{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T20:49:32Z","timestamp":1790801372213,"version":"4.1.0"},"reference-count":32,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2023,11,9]],"date-time":"2023-11-09T00:00:00Z","timestamp":1699488000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["K76 AG079040"],"award-info":[{"award-number":["K76 AG079040"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100015326","name":"Common Fund","doi-asserted-by":"publisher","award":["OT2 OD032720"],"award-info":[{"award-number":["OT2 OD032720"]}],"id":[{"id":"10.13039\/100015326","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>An increased prevalence of mood and anxiety disorders in patients with dysphagia has been noted previously, but whether dysphagia severity may be exacerbated by anxiety and depression has never been studied before. The purpose of this study is to identify the effect of pre\u2010existing diagnosis of anxiety and\/or depression (anxiety\/depression) on the Eating Assessment Tool (EAT\u201010), a validated patient\u2010reported outcome measure for dysphagia. We hypothesized that patients with dysphagia and normal instrumental evaluation have higher EAT\u201010 score in the presence of pre\u2010existing anxiety and depression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective chart review was conducted of patients seen at the multi\u2010disciplinary dysphagia clinic of an urban academic institution. EAT\u201010 scores and pre\u2010existing diagnoses of anxiety\/depression were collected at the first visit with laryngologists. The two\u2010sample t\u2010test was used to compare mean EAT\u201010 scores between the anxiety\/depression and no anxiety\/depression groups, stratified by swallowing dysfunction etiology.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The study included 290 consecutive patients seen starting in January 2018. In this cohort, 60 (21%) had pre\u2010existing anxiety, 49 (17%) depression, and 36 (12%) both. Overall, 59 patients had normal swallowing based on instrumental swallowing testing (flexible endoscopic evaluation of swallowing, videofluoroscopic swallow study, esophagram, or esophagoscopy). Among those, mean EAT\u201010 score was significantly higher in patients with anxiety and\/or depression (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200930) (14.63, SD\u2009=\u200911.42) compared to those with no anxiety and\/or depression (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200929) (8.93, SD\u2009=\u20096.59) (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.023).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>While anxiety\/depression may aggravate dysphagia in patients with normal swallowing function, this correlation may not hold in those with objective swallowing dysfunction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>\n                      4\n                      <jats:italic>Laryngoscope<\/jats:italic>\n                      , 134:2115\u20132120, 2024\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lary.31164","type":"journal-article","created":{"date-parts":[[2023,11,9]],"date-time":"2023-11-09T06:30:00Z","timestamp":1699511400000},"page":"2115-2120","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["Correlations Between Anxiety and\/or Depression Diagnoses and Dysphagia Severity"],"prefix":"10.1002","volume":"134","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4983-3666","authenticated-orcid":false,"given":"Can","family":"Doruk","sequence":"first","affiliation":[{"name":"Weill Cornell Medicine, Department of Otolaryngology\u2010Head &amp; Neck Surgery Sean Parker Institute for the Voice  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valentina","family":"Mocchetti","sequence":"additional","affiliation":[{"name":"Weill Cornell Medicine, Department of Otolaryngology\u2010Head &amp; Neck Surgery Sean Parker Institute for the Voice  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hal","family":"Rives","sequence":"additional","affiliation":[{"name":"Weill Cornell Medicine, Department of Otolaryngology\u2010Head &amp; Neck Surgery Sean Parker Institute for the Voice  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Christos","sequence":"additional","affiliation":[{"name":"Department of Population Health Sciences Weill Cornell Medicine  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1543-2634","authenticated-orcid":false,"given":"Ana\u00efs","family":"Rameau","sequence":"additional","affiliation":[{"name":"Weill Cornell Medicine, Department of Otolaryngology\u2010Head &amp; Neck Surgery Sean Parker Institute for the Voice  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,11,9]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.genhosppsych.2004.06.008"},{"key":"e_1_2_8_3_1","first-page":"1","article-title":"Mental health treatment among adults aged 18\u201344: United States, 2019\u20132021","volume":"444","author":"Terlizzi EP","year":"2022","journal-title":"NCHS Data Brief"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1037\/hea0000737"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1159\/000324641"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/01945998221074994"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.25819"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2006.08.007"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.4414\/smw.2005.10346"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-001-0113-5"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348940811701210"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2008.08.010"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.30177"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-4614-3779-6_5"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1044\/2022_PERSP-22-00118"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2013.07.042"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.mlg.0000154741.25443.fe"},{"key":"e_1_2_8_18_1","doi-asserted-by":"crossref","unstructured":"RameauA KatzP AndreadisK et al.Clarifying inaccurate terminology: the important difference between dysphagia and swallowing dysfunction. 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