Simpson R B, Nedzelski J M, Barber H O, Thomas M R
Department of Otolaryngology, University of Toronto, Ontario, Canada.
J Otolaryngol. 1988 Oct;17(6):325-30.
Psychiatric assessments were made of patients with psychogenic dizziness (N = 17) and severe tinnitus (N = 24) using the Structured Clinical Interview for DSM-III-R (SCID). The psychogenic dizziness group had a high prevalence of psychiatric disorders (100%), the majority being anxiety disorders (94%), particularly diagnoses in the panic-agoraphobic cluster (76%). The severe tinnitus group had a lower prevalence of psychiatric disorders (63%) with a predominance of mood disorders (46%). Those tinnitus patients with no hearing loss tended to have more diagnoses per patient and more anxiety disorders than those with hearing loss. Although this was not a random sampling of these patients populations, the results are of sufficient magnitude to warrant further studies. The implications of the results are discussed in terms of treatment and future research.
使用《精神疾病诊断与统计手册第三版修订本》（DSM-III-R）的结构化临床访谈（SCID）对患有心因性头晕（N = 17）和重度耳鸣（N = 24）的患者进行了精神科评估。心因性头晕组的精神障碍患病率很高（100%），大多数为焦虑症（94%），尤其是惊恐-广场恐惧症组的诊断（76%）。重度耳鸣组的精神障碍患病率较低（63%），以情绪障碍为主（46%）。那些没有听力损失的耳鸣患者往往比有听力损失的患者每人有更多的诊断和更多的焦虑症。尽管这不是这些患者群体的随机抽样，但结果的规模足以保证进一步研究。从治疗和未来研究的角度讨论了结果的意义。
