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Psychopathological aspects of dysphagia: a systematic review on correlations with eating disorders and other psychiatric conditions

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Abstract

Background

The effect of psychopathology on swallowing ability tends to be an overlooked issue in the assessment of dysphagic patients, possibly overshadowed by the given prominence to organic pathologies and the difficulties on the management of these patients. In addition, it should also be kept in mind that a great number of psychotropic drugs can affect swallowing adding problematic clinical issues in this area. Despite this, assessment of dysphagia should be considered as an extremely important issue, due to its impact on basic symptomatology, course of illness and quality of life.

Objective

This review aims to be an overview of relevant data on psychopathology associated with dysphagia and impairment of swallowing function.

Materials and methods

An extensive bibliographic search was carried out in different medical databases (PubMed and Psycharticles) to comprehensively identify the most relevant publications available on dysphagia in eating disorders published until December 2020, according to the PRISMA (Preferred Reporting Items for Systematic reviews and Meta-Analysis) method. Research articles, either theoretical or empirical-based, published in peer-reviewed journals and in English language, were included. Case reports were also considered in the analysis when it was appropriate for completeness purposes. Titles and abstracts were reviewed according to the eligibility criteria.

Results

In total, 260 published studies were identified and 40 were finally selected after removal of duplicates and relevance. Primarily we investigated the correlation between dysphagia and eating disorders, analysing the complex relationship between the two conditions. Then we provided an overview of the assessment of dysphagic symptoms in other psychiatric syndromes.

Limits

No exclusion criteria or statistical methods were applied nor was an assessment of study-level or outcome-level bias applicable for our purpose. The topic is vast and research bias could not be excluded; moreover, data available are heterogeneous and lacking systematic approach.

Conclusions

With this review, the authors want to provide an overview of the most considerable and clinically useful information about the topic, focusing on some key points to disentangle psychiatric components from the complexity of patient with dysphagia. It should be a relevant concern for all clinicians and should be always thoroughly assessed, considered its frequency in clinical practice and its implications in every kind of patients’ morbidity, mortality and quality of life. Special attention should be paid to mentally ill patients, who might display complex and multiple comorbidities, as well as consequences of abnormal eating behaviours, occasionally exacerbated by psychotropic medications. More systematic studies are needed, while it seems clear that a multidisciplinary approach is pivotal in the assessment and management of dysphagic patients.

Level of evidence

Level I (evidence obtained from at least one properly designed randomized controlled trials; systematic reviews and meta-analyses; experimental studies).

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References

  1. Cicala G, Barbieri MA, Spina E, de Leon J (2019) A comprehensive review of swallowing difficulties and dysphagia associated with antipsychotics in adults. Expert Rev Clin Pharmacol 12(3):219–234. https://doi.org/10.1080/17512433.2019.1577134

    Article  CAS  PubMed  Google Scholar 

  2. Verdonschot RJCG, Baijens LWJ, Vanbelle S, van de Kolk I, Kremer B, Leue C (2017) Affective symptoms in patients with oropharyngeal dysphagia: a systematic review. J Psychosom Res 97:102–110. https://doi.org/10.1016/j.jpsychores.2017.04.006

    Article  PubMed  Google Scholar 

  3. Manor Y, Balas M, Giladi N, Mootanah R, Cohen JT (2009) Anxiety, depression and swallowing disorders in patients with Parkinson’s disease. Parkinsonism Relat Disord 15(6):453–456. https://doi.org/10.1016/j.parkreldis.2008.11.005

    Article  PubMed  Google Scholar 

  4. Nguyen NP, Frank C, Moltz CC, Vos P, Smith HJ, Karlsson U et al (2005) Impact of dysphagia on quality of life after treatment of head-and-neck cancer. Int J Radiat Oncol Biol Phys 61(3):772–778. https://doi.org/10.1016/j.ijrobp.2004.06.017

    Article  PubMed  Google Scholar 

  5. Verdonschot RJ, Baijens LW, Serroyen JL, Leue C, Kremer B (2013) Symptoms of anxiety and depression assessed with the Hospital Anxiety and Depression Scale in patients with oropharyngeal dysphagia. J Psychosom Res 75(5):451–455. https://doi.org/10.1016/j.jpsychores.2013.08.021

