Tschan Regine, Wiltink Jörg, Best Christoph, Beutel Manfred, Dieterich Marianne, Eckhardt-Henn Annegret
Universitätsmedizin der Johannes-Gutenberg Universität, Klinik für Psychosomatische Medizin und Psychotherapie, Mainz.
Psychother Psychosom Med Psychol. 2010 Sep-Oct;60(9-10):e1-12. doi: 10.1055/s-0029-1243206. Epub 2010 Jan 22.
The Vertigo Handicap Questionnaire (VHQ) by Yardley (1992) assesses physical and psychosocial impairments of vertigo or dizziness. Our study examines the structure, reliability, and aspects of validity of the German version of the VHQ. 98 vestibular vertigo syndromes vs. 90 patients with somatoform vertigo and dizziness were evaluated with the VHQ, symptom severity (VSS), distress (GSI), anxiety and depression (HADS), catastrophizing beliefs (ACQ), fear of body sensations (BSQ), and quality of life (SF-36). For diagnostic classification detailed clinical neurological, neuro-otological and psychosomatic testing were conducted. Principal components analysis identified two factors, which could be confirmed by confirmatory factor analyses: 'handicapped activity'(VHQ-ACT) and 'anxiety' (VHQ-ANX). The VHQ had good internal consistency (Cronbach's alpha: 0.92). Test-retest reliability was r = 0.80. We noted close relations between the VHQ, the VSS and measures of emotional distress as aspects of good construct validity. Together with the VSS, the VHQ completes a comprehensive diagnostic screening tool for vertigo or dizziness.
亚德利于1992年编制的眩晕障碍问卷（VHQ）评估眩晕或头晕的身体和心理社会损害情况。我们的研究考察了VHQ德文版的结构、信度及效度方面。采用VHQ、症状严重程度（VSS）、痛苦程度（GSI）、焦虑和抑郁（HADS）、灾难化信念（ACQ）、对身体感觉的恐惧（BSQ）以及生活质量（SF - 36）对98例前庭性眩晕综合征患者和90例躯体形式眩晕及头晕患者进行评估。为进行诊断分类，开展了详细的临床神经学、神经耳科学及心身检查。主成分分析确定了两个因素，这两个因素可通过验证性因素分析得到证实：“活动受限”（VHQ - ACT）和“焦虑”（VHQ - ANX）。VHQ具有良好的内部一致性（克朗巴哈系数：0.92）。重测信度为r = 0.80。我们注意到VHQ、VSS与情绪困扰测量指标之间存在密切关系，这是良好结构效度的体现。VHQ与VSS共同构成了一个用于眩晕或头晕的综合诊断筛查工具。
