Kanzaki Jin, Goto Fumiyuki
Department of Otolaryngology, Atami Hospital, International University of Health and Welfare , Shizuoka.
Acta Otolaryngol. 2015 May;135(5):447-50. doi: 10.3109/00016489.2014.990581. Epub 2015 Feb 13.
The Self-Rating Depression Score (SDS) is a useful metric for identifying patients with possible psychiatric disorders.
A dilemma commonly encountered by otolaryngologists is how to diagnose and treat depression and anxiety disorders in patients who have dizziness or Ménière's disease.
We administered the SDS and Hospital Anxiety and Depression Scale (HADS) to patients with dizziness (n = 116) or Ménière's disease (n = 22). Overall, 31 and 9 patients, respectively, had SDS ≥ 41. We investigated the correlation between the two questionnaire scores and the relationship between scores and a diagnosis of depression by a psychiatrist.
We referred 12 patients with dizziness and 4 with Ménière's disease to a psychiatrist. The most common psychiatric comorbidities were anxiety disorder and major depression. Overall, 7 of the 12 patients who had dizziness and all 4 patients with Ménière's disease were diagnosed with major depression. Patients with an SDS ≥ 41 and ≥ 11 on the D portion of HADS were likely to be diagnosed with major depression (9 of 11). No psychiatric disorders were diagnosed in patients with an SDS < 41. No specific characteristics were identified by HADS in patients with a psychiatric comorbidity.
自评抑郁量表（SDS）是识别可能患有精神疾病患者的有用指标。
耳鼻喉科医生常见的一个两难问题是如何诊断和治疗患有头晕或梅尼埃病的患者的抑郁和焦虑症。
我们对头晕患者（n = 116）或梅尼埃病患者（n = 22）进行了SDS和医院焦虑抑郁量表（HADS）评估。总体而言，分别有31名和9名患者的SDS≥41。我们研究了两个问卷得分之间的相关性以及得分与精神科医生诊断的抑郁症之间的关系。
我们将12名头晕患者和4名梅尼埃病患者转诊给了精神科医生。最常见的精神共病是焦虑症和重度抑郁症。总体而言，12名头晕患者中有7名以及所有4名梅尼埃病患者被诊断为重度抑郁症。SDS≥41且HADS的D部分≥11的患者很可能被诊断为重度抑郁症（11名中的9名）。SDS<41的患者未被诊断出患有精神疾病。HADS未在患有精神共病的患者中识别出特定特征。