    Article  PubMed  Google Scholar 

  6. Verdonschot RJ, Baijens L, Vanbelle S, Florie M, Kremer B, Leue C (2016) The relationship between fiberoptic endoscopic evaluation of swallowing outcome and symptoms of anxiety and depression in dysphagic patients. Laryngoscope 126(5):E199–E207. https://doi.org/10.1002/lary.25698

    Article  PubMed  Google Scholar 

  7. Verdonschot RJCG, Baijens LWJ, Vanbelle S, Florie M, Dijkman R, Leeters IPM, Kremer B, Leue C (2019) Medically unexplained oropharyngeal dysphagia at the University Hospital ENT Outpatient Clinic for dysphagia: a cross-sectional cohort study. Dysphagia 34(1):43–51. https://doi.org/10.1007/s00455-018-9912-9

    Article  PubMed  Google Scholar 

  8. Moher D, Liberati A, Tetzlaff J, Altman DG, PRISMA Group (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med 6(7):e1000097. https://doi.org/10.1371/journal.pmed.1000097

    Article  PubMed  PubMed Central  Google Scholar 

  9. APA (American Psychiatric Association), (2013) Diagnostic and statistical manual of mental disorders, 5th edn. American Psychiatric Association, Arlington

    Book  Google Scholar 

  10. Shapiro J, Franko DL, Gagne A (1997) Phagophobia: a form of psychogenic dysphagia. A new entity. Ann Otol Rhinol Laryngol 106(4):286–290. https://doi.org/10.1177/000348949710600404

    Article  CAS  PubMed  Google Scholar 

  11. Nakai Y, Nin K, Noma S, Hamagaki S, Takagi R, Teramukai S, Wonderlich SA (2017) Clinical presentation and outcome of avoidant/restrictive food intake disorder in a Japanese sample. Eat Behav 24:49–53. https://doi.org/10.1016/j.eatbeh.2016.12.004

    Article  PubMed  Google Scholar 

  12. Nicholls D, Bryant-Waugh R (2008) Eating disorders of infancy and childhood: definition, symptomatology, epidemiology, and comorbidity. Child Adolesc Psychiatr Clin N Am 18(1):17–30. https://doi.org/10.1016/j.chc.2008.07.008

    Article  Google Scholar 

  13. Benini L, Todesco T, Frulloni L, Dalle Grave R, Campagnola P, Agugiaro F, Cusumano CD, Gabbrielli A, Vantini I (2010) Esophageal motility and symptoms in restricting and binge-eating/purging anorexia. Dig Liver Dis 42(11):767–772. https://doi.org/10.1016/j.dld.2010.03.018

    Article  PubMed  Google Scholar 

  14. Malczyk Ż, Oświęcimska JM (2017) Gastrointestinal complications and refeeding guidelines in patients with anorexia nervosa. Psychiatr Pol 51(2):219–229. https://doi.org/10.12740/PP/65274

    Article  PubMed  Google Scholar 

  15. Boyd C, Abraham S, Kellow J (2005) Psychological features are important predictors of functional gastrointestinal disorders in patients with eating disorders. Scand J Gastroenterol 40(8):929–935. https://doi.org/10.1080/00365520510015836

    Article  PubMed  Google Scholar 

  16. Kress IU, Paslakis G, Erim Y (2018) Differential diagnoses of food-related gastrointestinal symptoms in patients with anorexia nervosa and bulimia nervosa: a review of literature. Z Psychosom Med Psychother 64(1):4–15. https://doi.org/10.13109/zptm.2018.64.1.4

    Article  PubMed  Google Scholar 

  17. Boyd C, Abraham S, Kellow J (2010) Appearance and disappearance of functional gastrointestinal disorders in patients with eating disorders. Neurogastroenterol Motil 22(12):1279–1283. https://doi.org/10.1111/j.1365-2982.2010.01576.x

