Sawada S, Takeda T, Saito H
Department of Otolaryngology, Kochi Medical School, Japan.
Acta Otolaryngol Suppl. 1997;528:109-12.
We studied the relation between psychosomatic profiles of patients with Menière's disease and antidiuretic hormone (ADH). For investigation of the psychosomatic aspects, we used the Cornell Medical Index (CMI), Yatabe-Guilford personality (Y-G) test and the originally produced stress questionnaire. In Y-G test, patients with Menière's disease are classified in normal group. In the CMI test, on the other hand, types III and IV were significantly more often observed in Menière's disease than normal control (chi 2 test, p < 0.05). However, the CMI test results have no correlation to plasma ADH (p-ADH) levels. The survey of our original questionnaire revealed that stress has a close relationship to vertiginous attacks. Further, high p-ADH levels were significantly frequently observed in cases with stress compared with cases without stress (t-test, p < 0.05).
我们研究了梅尼埃病患者的心身特征与抗利尿激素（ADH）之间的关系。为了调查心身方面的情况，我们使用了康奈尔医学指数（CMI）、矢田部-吉尔福德个性（Y-G）测试以及自行编制的压力问卷。在Y-G测试中，梅尼埃病患者被归类为正常组。另一方面，在CMI测试中，梅尼埃病患者中III型和IV型的出现频率显著高于正常对照组（卡方检验，p<0.05）。然而，CMI测试结果与血浆ADH（p-ADH）水平无关。我们原始问卷的调查显示，压力与眩晕发作密切相关。此外，与无压力的病例相比，有压力的病例中p-ADH水平显著更高（t检验，p<0.05）。
