Stein M B, Asmundson G J, Ireland D, Walker J R
Department of Psychiatry, University of Manitoba, Winnipeg, Canada.
Am J Psychiatry. 1994 Nov;151(11):1697-700. doi: 10.1176/ajp.151.11.1697.
In a study of the prevalence of panic and other anxiety disorders in persons with complaints of dizziness, 87 patients referred to a clinic for vestibular disorders completed self-rating measures of anxiety and depression; 32 also underwent a structured diagnostic interview. Thirteen (14.9%) of the patients met the DSM-III-R criteria for panic disorder, agoraphobia, or both. They rated themselves as much more disabled by their dizziness than the patients with no psychiatric disorder. Panic disorder was equally prevalent among patients with and without vestibular disease. In some cases panic disorder may provide an explanation for the dizziness, whereas in others it may be a comorbid condition compounding the disability attributable to the vestibular disorder.
在一项针对有头晕症状者的惊恐障碍及其他焦虑症患病率的研究中,87名因前庭疾病前往诊所就诊的患者完成了焦虑和抑郁自评量表;32名患者还接受了结构化诊断访谈。13名(14.9%)患者符合DSM-III-R惊恐障碍、广场恐惧症或两者的诊断标准。他们自评头晕导致的残疾程度远高于无精神疾病的患者。惊恐障碍在前庭疾病患者和无前庭疾病患者中患病率相同。在某些情况下,惊恐障碍可能是头晕的病因,而在其他情况下,它可能是一种合并症,加重了前庭疾病所致的残疾。