Hazlett R L, Tusa R J, Waranch H R
Department of Psychiatry and Behavioral Sciences, Johns Hopkins University Medical Institutions, Baltimore, Maryland 21287-7144, USA.
J Behav Med. 1996 Feb;19(1):73-85. doi: 10.1007/BF01858175.
Dizziness is an extremely common complaint of patients, yet often goes unexplained after medical evaluation, which can lead to inappropriate treatment. There is a lack of psychometrically sound self-report instruments that measure dizziness and related factors. This study describes the application of factor analytic procedures with 184 dizzy patients' responses to develop the Dizzy Factor Inventory (DFI), a 44-item inventory divided into three sections and modeled after the Multidimensional Pain Inventory. The first section consists of symptom factors, the second concerns responses of significant others to the dizzy patient, and the third section assesses activity level. This inventory groups symptoms into empirically distinct factors that could be related in clinical and research applications to physiological and psychological processes, and could be useful for treatment planning and measuring treatment progress. Factors derived with dizzy patients are compared to factors found with chronic pain patients.
头晕是患者极为常见的主诉,但经过医学评估后往往仍无法解释原因,这可能导致不恰当的治疗。目前缺乏心理测量学上可靠的自我报告工具来测量头晕及相关因素。本研究描述了对184名头晕患者的回答应用因子分析程序,以开发头晕因子量表(DFI),这是一个包含44个条目的量表,分为三个部分,并以多维疼痛量表为模型。第一部分由症状因子组成,第二部分涉及重要他人对头晕患者的反应,第三部分评估活动水平。该量表将症状分组为经验上不同的因子,这些因子在临床和研究应用中可能与生理和心理过程相关,并且可能有助于治疗计划的制定和治疗进展的测量。将头晕患者得出的因子与慢性疼痛患者的因子进行比较。