Psychiatric disorders in patients with essential tremor

Parkinsonism Relat Disord. 2012 Sep;18(8):971-3. doi: 10.1016/j.parkreldis.2012.05.005. Epub 2012 May 31.

Abstract

Background: Previous studies have reported that a consistent proportion of patients with Essential Tremor may have psychiatric disorders but it is unclear whether these disorders are increased in frequency as compared to healthy subjects.

Methods: In a case-control study, we adopted the structured interviews for DSM-IV, SCID-I and SCID-II, to investigate psychiatric and personality disorders in 37 ET patients and 34 healthy subjects. As cognitive changes in ET may be a confounding factor we enrolled patients and healthy control subjects without cognitive dysfunction.

Results: SCID-I showed that Axis-I psychiatric disorders, mainly depressive disorders, were more frequent in ET patients (20 of 37; 54%) than in healthy subjects (8 of 34; 22%) (p < 0.01). Depressive disorders were more frequent in patients with a family history of ET (p < 0.05) in comparison to patients without a family history. SCID-II disclosed that the frequency of personality disorders was similar in patients with ET and healthy subjects.

Conclusion: Psychiatric disorders may be associated to the neurological manifestations of ET.

MeSH terms

  • Aged
  • Case-Control Studies
  • Depressive Disorder / diagnosis
  • Depressive Disorder / epidemiology
  • Depressive Disorder / psychology
  • Diagnostic and Statistical Manual of Mental Disorders
  • Essential Tremor / diagnosis
  • Essential Tremor / epidemiology*
  • Essential Tremor / psychology*
  • Female
  • Humans
  • Male
  • Mental Disorders / diagnosis
  • Mental Disorders / epidemiology*
  • Mental Disorders / psychology*
  • Middle Aged
  • Personality Disorders / diagnosis
  • Personality Disorders / epidemiology
  • Personality Disorders / psychology
  • Psychiatric Status Rating Scales*