Clark M R, Sullivan M D, Katon W J, Russo J E, Fischl M, Dobie R A, Voorhees R
Department of Psychiatry and Behavioral Sciences, University of Seattle, WA.
Psychosomatics. 1993 Sep-Oct;34(5):409-15. doi: 10.1016/S0033-3182(93)71844-7.
Dizziness is a common patient symptom and often remains medically unexplained even after an extensive work-up. The otologic disorders, psychiatric disorders, and functional disability of 75 patients presenting with dizziness to a community otolaryngology practice were assessed in 1991. The patients were classified according to the presence or absence of at least one current DSM-III-R psychiatric disorder and the presence or absence of a peripheral vestibular disorder. Decrements in mental health and role functioning, and increases in bodily pain and hypochondriacal focus were significantly associated with the presence of a psychiatric disorder and whether the etiology of dizziness was due to a peripheral vestibular dysfunction.
头晕是患者的常见症状，即便经过全面检查，在医学上往往仍无法解释其病因。1991年，对一家社区耳鼻喉科诊所接诊的75例头晕患者的耳科疾病、精神疾病及功能残疾情况进行了评估。根据是否至少患有一种当前诊断标准为《精神疾病诊断与统计手册》第三版修订本（DSM-III-R）中的精神疾病以及是否患有外周前庭疾病对患者进行分类。心理健康和角色功能的减退，以及身体疼痛和疑病倾向的增加，与精神疾病的存在以及头晕病因是否归因于外周前庭功能障碍显著相关。
