Ruckenstein Michael J, Staab Jeffrey P
Department of Otorhinolaryngology-Head and Neck Surgery, University of Pennsylvania Health System, 3400 Spruce Street, 5 Silverstein, Philadelphia, PA 19104, USA.
Otolaryngol Clin North Am. 2009 Feb;42(1):71-7, ix. doi: 10.1016/j.otc.2008.09.011.
This article reviews the authors' work, which expands on previous studies to confirm that anxiety-related processes cause or maintain symptoms of dizziness. Discussed are interventions directed at patients' underlying psychologic disorders, including current methods of pharmacotherapy and psychotherapy. Patients with chronic complaints of nonspecific dizziness can present frustrating diagnostic and therapeutic challenges, but can be offered definitive and palliative care. The authors emphasize the importance of eliciting a precise description of the dizziness sensation from the patient as the critical factor in delineating the specific diagnosis and guiding treatment.
本文回顾了作者的研究工作，该研究在先前研究的基础上进行了拓展，以证实与焦虑相关的过程会引发或维持头晕症状。文中讨论了针对患者潜在心理障碍的干预措施，包括当前的药物治疗和心理治疗方法。患有慢性非特异性头晕主诉的患者可能会带来令人沮丧的诊断和治疗挑战，但可以提供确定性和姑息性治疗。作者强调，从患者那里获取对头晕感觉的精确描述作为明确具体诊断和指导治疗的关键因素的重要性。
