Filipo R, Lazzari R, Barbara M, Franzese A, Petruzzellis M C
ENT Clinic, University La Sapienza, Audiology Department, Rome, Italy.
Am J Otol. 1988 Jul;9(4):306-9.
The state of anxiety experienced by menieric patients indicates the importance of the psychologic component in this disease. Uncertainties as to the type of treatment that is actually curative for this disease have put doubts on the favorable outcome for patients referred for endolymphatic shunt procedures; some clinicians claim that in such cases surgery simply had a psychologic support function. To evaluate the effectiveness of such a statement, the authors have studied three groups of patients: patients who underwent surgery; patients who underwent medical treatment; and nonmenieric, otosclerotic subjects prior to surgery as a control group. The first group was further divided into subjects with and without improvement after surgery. The following personality tests were used: Minnesota Multiphase Personality Inventory, reduced version; Adjective Check List; State-Trait Anxiety Inventory; and Symptom Check List. The results relative to the whole menieric group show a tendency toward a state of dysphoria and more striking somatizations than in the otosclerotic group. In regard to the distinction between operated and nonoperated patients, the former group showed a personality with a strong neurotic trait associated with dysphoria and a state of free anxiety tending toward hypochondria. The outcome of the operation (improvement of the vertigo) does not seem to influence the personality of the subjects, even though there are signs of higher anxiety levels than in subjects without improvement.
梅尼埃病患者所经历的焦虑状态表明了心理因素在这种疾病中的重要性。对于实际上能治愈这种疾病的治疗方法类型存在不确定性，这使得人们对接受内淋巴分流手术的患者的良好预后产生怀疑；一些临床医生声称，在这种情况下，手术仅仅起到心理支持作用。为了评估这一说法的有效性，作者研究了三组患者：接受手术的患者；接受药物治疗的患者；以及作为对照组的手术前非梅尼埃病的耳硬化症患者。第一组又进一步分为手术后有改善和无改善的患者。使用了以下人格测试：明尼苏达多相人格调查表简化版；形容词检查表；状态-特质焦虑量表；以及症状检查表。相对于整个梅尼埃病组的结果显示，与耳硬化症组相比，存在烦躁不安状态的倾向以及更明显的躯体化症状。关于手术患者和未手术患者的区别，前一组显示出一种具有强烈神经质特征的人格，伴有烦躁不安以及趋向疑病症的自由焦虑状态。手术结果（眩晕改善）似乎并未影响受试者的人格，尽管与未改善的受试者相比，有焦虑水平更高的迹象。
