Yardley L
Department of Psychology, University College London, England.
Soc Sci Med. 1994 Aug;39(4):573-81. doi: 10.1016/0277-9536(94)90100-7.
Factors predicting handicap and distress were examined in a longitudinal study of 101 patients suffering from recurrent vertigo (dizziness). Analysis of a questionnaire assessing coping strategies yielded four distinct individualised coping styles: problem-focused information-seeking; distraction; denial; and relinquishing responsibility. After controlling for the severity of physical and psychological symptoms and distress, handicap was negatively related to internal locus of control and positively correlated with relinquishing responsibility. Symptoms of somatic anxiety predicted an increase in handicap over a 7 month period, while handicap and somatic anxiety symptoms predicted an increase in distress. These results are interpreted in terms of a reciprocal causal relationship between handicap and distress, mediated partly by somatic symptoms. Parallels with pain, panic and phobia suggest that patients with vertigo might benefit from psychological therapies.
在一项针对101名复发性眩晕（头晕）患者的纵向研究中，对预测残疾和痛苦的因素进行了研究。对一份评估应对策略的问卷分析得出了四种不同的个性化应对方式：以问题为导向的信息寻求；分散注意力；否认；以及放弃责任。在控制了身体和心理症状及痛苦的严重程度后，残疾与内控点呈负相关，与放弃责任呈正相关。躯体焦虑症状预示着在7个月的时间里残疾会增加，而残疾和躯体焦虑症状则预示着痛苦会增加。这些结果被解释为残疾和痛苦之间的相互因果关系，部分由躯体症状介导。与疼痛、恐慌和恐惧症的相似之处表明，眩晕患者可能会从心理治疗中受益。
