McKenna L, Hallam R S, Hinchcliffe R
Neuro-otology Clinic, Royal National Throat, Nose and Ear Hospital, London, UK.
Clin Otolaryngol Allied Sci. 1991 Oct;16(5):452-6. doi: 10.1111/j.1365-2273.1991.tb01038.x.
This study assesses the prevalence of psychological disturbance among a consecutive series of 120 neuro-otology outpatients, using a structured interview conducted by a clinical psychologist. 42% of all patients were found to be in need of, and were offered, psychological help (27% of those with hearing loss, 45% of those with tinnitus and 64% of those with dizziness). 86% of those offered psychological help accepted it. Current psychological distress was associated with the number of symptoms complained of and past psychiatric history. Patients completed the General Health Questionnaire which was found to have a sensitivity rate of 82% and a specificity rate of 87% in this setting. Physicians were also asked to rate patients' psychological state; close agreement was found between these ratings and those of a psychologist. The contribution of psychological assessment of neuro-otology patients is discussed.
本研究采用临床心理学家进行的结构化访谈，对连续120例神经耳科学门诊患者的心理障碍患病率进行了评估。结果发现，42%的患者需要并获得了心理帮助（听力损失患者中27%，耳鸣患者中45%，头晕患者中64%）。获得心理帮助的患者中有86%接受了帮助。当前的心理困扰与患者主诉的症状数量及既往精神病史有关。患者完成了一般健康问卷，结果发现在本研究中该问卷的灵敏度为82%，特异度为87%。研究人员还要求医生对患者的心理状态进行评分；结果发现这些评分与心理学家的评分高度一致。本文讨论了对神经耳科学患者进行心理评估的作用。
