Savastano Marina, Marioni Gino, Aita Maria
ENT Section, Department of Medical-Surgical Specialities, Padova University Hospital, Padova, Italy.
Ear Nose Throat J. 2007 Mar;86(3):148-56.
An association between Ménière 's disease and psychological distress is frequently reported. Patients who do not have Ménière's disease but who have similar symptoms also experience various kinds of psychological disturbances. We conducted a study to investigate the relationship between Ménière's disease and personality traits, illness behavior, depression, and anxiety. We compared these factors in 77 patients who had Ménière's disease and 133 controls who did not have the disease but had one of its symptoms--either vertigo, tinnitus, or hearing loss. The mental status of study participants was assessed with standard tests. Patients in both groups had higher than normal levels of anxiety and neuroticism. The only significant difference between the two groups was a higher rate of extroversion in the Ménière's disease group. Minor differences emerged when Ménière's patients with tinnitus or vertigo were compared with similar controls. Relationships between psychological observations and otologic symptomatology or an otologic diagnosis were not specific, which illustrates the need to consider the role of illness behavior and personality as targets for psychological support or therapy associated with ENT treatment.
梅尼埃病与心理困扰之间的关联屡有报道。没有患梅尼埃病但有类似症状的患者也会经历各种心理障碍。我们开展了一项研究，以调查梅尼埃病与人格特质、患病行为、抑郁和焦虑之间的关系。我们比较了77名梅尼埃病患者和133名对照者的这些因素，后者没有患该病，但有其症状之一——眩晕、耳鸣或听力损失。研究参与者的精神状态通过标准测试进行评估。两组患者的焦虑和神经质水平均高于正常。两组之间唯一显著的差异是梅尼埃病组的外向性率更高。将有耳鸣或眩晕的梅尼埃病患者与类似的对照者进行比较时，出现了细微差异。心理观察结果与耳科症状或耳科诊断之间的关系并不明确，这表明有必要将患病行为和人格的作用作为与耳鼻喉科治疗相关的心理支持或治疗的目标加以考虑。
