Clark D B, Hirsch B E, Smith M G, Furman J M, Jacob R G
Western Psychiatric Institute and Clinic, Presbyterian University Hospital, Pittsburgh, PA 15213.
Am J Psychiatry. 1994 Aug;151(8):1223-5. doi: 10.1176/ajp.151.8.1223.
This study compared 50 patients presenting to an otolaryngology clinic with a complaint of dizziness and 50 patients presenting with hearing loss on questionnaire measures of panic, phobic avoidance, generalized anxiety, and depression. Clinical and laboratory evaluations of vestibular and audiological complaints were also completed. Twenty percent of the group with dizziness and none of the group with hearing loss reported symptoms that met DSM-III-R criteria for panic disorder. Patients with dizziness and peripheral vestibulopathy had more symptoms of phobic avoidance, generalized anxiety, and depression than patients with confirmed hearing loss.
本研究比较了50名因头晕症状前往耳鼻喉科门诊就诊的患者和50名在恐慌、恐惧回避、广泛性焦虑和抑郁问卷调查中有听力损失的患者。同时也完成了对前庭和听力主诉的临床及实验室评估。头晕组中有20%的患者报告有符合DSM-III-R恐慌症标准的症状,而听力损失组中无人报告此类症状。与确诊听力损失的患者相比,头晕且患有外周前庭病的患者有更多恐惧回避、广泛性焦虑和抑郁症状。