Yardley L, Putman J
Medical Research Council Human Movement and Balance Unit, National Hospital, Queen Square, London, UK.
Clin Otolaryngol Allied Sci. 1992 Jun;17(3):231-6. doi: 10.1111/j.1365-2273.1992.tb01833.x.
Statements encapsulating common beliefs, behaviour and difficulties associated with vertigo, derived from in-depth interviews, were used to construct a Vertigo Handicap Questionnaire (VHQ) which was completed by 84 patients referred for vestibular testing. Factor analysis identified four principal components of handicap in addition to 'Anxiety and Depression', (which was isolated prior to analysis): 'Restriction of Activities', both physical and social; concern that vertigo would adversely affect social relationships ('Social Anxieties'); 'Fear of Vertigo', both the attacks themselves and their possible significance; and 'Severity of Attacks' which was multiplied with frequency of attacks to give a measure of reported physical disability. Multiple regression revealed that Severity x Frequency of attacks contributed to patient distress only indirectly, through its influence on the mediating psychological and behavioural variables. Significant patient benefit may therefore result from counselling or behavioural therapy, whether or not the vertigo itself can be controlled.
通过深入访谈得出的、概括与眩晕相关的常见信念、行为及困难的陈述，被用于构建一份眩晕障碍问卷（VHQ），84名前来进行前庭测试的患者完成了该问卷。因素分析确定了除“焦虑和抑郁”（在分析前单独分离出来）之外的四个主要障碍因素：身体和社交活动受限；担心眩晕会对社会关系产生不利影响（“社交焦虑”）；对眩晕的恐惧，包括眩晕发作本身及其可能的影响；以及“发作严重程度”，将其与发作频率相乘，以衡量报告的身体残疾程度。多元回归显示，发作严重程度×发作频率仅通过对中介心理和行为变量的影响，间接导致患者痛苦。因此，无论眩晕本身是否能够得到控制，咨询或行为疗法都可能给患者带来显著益处。
