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眩晕/头晕与躯体形式障碍之间的关系:一项系统综述。

The Relationship Between Vertigo/Dizziness and Somatoform Complaints: A Systematic Review.

作者信息

Aksoy Songul, Cekic Sule

机构信息

Faculty of Health Sciences, Audiology Department, Lokman Hekim University, Ankara, Turkey.

Faculty of Health Sciences, Audiology Department, Ankara Yildirim Beyazit University, Ankara, Turkey.

出版信息

Indian J Otolaryngol Head Neck Surg. 2024 Feb;76(1):1434-1446. doi: 10.1007/s12070-023-04233-y. Epub 2023 Sep 25.

DOI:10.1007/s12070-023-04233-y
PMID:38440433
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10908773/
Abstract

To systematically synthesize published literature on somatoform complaints as psychological factors in vertigo/dizziness to determine the characteristics of comorbidities, relationships and causality. Following PRISMA guidelines, systematic searches of PubMed, WOS, and Cochrane Library databases and manual follow-up reference searches were performed for articles published in English up to 2021. All original research studies and retrospective or prospective studies focusing on the relationship between vertigo/dizziness and somatoform complaints/somatization were systematically retrieved. Studies that did not include data on the association between somatoform complaints/somatization and vertigo/dizziness were excluded, as were reviews, comments, case reports, editorials, letters, and practice guidelines. Extracted data included research type, number of participants, assessment tools for vertigo/dizziness and somatoform complaints/somatization, statistical methods, and the main results. The quality of included studies was evaluated. Records identified through database searching  = 1238. After removing duplicates and unrelated articles based on abstract and title search, 155 articles recorded as relevant. Except for the 5 articles, title and abstract of all records screened and 88 of them excluded. Critically evaluating those full texts, 28 studies included. The present study highlights the relationship between the vertigo/dizziness and somatoform complaints/somatization. It is determined that somatoform complaints of the individuals suffering from vertigo/dizziness is highly prevelant and some other factor such as personality characteristics or accompanying psychopathology have affect on the prevelance. The main results of all reviewed studies emphasize the requirement for assessment and intervention of vertigo/dizziness, in collaboration with the department of psychiatry. PROSPERO REGISTRATION: PROSPERO: CRD42020222273.

摘要

系统综合已发表的关于躯体形式主诉作为眩晕/头晕心理因素的文献,以确定共病特征、关系及因果关系。遵循PRISMA指南,对PubMed、WOS和Cochrane图书馆数据库进行系统检索,并手动追踪参考文献,检索截至2021年以英文发表的文章。系统检索所有聚焦于眩晕/头晕与躯体形式主诉/躯体化之间关系的原创性研究以及回顾性或前瞻性研究。排除未包含躯体形式主诉/躯体化与眩晕/头晕关联数据的研究,以及综述、评论、病例报告、社论、信函和实践指南。提取的数据包括研究类型、参与者数量、眩晕/头晕及躯体形式主诉/躯体化的评估工具、统计方法和主要结果。对纳入研究的质量进行评估。通过数据库检索识别出的记录 = 1238条。基于摘要和标题检索去除重复及不相关文章后,记录为相关的文章有155篇。除5篇文章外,对所有记录的标题和摘要进行筛选,其中88篇被排除。对这些全文进行严格评估后,纳入28项研究。本研究强调了眩晕/头晕与躯体形式主诉/躯体化之间的关系。确定患有眩晕/头晕个体的躯体形式主诉非常普遍,人格特征或伴发精神病理学等其他因素会影响其患病率。所有综述研究的主要结果强调了与精神科合作对眩晕/头晕进行评估和干预的必要性。PROSPERO注册编号:PROSPERO: CRD42020222273 。

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本文引用的文献

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Primary or secondary chronic functional dizziness: does it make a difference? A DizzyReg study in 356 patients.原发性或继发性慢性功能性头晕:有区别吗?在 356 名患者中的 DizzyReg 研究。
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Determination of Anxiety, Health Anxiety and Somatosensory Amplification Levels in Individuals with Benign Paroxysmal Positional Vertigo.良性阵发性位置性眩晕患者焦虑、健康焦虑及体感放大水平的测定
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In Older Patients Treated for Dizziness and Vertigo in Multimodal Rehabilitation Somatic Deficits Prevail While Anxiety Plays a Minor Role Compared to Young and Middle Aged Patients.在接受多模式康复治疗的老年头晕和眩晕患者中,躯体功能缺陷普遍存在,与中青年患者相比,焦虑起的作用较小。
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