    Article  PubMed  Google Scholar 

  18. Holmes SR, Sabel AL, Gaudiani JL, Gudridge T, Brinton JT, Mehler PS (2016) Prevalence and management of oropharyngeal dysphagia in patients with severe anorexia nervosa: a large retrospective review. Int J Eat Disord 49(2):159–166. https://doi.org/10.1002/eat.22441

    Article  PubMed  Google Scholar 

  19. Masaki S, Watanabe T, Minaga K, Kamata K, Komeda Y, Kimura M, Kudo M (2020) Possible involvement of autophagy in esophageal ulcers in anorexia nervosa. Clin J Gastroenterol 13(4):473–476. https://doi.org/10.1007/s12328-019-01089-0

    Article  PubMed  Google Scholar 

  20. Santos CM, Cassiani RA, Dantas RO (2016) Videofluoroscopic evaluation of swallows in anorexia nervosa. Arq Gastroenterol 53(3):136–140. https://doi.org/10.1590/S0004-28032016000300003

    Article  PubMed  Google Scholar 

  21. Roberts MW, Tylenda CA, Sonies BC, Elin RJ (1989) Dysphagia in bulimia nervosa. Dysphagia 4(2):106–111. https://doi.org/10.1007/BF02407154

    Article  CAS  PubMed  Google Scholar 

  22. Kiss A, Bergmann H, Abatzi TA, Schneider C, Wiesnagrotzki S, Höbart J, Steiner-Mittelbach G, Gaupmann G, Kugi A, Stacher-Janotta G et al (1990) Oesophageal and gastric motor activity in patients with bulimia nervosa. Gut 31(3):259–265. https://doi.org/10.1136/gut.31.3.259

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  23. Brown CA, Mehler PS (2013) Medical complications of self-induced vomiting. Eat Disord 21(4):287–294. https://doi.org/10.1080/10640266.2013.797317

    Article  PubMed  Google Scholar 

  24. Sachs K, Mehler PS (2016) Medical complications of bulimia nervosa and their treatments. Eat Weight Disord 21(1):13–18. https://doi.org/10.1007/s40519-015-0201-4

    Article  PubMed  Google Scholar 

  25. Denholm M, Jankowski J (2011) Gastroesophageal reflux disease and bulimia nervosa—a review of the literature. Dis Esophagus 24(2):79–85. https://doi.org/10.1111/j.1442-2050.2010.01096.x

    Article  CAS  PubMed  Google Scholar 

  26. Cremonini F, Camilleri M, Clark MM, Beebe TJ, Locke GR, Zinsmeister AR, Herrick LM, Talley NJ (2009) Associations among binge eating behavior patterns and gastrointestinal symptoms: a population-based study. Int J Obes (Lond) 33(3):342–353. https://doi.org/10.1038/ijo.2008.272 (Erratum in: Int J Obes (Lond) 2010;34(1):214)

    Article  CAS  Google Scholar 

  27. Mihailidou H, Galanakis E, Paspalaki P, Borgia P, Mantzouranis E (2002) Pica and the elephant’s ear. J Child Neurol 17(11):855–856. https://doi.org/10.1177/08830738020170111705

    Article  PubMed  Google Scholar 

  28. Coleman DL, Greenberg CS, Ries CA (1981) Iron-deficiency anemia and pica for tomato seeds. N Engl J Med 304(14):848. https://doi.org/10.1056/nejm198104023041421

    Article  CAS  PubMed  Google Scholar 

  29. Däbritz J, Domagk D, Monninger M, Foell D (2010) Achalasia mistaken as eating disorders: report of two children and review of the literature. Eur J Gastroenterol Hepatol 22(7):775–778. https://doi.org/10.1097/MEG.0b013e3283325d71

    Article  PubMed  Google Scholar 

  30. Desseilles M, Fuchs S, Ansseau M, Lopez S, Vinckenbosh E, Andreoli A (2006) Achalasia may mimic anorexia nervosa, compulsive eating disorder, and obesity problems. Psychosomatics 47(3):270–271. https://doi.org/10.1176/appi.psy.47.3.270

