Sachdev P
Neuropsychiatric Institute, Prince Henry Hospital, Little Bay, Sydney, Australia.
Mov Disord. 1992 Oct;7(4):326-32. doi: 10.1002/mds.870070405.
The clinical characteristics of 20 golfers suffering from golfers' cramp or the "yips" are described. The typical description is that of a middle-aged golfer who has played competitive golf since his teens and develops the problem during a tournament in the form of a jerk, spasm, or freezing of movement while putting or chipping, with the rest of the game being relatively unaffected. The problem generally takes a chronic fluctuating course, and a number of 'trick' strategies are partially or fully successful. In this study, the subjects were compared with a matched group of 20 unaffected golfers on a number of indices of psychopathology; no significant differences emerged. The more severely affected golfers also did not differ significantly from the mildly affected ones, except on the subjective report of anxiety. These data support the argument that golfers' cramp is not an anxiety disorder or a neurosis. The important role of anxiety and arousal in its manifestation is, nevertheless, recognized and its pathophysiology speculated upon.
本文描述了20名患有高尔夫球手痉挛或“抽搐”的高尔夫球手的临床特征。典型描述是一名中年高尔夫球手，他从十几岁起就参加竞技高尔夫比赛，并在比赛期间出现问题，表现为在推杆或切球时出现抽搐、痉挛或动作卡顿，而比赛的其他部分相对不受影响。这个问题通常呈慢性波动病程，一些“技巧”策略部分或完全有效。在本研究中，将这些受试者与20名未受影响的匹配高尔夫球手在一些精神病理学指标上进行了比较；未发现显著差异。除了焦虑的主观报告外，受影响较严重的高尔夫球手与受影响较轻的球手也没有显著差异。这些数据支持了高尔夫球手痉挛不是焦虑症或神经症的观点。然而，焦虑和唤醒在其表现中的重要作用是得到认可的，并对其病理生理学进行了推测。
