The authors approached 1,158 middle-aged women, who were assessed for
the presence of the globus sensation in the prior 3 months. Seventy gl
obus ''cases'' (6.0%) were identified. Twenty-eight women with globus
and 35 control subjects completed a series of questionnaires designed
to assess personality traits and psychological distress. The globus su
bjects were significantly higher on neuroticism and low on extraversio
n and had significantly elevated levels of psychological distress, inc
luding anxiety, low mood, and somatic concern when compared with the c
ontrol subjects. Severity of throat symptoms, but not personality or p
sychological distress scores, predicted the degree of medical help sou
ght for the symptom.