    Article  PubMed  Google Scholar 

  31. Duane PD, Magee TM, Alexander MS, Heatley RV, Losowsky MS (1992) Oesophageal achalasia in adolescent women mistaken for anorexia nervosa. BMJ 305(6844):43. https://doi.org/10.1136/bmj.305.6844.43

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  32. Goldsmith PJ, Decadt B (2012) Extreme achalasia presenting as anorexia nervosa. Case Rep Surg 2012:985454. https://doi.org/10.1155/2012/985454PMID:23091768

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  33. Kenney RD (1984) Achalasia in an adolescent with behavioral features compatible with anorexia nervosa. J Adolesc Health Care 5(4):283–285. https://doi.org/10.1016/s0197-0070(84)80134-5

    Article  CAS  PubMed  Google Scholar 

  34. Letranchant A, Pigneur B, Flament M, Godart N (2020) Eating disorder or oesophageal achalasia during adolescence: diagnostic difficulties. Eat Weight Disord 25(1):87–90. https://doi.org/10.1007/s40519-018-0513-2

    Article  PubMed  Google Scholar 

  35. Marshall JB, Russell JL (1993) Achalasia mistakenly diagnosed as eating disorder and prompting prolonged psychiatric hospitalization. South Med J 86(12):1405–1407. https://doi.org/10.1097/00007611-199312000-00019

    Article  CAS  PubMed  Google Scholar 

  36. Richterich A, Brunner R, Resch F (2003) Achalasia mimicking prepubertal anorexia nervosa. Int J Eat Disord 33(3):356–359. https://doi.org/10.1002/eat.10144

    Article  PubMed  Google Scholar 

  37. Stacher G, Wiesnagrotzki S, Kiss A (1990) Symptoms of achalasia in young women mistaken as indicating primary anorexia nervosa. Dysphagia 5(4):216–219. https://doi.org/10.1007/BF02412690

    Article  CAS  PubMed  Google Scholar 

  38. Wright K, Smith MS, Mitchell J (1990) Organic diseases mimicking atypical eating disorders. Clin Pediatr (Phila) 29(6):325–328. https://doi.org/10.1177/000992289002900606

    Article  CAS  Google Scholar 

  39. Reas DL, Zipfel S, Rø Ø (2014) Is it an eating disorder or achalasia or both? A literature review and diagnostic challenges. Eur Eat Disord Rev 22(5):321–330. https://doi.org/10.1002/erv.2307

    Article  PubMed  Google Scholar 

  40. Hallal C, Kieling CO, Nunes DL, Ferreira CT, Peterson G, Barros SG, Arruda CA, Fraga JC, Goldani HA (2012) Diagnosis, misdiagnosis, and associated diseases of achalasia in children and adolescents: a twelve-year single center experience. Pediatr Surg Int 28(12):1211–1217. https://doi.org/10.1007/s00383-012-3214-3

    Article  PubMed  Google Scholar 

  41. Kutuk MO, Guler G, Tufan AE, Toros F, Kaytanli U (2017) Achalasia as a complication of bulimia nervosa: a case report. S Afr J Psychiatr 23:996. https://doi.org/10.4102/sajpsychiatry.v23.996

    Article  PubMed  PubMed Central  Google Scholar 

  42. Mohammed F, Whorwell PJ (2006) Psychological or organic vomiting. Eur J Gastroenterol Hepatol 18(7):781–783. https://doi.org/10.1097/01.meg.0000221851.32663.5b

    Article  PubMed  Google Scholar 

  43. Teufel M, Lamprecht G, Zipfel S, Schrauth M, Rapps N, Martens U, Gross G (2009) Vomiting and feeling fat—coincidence of achalasia and bulimia nervosa. Int J Eat Disord 42(1):90–92. https://doi.org/10.1002/eat.20582

    Article  PubMed  Google Scholar 

  44. Franzoni E, Van der Knaap MS, Errani A, Colonnelli MC, Bracceschi R, Malaspina E, Moscano FC, Garone C, Sarajlija J, Zimmerman RA, Salomons GS, Bernardi B (2006) Unusual diagnosis in a child suffering from juvenile Alexander disease: clinical and imaging report. J Child Neurol 21(12):1075–1080. https://doi.org/10.1177/7010.2006.00235

