 2016;27(2): 84-86.
doi: https://doi.org/10.22469/jkslp.2016.27.2.84
인후두 이물감의 정신과적 접근
주영훈
가톨릭대학교 의과대학 이비인후과학
Globus Pharyngeus : The Psychiatric Perspective
Young-Hoon Joo
Department of Otolaryngology-Head and Neck Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea
Correspondence  Young-Hoon Joo ,Tel: (032) 340-7090, Fax: (032) 340-2674, Email: joodoct@catholic.ac.kr
Received: 12 May 2016; Revised: May 12, 2016   Accepted: 19 May 2016.  Published online: 30 December 2016.
ABSTRACT
Globus pharyngeus or globus sensation is the painless sensation of a lump in the throat and may be described as a foreign body sensation, a tightening or choking feeling. It is often associated with persistent clearing of the throat, chronic cough, hoarseness, and catarrh. Its etiology remains unclear ; however, laryngopharyngeal reflux may play a role in a subset of patients. Psychogenic problems have often been thought to cause or trigger the globus sensation. Personality studies have found higher levels of alexithymia, neuroticism, and psychological distress (including anxiety, low mood, and somatic concerns) and lower levels of extraversion in patients presenting with globus. Globus patients with laryngopharyngeal reflux exhibited weaker psychological symptoms than non- laryngopharyngeal reflux globus patients, and globus patients who did not respond to proton pump inhibitor had significantly higher anxiety scores. In cases with negative clinical investigations and consistent globus symptom, other treatment strategies, including speech therapy, antidepressants, and cognitive-behavioral therapy, should be considered.
KEY WORDS: Globus pharyngeusPsychiatryLaryngopharyngeal reflux
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