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[患有脊柱源性和耳蜗前庭疾病患者的心身状态的特殊特征]

[The peculiar features of the psychosomatic status in the patients presenting with the spondylogenic and cochleovestibular disorders].

作者信息

Morozova S V, Shempeleva L E

机构信息

I.M. Sechenov First Moscow State Medical University, Moscow, Russia, 119991.

出版信息

Vestn Otorinolaringol. 2017;82(1):34-37. doi: 10.17116/otorino201782134-37.

Abstract

The objective of the present study was to elucidate the peculiar features of the psychosomatic status in the patients with chronic vertebrogenic and cochleovestibular disorders The psychosomatic status was evaluated in 117 patients at the age from 21 to 65 years presenting with these conditions using the psychometric tests based on the STAI questionnaire (the state-trait anxiety inventory) adapted for the determination of the level of reactive and personal anxiety. It was shown that the vestibular disorders, tympanophonia, and hearing impairment have a negative influence on the psychogenic status of the patients suffering from cochleovestibulopathy. As many as 92.3% of the patients were characterized by the high or moderately high level of reactive and personal anxiety. The depressive conditions of various severity were diagnosed in 29.1% of the patients. The correction of postural muscular disbalance made it possible to achieve the well apparent reduction of the manifestations of reactive anxiety without prescription of the pharmacotherapeutic treatment and thereby to increase the effectiveness of the management of the patients presenting with the vertebrogenic and cochleovestibular disorders.

摘要

本研究的目的是阐明慢性脊椎源性疾病和耳蜗前庭疾病患者心理生理状态的独特特征。使用基于STAI问卷(状态-特质焦虑量表)改编的心理测试,对117名年龄在21至65岁、患有这些疾病的患者的心理生理状态进行了评估,该问卷用于确定反应性焦虑和个人焦虑水平。结果表明,前庭疾病、耳鸣和听力障碍对患有耳蜗前庭疾病的患者的心理状态有负面影响。多达92.3%的患者表现出高水平或中度高水平的反应性焦虑和个人焦虑。29.1%的患者被诊断出患有不同严重程度的抑郁状况。纠正姿势性肌肉失衡使得在不进行药物治疗的情况下,明显减轻反应性焦虑的表现成为可能,从而提高对患有脊椎源性疾病和耳蜗前庭疾病患者的治疗效果。

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