    Article  PubMed  Google Scholar 

  45. Gaudiani JL, Mehler PS (2016) Rare medical manifestations of severe restricting and purging: “Zebras,” missed diagnoses, and best practices. Int J Eat Disord 49(3):331–344. https://doi.org/10.1002/eat.22475

    Article  PubMed  Google Scholar 

  46. Holmes SR, Gudridge TA, Gaudiani JL, Mehler PS (2012) Dysphagia in severe anorexia nervosa and potential therapeutic intervention: a case series. Ann Otol Rhinol Laryngol 121(7):449–456. https://doi.org/10.1177/000348941212100705

    Article  PubMed  Google Scholar 

  47. Holmes SR, Gudridge TA, Gaudiani JL, Mehler PS (2012) Dysphagia in severe anorexia nervosa: a case report. Int J Eat Disord 45(3):463–466. https://doi.org/10.1002/eat.20971

    Article  PubMed  Google Scholar 

  48. Grant BF, Hasin DS, Stinson FS, Dawson DA, Goldstein RB, Smith S, Huang B, Saha TD (2006) The epidemiology of DSM-IV panic disorder and agoraphobia in the United States: results from the National Epidemiologic Survey on Alcohol and Related Conditions. J Clin Psychiatry 67(3):363–374. https://doi.org/10.4088/jcp.v67n0305

    Article  PubMed  Google Scholar 

  49. Sawchuk CN, Roy-Byrne P, Noonan C, Craner JR, Goldberg J, Manson S, Buchwald D, AI-SUPERPFP Team (2016) Panic attacks and panic disorder in the American Indian community. J Anxiety Disord. https://doi.org/10.1016/j.janxdis.2016.10.004

    Article  PubMed  PubMed Central  Google Scholar 

  50. Sheikh JI, Leskin GA, Klein DF (2002) Gender differences in panic disorder: findings from the National Comorbidity Survey. Am J Psychiatry 159(1):55–58. https://doi.org/10.1176/appi.ajp.159.1.55

    Article  PubMed  Google Scholar 

  51. Okada A, Tsukamoto C, Hosogi M, Yamanaka E, Watanabe K, Ootyou K, Morishima T (2007) A study of psycho-pathology and treatment of children with phagophobia. Acta Med Okayama 61(5):261–269. https://doi.org/10.18926/AMO/32896

    Article  PubMed  Google Scholar 

  52. Budak E, Taymur İ, Önen S, Kanat BB, Akdeniz Ö, Demirci H (2018) Symptoms of swallowing anxiety in panic disorder patients and associated psychopathologic factors. Eat Weight Disord 23(4):487–497. https://doi.org/10.1007/s40519-017-0367-z

    Article  PubMed  Google Scholar 

  53. Baijens LW, Koetsenruijter K, Pilz W (2013) Diagnosis and treatment of phagophobia: a review. Dysphagia 28(2):260–270. https://doi.org/10.1007/s00455-013-9454-0

    Article  PubMed  Google Scholar 

  54. Kim TSY, Munshi T, Hussain M (2018) Resolution of severe psychogenic dysphagia with ECT in an elderly patient. Int Psychogeriatr 30(7):1081–1083. https://doi.org/10.1017/S1041610217002502

    Article  PubMed  Google Scholar 

  55. Sahoo S, Hazari N, Padhy SK (2016) Choking phobia: an uncommon phobic disorder, treated with behavior therapy: a case report and review of the literature. Shanghai Arch Psychiatry 28(6):349–352. https://doi.org/10.11919/j.issn.1002-0829.216055

    Article  PubMed  PubMed Central  Google Scholar 

  56. Drossman DA (2016) Functional gastrointestinal disorders: history, pathophysiology, clinical features, and Rome IV. Gastroenterology 150(6):1262-1279.e2. https://doi.org/10.1053/j.gastro.2016.02.032

