Persoons Phillippe, Luyckx Koen, Desloovere Christian, Vandenberghe Joris, Fischler Benjamin
Department of Neuroscience and Psychiatry, Liaison Psychiatry, University Hospital Gasthuisberg, Katholieke Universiteit Leuven, Leuven, Belgium.
Gen Hosp Psychiatry. 2003 Sep-Oct;25(5):316-23. doi: 10.1016/s0163-8343(03)00072-0.
The aims of the study were to: 1) assess the validity of the mood and anxiety modules of the PRIME-MD Patient Health Questionnaire (PHQ) in otorhinolaryngology outpatients consulting with dizziness; and, 2) the prevalence of anxiety and mood disorders in these patients and in 3 subgroups based on of the cause of dizziness (Functional group, with psychogenic or hyperventilation factor; Organic group with an organic cause; Unspecified group without indication of organic or psychogenic cause). The PRIME-MD PHQ was completed by 268 consecutive outpatients. In 97 patients a psychiatric interview was performed. Operating characteristics indicated good criterion validity for the assessed modules of the PRIME-MD PHQ. Thirty five percent of the patients were diagnosed with "Any Anxiety or Depressive Disorder". In the Functional group, the prevalence of "Any Anxiety or Depressive Disorder" was significantly higher than in the Organic group (P<.0001) and than in the Unspecified group (P<.0001). In the Unspecified group, the prevalence of "Any Anxiety or Depressive Disorder" was significantly lower than in the Organic group (P =.007). Our findings support the criterion validity of the PRIME-MD PHQ for anxiety and depressive disorders in otorhinolaryngology outpatients with dizziness. Psychiatric disorders were highly prevalent and differences in psychiatric status between the different subgroups were demonstrated.
1）评估PRIME-MD患者健康问卷（PHQ）的情绪和焦虑模块在因头晕前来咨询的耳鼻喉科门诊患者中的有效性；以及2）这些患者以及基于头晕原因的3个亚组（功能性组，有心理因素或换气过度因素；器质性组，有器质性病因；未明确组，无器质性或心理性病因迹象）中焦虑和情绪障碍的患病率。268名连续的门诊患者完成了PRIME-MD PHQ。对97名患者进行了精神科访谈。操作特征表明PRIME-MD PHQ的评估模块具有良好的标准效度。35%的患者被诊断为“任何焦虑或抑郁障碍”。在功能性组中，“任何焦虑或抑郁障碍”的患病率显著高于器质性组（P<.0001）和未明确组（P<.0001）。在未明确组中，“任何焦虑或抑郁障碍”的患病率显著低于器质性组（P =.007）。我们的研究结果支持PRIME-MD PHQ在头晕的耳鼻喉科门诊患者中对焦虑和抑郁障碍的标准效度。精神障碍非常普遍，并且不同亚组之间的精神状态存在差异。
