Ketola Sirpa, Havia Mari, Appelberg Björn, Kentala Erna
Department of Otorhinolaryngology, South-Carelian Central Hospital, Lappeenranta, Finland.
Otolaryngol Head Neck Surg. 2007 Aug;137(2):312-5. doi: 10.1016/j.otohns.2007.03.037.
To assess the prevalence of depression in a group of vertiginous patients gathered by the use of a questionnaire.
Prospective study on 100 randomly selected vertiginous individuals, who were invited for further investigations to the Helsinki University ENT clinic. They also filled in a Beck Depression Index, Zung anxiety scale and DIP-Q, which are self-rating scales to investigate psychiatric symptoms.
The prevalence of depression was 19%, and affected more men than women No significant differences appeared in ENT diagnoses or symptoms between depressed and nondepressed patients. Depression correlated positively with vertiginous relatives (P < 0.01) and subjective sense of disability (P < 0.01). Of depressed vertiginous patients, 89% were without appropriate antidepressive care.
Nearly 20% of vertiginous patients also have depressive symptoms. Assessment of psychiatric and psychosomatic symptoms should accompany neuro-otologic evaluation to achieve the best treatment strategy and prevent chronic outcome.
通过问卷调查评估一组眩晕患者中抑郁症的患病率。
对100名随机选取的眩晕患者进行前瞻性研究，这些患者被邀请到赫尔辛基大学耳鼻喉科诊所做进一步检查。他们还填写了贝克抑郁量表、zung焦虑量表和DIP - Q，这些都是用于调查精神症状的自评量表。
抑郁症患病率为19%，男性患者多于女性患者。抑郁患者与非抑郁患者在耳鼻喉科诊断或症状方面无显著差异。抑郁症与眩晕亲属（P < 0.01）和主观残疾感（P < 0.01）呈正相关。在抑郁的眩晕患者中，89%未得到适当的抗抑郁治疗。
近20%的眩晕患者也有抑郁症状。在进行神经耳科学评估时，应同时评估精神和身心症状，以制定最佳治疗策略并预防慢性疾病的发生。