    Article  Google Scholar 

  57. Clouse RE, Richter JE, Heading RC, Janssens J, Wilson JA (1999) Functional esophageal disorders. Gut 45(Suppl 2):II31–II36. https://doi.org/10.1136/gut.45.2008.ii31

    Article  PubMed  PubMed Central  Google Scholar 

  58. Harvey PR, Theron BT, Trudgill NJ (2018) Managing a patient with globus pharyngeus. Frontline Gastroenterol 9(3):208–212. https://doi.org/10.1136/flgastro-2017-100844

    Article  PubMed  Google Scholar 

  59. Lee BE, Kim GH (2012) Globus pharyngeus: a review of its etiology, diagnosis and treatment. World J Gastroenterol 18(20):2462–2471. https://doi.org/10.3748/wjg.v18.i20.2462

    Article  PubMed  PubMed Central  Google Scholar 

  60. Barnett C, Armes J, Smith C (2019) Speech, language and swallowing impairments in functional neurological disorder: a scoping review. Int J Lang Commun Disord 54(3):309–320. https://doi.org/10.1111/1460-6984.12448

    Article  PubMed  Google Scholar 

  61. Demartini B, D’Agostino A, Gambini O (2016) From conversion disorder (DSM-IV-TR) to functional neurological symptom disorder (DSM-5): when a label changes the perspective for the neurologist, the psychiatrist and the patient. J Neurol Sci 360:55–56. https://doi.org/10.1016/j.jns.2015.11.026

    Article  PubMed  Google Scholar 

  62. Tsui P, Deptula A, Yuan DY (2017) Conversion disorder, functional neurological symptom disorder, and chronic pain: comorbidity, assessment, and treatment. Curr Pain Headache Rep 21(6):29. https://doi.org/10.1007/s11916-017-0627-7

    Article  PubMed  Google Scholar 

  63. Eger Aydogmus M (2020) Social stigma towards people with medically unexplained symptoms: the somatic symptom disorder. Psychiatr Q. https://doi.org/10.1007/s11126-019-09704-6

    Article  PubMed  Google Scholar 

  64. Carson AJ, Brown R, David AS, Duncan R, Edwards MJ, Goldstein LH, Grunewald R, Howlett S, Kanaan R, Mellers J, Nicholson TR, Reuber M, Schrag AE, Stone J, Voon V (2012) UK-FNS. Functional (conversion) neurological symptoms: research since the millennium. J Neurol Neurosurg Psychiatry 83(8):842–850. https://doi.org/10.1136/jnnp-2011-301860

    Article  PubMed  Google Scholar 

  65. Carson A, Stone J, Hibberd C, Murray G, Duncan R, Coleman R, Warlow C, Roberts R, Pelosi A, Cavanagh J, Matthews K, Goldbeck R, Hansen C, Sharpe M (2011) Disability, distress and unemployment in neurology outpatients with symptoms ‘unexplained by organic disease.’ J Neurol Neurosurg Psychiatry 82(7):810–813. https://doi.org/10.1136/jnnp.2010.220640

    Article  CAS  PubMed  Google Scholar 

  66. Baumann A, Katz PO (2016) Functional disorders of swallowing. Handb Clin Neurol 139:483–488. https://doi.org/10.1016/B978-0-12-801772-2.00039-4

    Article  CAS  PubMed  Google Scholar 

  67. Riehl ME, Kinsinger S, Kahrilas PJ, Pandolfino JE, Keefer L (2015) Role of a health psychologist in the management of functional esophageal complaints. Dis Esophagus 28(5):428–436. https://doi.org/10.1111/dote.12219

    Article  CAS  PubMed  Google Scholar 

  68. Corcoran E, Walsh D (2003) Obstructive asphyxia: a cause of excess mortality in psychiatric patients. Irish J Psychol Med 20:88–90

    Article  Google Scholar 

  69. Regan J, Sowman R, Walsh I (2006) Prevalence of dysphagia in acute and community mental health settings. Dysphagia 21:95–101

