Department of Psychosomatic Medicine and Psychotherapy, Klinikum rechts der Isar, Technische Universitaet Muenchen, Langerstr. 3, 81675 Munich, Germany.
J Neurol. 2012 Apr;259(4):702-11. doi: 10.1007/s00415-011-6250-3. Epub 2011 Sep 23.
This report describes the objectives, design, and methods of the Munich Diagnostic and Predictor Study of Dizziness, a prospective study investigating diagnostic subgroups, correlates, and predictors of dizziness that is not sufficiently explained medically but clearly related to a psychiatric disorder. All patients presenting at the Integrated Centre for Research and Treatment of Vertigo, Balance and Ocular Motor Disorders at the University Hospital Großhadern in Munich, Germany, are investigated during their first-time visit. The study consists of a baseline and two follow-up assessment points at 6 and 12 months. At the baseline assessment point, all participants complete self-rated questionnaires concerning dizziness, depression, anxiety, dissociative and traumatic experiences, somatization, body sensations and perception, cognitions, attachment, personality, quality of life and experiences with the health care system. Additionally, a structured clinical interview is conducted to assess mental disorders. Then, the neurologists complete questionnaires regarding the subjective doctor-patient relationship and to document the somatic diagnoses and results. The follow-up measurements consist of self-rated questionnaires. This study aims to improve the diagnosis and treatment of patients who suffer from dizziness related to a psychiatric disorder and who are often severely impaired in their working and daily lives.
本报告介绍了慕尼黑头晕诊断和预测研究的目标、设计和方法，这是一项前瞻性研究，旨在调查头晕的诊断亚组、相关性和预测因素，这些因素在医学上无法充分解释，但与精神障碍明显相关。所有在德国慕尼黑大学附属医院大哈登综合眩晕、平衡和眼球运动障碍研究与治疗中心首次就诊的患者都接受了调查。该研究包括基线和 6 个月和 12 个月时的两次随访评估点。在基线评估点，所有参与者都完成了关于头晕、抑郁、焦虑、分离和创伤经历、躯体化、身体感觉和知觉、认知、依恋、个性、生活质量和对医疗保健系统的体验的自评问卷。此外，还进行了结构化临床访谈，以评估精神障碍。然后，神经科医生填写关于主观医患关系的问卷，并记录躯体诊断和结果。随访测量包括自评问卷。本研究旨在改善因精神障碍而出现头晕且工作和日常生活严重受损的患者的诊断和治疗。
