Kirby Sarah E, Yardley Lucy
School of Psychology, University of Southampton, University of Southampton, Highfield, Southampton, UK.
Psychol Health Med. 2008 May;13(3):257-73. doi: 10.1080/13548500701402928.
It has long been suspected that psychological disturbance is common in Meniere's disease (MD), but there has been no systematic review of research on this topic since 1977. The aim of this review was to investigate whether components of post-traumatic stress disorder (PTSD) or health anxiety contribute to distress, so that support and psychological therapy can be tailored better to the particular problems of people with MD. We systematically identified all studies of psychological factors associated with MD between 1977 and 2004. We then tabulated the findings from each of the 28 studies to match them to the components of PTSD and health anxiety. Levels of psychosocial impairment and distress were comparable to patients with similar illness. Evidence was found for some of the components of both PTSD and health anxiety. We conclude that more specific research into PTSD-like symptoms and health anxiety in MD is needed. There was a general lack of research into psychological mechanisms contributing to distress in this population, many studies had methodological weaknesses, and only one qualitative and one longitudinal study had been carried out.
长期以来，人们一直怀疑心理障碍在梅尼埃病（MD）中很常见，但自1977年以来，尚未对该主题的研究进行系统综述。本综述的目的是调查创伤后应激障碍（PTSD）或健康焦虑的成分是否会导致痛苦，以便能更好地针对MD患者的特定问题提供支持和心理治疗。我们系统地检索了1977年至2004年间所有与MD相关的心理因素研究。然后，我们将28项研究中的每项研究结果制成表格，以使其与PTSD和健康焦虑的成分相匹配。心理社会损害和痛苦程度与患有类似疾病的患者相当。发现了PTSD和健康焦虑的一些成分的证据。我们得出结论，需要对MD中类似PTSD的症状和健康焦虑进行更具体的研究。对于该人群中导致痛苦的心理机制普遍缺乏研究，许多研究存在方法学上的弱点，并且仅进行了一项定性研究和一项纵向研究。
