School of Psychology, Keynes College, University of Kent, Kent, CT2 7NP, UK.
Wolfson Institute of Population Health, Queen Mary University of London, London, EC1M 6BQ, UK.
J Laryngol Otol. 2024 Sep;138(9):884-892. doi: 10.1017/S0022215124000458. Epub 2024 Apr 22.
This study examines how psychological aspects of vestibular disorders are currently addressed highlighting any national variation.
An online survey was completed by 101 UK healthcare professionals treating vestibular disorders. The survey covered service configurations, attitudes towards psychological aspects and current clinical practice.
Ninety-six per cent of respondents thought there was a psychological component to vestibular disorders. There was a discrepancy between perceived importance of addressing psychological aspects and low confidence to undertake this. Those with more experience felt more confident addressing psychological aspects. History taking and questionnaires containing one or two psychological items were the most common assessment approaches. Discussing symptoms and signposting were the most frequent management approaches. Qualitative responses highlighted the interdependence of psychological and vestibular disorders which require timely intervention. Barriers included limited referral pathways, resources and interdisciplinary expertise.
Although psychological distress is frequently identified, suitable psychological treatment is not routinely offered in the UK.
本研究考察了当前如何解决前庭障碍的心理方面问题，强调任何国家的差异。
通过在线调查，对 101 名治疗前庭障碍的英国医疗保健专业人员进行了调查。该调查涵盖了服务配置、对心理方面的态度以及当前的临床实践。
96%的受访者认为前庭障碍存在心理因素。在认为需要解决心理方面问题的重要性和处理这些问题的低信心之间存在差异。经验丰富的人在处理心理方面问题时更有信心。病史采集和包含一两个心理项目的问卷是最常见的评估方法。讨论症状和提供转介是最常见的管理方法。定性回复强调了心理和前庭障碍的相互依存性，需要及时干预。障碍包括有限的转介途径、资源和跨学科专业知识。
尽管经常发现心理困扰，但在英国，通常不提供适当的心理治疗。
