van Cruijsen N, Jaspers J P C, van de Wiel H B M, Wit H P, Albers F W J
Department of Otorhinolaryngology, University Medical Center Groningen, Groningen, The Netherlands.
Int J Audiol. 2006 Sep;45(9):496-502. doi: 10.1080/14992020600753239.
The objective of this study was to evaluate daily stressors, coping, personality, physical and mental health, and quality of life in Menière patients. 110 consecutive patients with definite Menière's disease were assessed using the Dutch Daily Hassles List, Coping Inventory for Stressful Situations (CISS), Symptoms Checklist 90 (SCL-90), NEO Five Factor Inventory (NEO-FFI), General Health Questionnaire (GHQ-12), and the Short Form Health Survey 36 (SF-36). Duration and subjective severity of symptoms were scored using a self-report questionnaire. It was shown that Menière patients had more daily stressors, used certain coping strategies less often, and had more psychopathology (e.g. anxiety and depression), and a worse quality of life compared to healthy reference groups. No abnormalities in personality were found. Patients with more severe symptoms had more psychopathology and a worse quality of life than patients with mild symptoms. The psychological profile of Menière patients seems comparable to patients with other chronic diseases. The outcomes should be used to intensify psychological support in patients with this disabling disease.
本研究的目的是评估梅尼埃病患者的日常压力源、应对方式、人格、身心健康及生活质量。使用荷兰日常烦恼清单、应激情境应对量表（CISS）、症状自评量表90（SCL - 90）、大五人格量表（NEO - FFI）、一般健康问卷（GHQ - 12）和健康调查简表36（SF - 36）对110例连续确诊的梅尼埃病患者进行评估。使用自我报告问卷对症状的持续时间和主观严重程度进行评分。结果显示，与健康对照组相比，梅尼埃病患者有更多的日常压力源，较少使用某些应对策略，有更多的精神病理学问题（如焦虑和抑郁），生活质量更差。未发现人格异常。症状较严重的患者比症状较轻的患者有更多的精神病理学问题和更差的生活质量。梅尼埃病患者的心理特征似乎与其他慢性病患者相似。这些结果应用于加强对这种致残性疾病患者的心理支持。
