Liu Bing, Li Bei, Zhang Li, Liu Wei, Shao Jianbo, Chen Min, Zhang Jie
National Center for Children's Health，Department of Otorhinolaryngology Head and Neck Surgery，Beijing Children' s Hospital，Capital Medical University，Beijing，100045，China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2021 May;35(5):416-419. doi: 10.13201/j.issn.2096-7993.2021.05.007.
Benign paroxysmal vertigo （BPV） and vestibular migraine （VM） are the most common causes of recurrent vertigo in children. The objective of this article is Tto investigate the clinical characteristic of anxiety and depression in children with BPV and VM. Fifty-six patients diagnosed as BPV and VM with vertigo were collected.and diagnosed as BPV and VM. Twenty cases were BPV and 36 cases were VM. The 40 controls were selected from healthy children. The screen of Child Anxiety Related Emotional Disorders and Depression Self-rating Scale for Children were done for total of children. The patients were received vestibular function test. Using SPSS17.0 software for statistical analysis, compared the difference of state with anxiety and depression in patients and controls. To analyze the psychological differences between BPV and VM. All patients were among 8-17 （mean 10） years old, including 24 boys and 32 girls. Thirty-nine cases were school age and 17 cases were puberty. Vestibular function test was abnormal in 24 cases. Psychological abnormalities There were 30 cases suffered from psychological abnormalities. There were 26 cases with anxiety and 18 cases with depression, which 14 cases with comorbidity of anxiety and depression. Compared with the control group （19.88±6.72）, the patients （24.75±15.71） showed statistically significant difference in anxiety （<0.05）, but no significant difference in depression. There was no statistical difference between BPV and VM in anxiety and depression. The possible risk factors of the two diseases were detected. There was statistically significant difference with the anxiety in adolescent and school age patients of VM（<0.05）. There was statistically significant difference with the anxiety in patients of BPV in gender （<0.05）. Children with vertigo are associated with negative emotions of anxiety and depression. There is no difference in psychological state between the children of BPV and VM. But adolescent and female children are more likely to have anxiety. Therefore, children with vertigo should pay attention to their mental and psychological state.
良性阵发性眩晕（BPV）和前庭性偏头痛（VM）是儿童复发性眩晕最常见的病因。本文的目的是探讨BPV和VM患儿焦虑和抑郁的临床特征。收集56例诊断为BPV和VM伴眩晕的患者，并诊断为BPV和VM。其中20例为BPV，36例为VM。40名对照选自健康儿童。对所有儿童进行儿童焦虑相关情绪障碍筛查和儿童抑郁自评量表测试。患者接受前庭功能测试。使用SPSS17.0软件进行统计分析，比较患者和对照在焦虑和抑郁状态上的差异。分析BPV和VM之间的心理差异。所有患者年龄在8 - 17岁（平均10岁），其中男孩24例，女孩32例。39例为学龄期，17例为青春期。24例前庭功能测试异常。心理异常30例患者存在心理异常。其中焦虑26例，抑郁18例，14例焦虑和抑郁共病。与对照组（19.88±6.72）相比，患者（24.75±15.71）在焦虑方面差异有统计学意义（<0.05），但在抑郁方面无显著差异。BPV和VM在焦虑和抑郁方面无统计学差异。检测了两种疾病可能的危险因素。VM的青少年和学龄期患者在焦虑方面差异有统计学意义（<0.05）。BPV患者在焦虑方面在性别上差异有统计学意义（<0.05）。眩晕儿童与焦虑和抑郁的负面情绪有关。BPV和VM患儿的心理状态无差异。但青少年和女童更容易出现焦虑。因此，眩晕儿童应关注其精神和心理状态。
