Why the study?
Are psychopathologic symptoms associated with the development or severity of new muscle weakness in patients with post-polio syndrome?
Are psychopathologic symptoms associated with the development or severity of new muscle weakness in patients with post-polio syndrome?
Psychological disturbance does not appear to play a role in the manifestation or severity of new muscle weakness in patients with post-polio syndrome.
Answers are grounded in this paper and cite their sources.
Psychological symptoms should not be presumed causative in post-polio weakness; leaves open need for longitudinal studies to confirm.
Post-polio syndrome (PPS) refers to the late development of new neuromuscular symptoms in previously stable poliomyelitis patients. Whether psychological disturbance plays a role in the manifestation of symptoms in these patients is unclear. We examined 22 patients fulfilling the clinical criteria for PPS with the Minnesota Multiphasic Personality Inventory-II (MMPI-II), Beck Depression Inventory, Spielberger State-Trait Anxiety Scales, Chapman and Chapman Psychosis-Proneness Scales, Fatigue Scales, a neurobehavioral rating scale, and Cognitive Symptoms Self-Report Scales. The overwhelming majority of scale scores were within normal limits, and there was no indication that psychopathologic symptoms were associated with the development or severity of new muscle weakness in PPS patients. Women with PPS had significantly more somatic complaints, but were less socially isolated than men with PPS. This study confirms that the development or severity of new muscle weakness in carefully diagnosed PPS patients is not due to, or influenced by, underlying psychopathology.
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Clark et al. (1994) studied this question.
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