Piker Erin G, Jacobson Gary P, McCaslin Devin L, Grantham Sarah L
Vanderbilt Bill Wilkerson Center for Otolaryngology and Communication Sciences, Nashville, TN, USA.
J Am Acad Audiol. 2008 Apr;19(4):337-47. doi: 10.3766/jaaa.19.4.6.
Factors such as anxiety, depression, somatic awareness, autonomic symptoms, and differences in coping strategies are known to affect dizziness handicap. We studied these factors in 63 consecutive "dizzy" patients. This sample was subgrouped into normals and patients with benign paroxysmal positional vertigo, compensated and uncompensated unilateral peripheral vestibular system impairment, or abnormal vestibular evoked myogenic potential as a single significant diagnostic finding. Results showed that (1) anxiety and depression occur with greater frequency in dizzy patients than in the normal population; (2) the magnitude of anxiety, depression, somatization, and autonomic symptoms does not differ significantly in subgroups of patients; (3) women tended to report greater handicap and somatic/autonomic symptoms; and (4) Dizziness Handicap Inventory total scores were correlated with patients' complaints of somatic/autonomic symptoms, anxiety, depression, and coping strategies. These findings suggest that self-reported measures represent unique pieces of information important for the management of dizzy patients.
已知焦虑、抑郁、躯体感知、自主神经症状以及应对策略的差异等因素会影响头晕障碍。我们对连续63例“头晕”患者的这些因素进行了研究。该样本被分为正常组以及患有良性阵发性位置性眩晕、代偿性和失代偿性单侧外周前庭系统损伤或前庭诱发肌源性电位异常作为单一显著诊断结果的患者组。结果显示：（1）头晕患者中焦虑和抑郁的发生率高于正常人群；（2）患者亚组中焦虑、抑郁、躯体化和自主神经症状的严重程度无显著差异；（3）女性往往报告有更大的障碍以及躯体/自主神经症状；（4）头晕障碍量表总分与患者对躯体/自主神经症状、焦虑、抑郁及应对策略的主诉相关。这些发现表明，自我报告的测量结果代表了对头晕患者管理很重要的独特信息。