    Article  CAS  Google Scholar 

  70. Wu WS, Sung KC, Cheng TJ, Lu TH (2015) Associations between chronic diseases and choking deaths among older adults in the USA: a cross-sectional study using multiple cause mortality data from 2009 to 2013. BMJ Open 5:e009464

    Article  Google Scholar 

  71. Tang KT, Hsieh MH (2010) A case of schizophrenia with dysphagia successfully treated by a multidimensional approach. Gen Hosp Psychiatry 32(5):559.e11–3. https://doi.org/10.1016/j.genhosppsych.2010.01.012

    Article  Google Scholar 

  72. Kulkarni DP, Kamath VD, Stewart JT (2017) Swallowing disorders in schizophrenia. Dysphagia 32(4):467–471. https://doi.org/10.1007/s00455-017-9802-6

    Article  PubMed  Google Scholar 

  73. Baheshree RD, Jonas SS (2012) Dysphagia in a psychotic patient: diagnostic challenges and a systematic management approach. Indian J Psychiatry 54(3):280–282. https://doi.org/10.4103/0019-5545.102464

    Article  PubMed  PubMed Central  Google Scholar 

  74. Ruschena D, Mullen PE, Palmer S, Burgess P, Cordner SM, Drummer OH, Wallace C, Barry-Walsh J (2003) Choking deaths: the role of antipsychotic medication. Br J Psychiatry 183:446–450. https://doi.org/10.1192/bjp.183.5.446

    Article  CAS  PubMed  Google Scholar 

  75. Aquila I, Gratteri S, Sacco MA, Nuzzolese E, Fineschi V, Frati P, Ricci P (2018) Could the screening for correct oral health reduce the impact of death due to bolus asphyxia in adult patients? A forensic case report. Med Hypotheses 110:23–26. https://doi.org/10.1016/j.mehy.2017.10.018

    Article  PubMed  Google Scholar 

  76. Funayama M, Takata T, Koreki A (2019) Choking incidents among patients with schizophrenia may be associated with severity illness and higher-dose antipsychotics. Gen Hosp Psychiatry 59:73–75. https://doi.org/10.1016/j.genhosppsych.2018.09.001

    Article  PubMed  Google Scholar 

  77. Miarons Font M, Rofes Salsench L (2017) Antipsychotic medication and oropharyngeal dysphagia: systematic review. Eur J Gastroenterol Hepatol 29:1332–1339

    Article  CAS  Google Scholar 

  78. Alonso JSE, Garcia IZ (2019) Drugs and dysphagia. Oropharyngeal Dysphagia. https://doi.org/10.1007/978-3-319-92615-5_8

    Article  Google Scholar 

  79. Feldman PE (1957) An unusual death associated with tranquilizer therapy. Am J Psychiatry 113(11):1032–1033

    Article  CAS  Google Scholar 

  80. Craig TJ (1980) Medication use and deaths attributed to asphyxia among psychiatric patients. Am J Psychiatry 137(11):1366–1373. https://doi.org/10.1176/ajp.137.11.1366

    Article  CAS  PubMed  Google Scholar 

  81. Weiden P, Harrigan M (1886) A clinical guide for diagnosing and managing patients with drug-induced dysphagia. Hosp Commun Psychiatry 37(4):396–398. https://doi.org/10.1176/ps.37.4.396

    Article  Google Scholar 

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Authors and Affiliations

  1. Program Innovations in Psychiatric Treatments, Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy

    Lucia Massa, Laura Palagini, Marianna Abelli & Stefano Pini

  2. ENT, Audiology and Phoniatrics Unit, Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy

    Bruno Fattori, Andrea Nacci & Amelia Santoro

  3. Department of Surgical, Medical, Molecular and Critical Area Pathology, University of Pisa, Pisa, Italy

    Francesco Forfori

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Massa, L., Fattori, B., Nacci, A. et al. Psychopathological aspects of dysphagia: a systematic review on correlations with eating disorders and other psychiatric conditions. Eat Weight Disord 27, 881–892 (2022). https://doi.org/10.1007/s40519-021-01227-z

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  • DOI: https://doi.org/10.1007/s40519-021-01227-z

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