Why does vertigo become chronic after neuropathia vestibularis?
Why does vertigo become chronic after neuropathia vestibularis?
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DOI：
10.1097/01.psy.0000140004.06247.c9
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发表时间：
2004-09-01
影响因子：
3.3
通讯作者：
Heuser, I
中科院分区：
文献类型：
--
作者：
Godemann, F;Koffroth, C;Heuser, I
目的：眩晕是普通医疗中最常见的主诉之一，常与精神障碍有关。对67名急性前庭疾病患者进行了一项纵向研究，以澄清是否某些患者在经历急性前庭眩晕后，尽管没有证据表明外周前庭系统受损，但仍有更高的可能性发展为慢性、衰弱的头晕。方法：采用Yardley等人的眩晕症状量表，对67例出院6个月的前庭神经炎患者进行头晕严重程度测定。记录眩晕后即刻焦虑强度、躯体相关认知、疾病应对、人格结构、平衡器官恢复情况，以解释6个月后眩晕的严重程度。通过冷热试验评估平衡器官的功能。结果：在6个月的时间里，67名患者中有13名(19.4%)报告了前庭神经病后持续的头晕。在13名患者中，有11名在测量眩晕相关症状的量表上表现出高分，这可以被解释为相当于焦虑。导致眩晕成为慢性眩晕的原因有35%是由性别、灾难性思维和依赖人格等变量造成的。结论：前庭神经病是慢性眩晕发生的危险因素。前庭神经症后的慢性眩晕似乎等同于焦虑，部分取决于一开始的灾难性想法。
Objective: Vertigo is one of the most frequent complaints in general medical practice and is often linked to psychiatric disorders. A longitudinal study of 67 patients with an acute vestibular disorder was undertaken to clarify if, after experiencing acute vestibular vertigo, certain patients have a higher likelihood of developing chronic, debilitating dizziness despite no evidence of a damaged peripheral vestibular system. Method: The severity of dizziness was determined in 67 patients with vestibular neuronitis, 6 months after their release from hospital, using the Vertigo Symptom Scale from Yardley et al. The intensity of anxiety directly after vertigo was experienced, body-related cognitions, illness coping, personality structure, and the recovery of the organ of equilibrium were recorded in order to explain the severity of vertigo that occurred after 6 months. The function of the organ of equilibrium was assessed by using a caloric test. Results: Over a period of 6 months, 13 of the 67 patients (19.4%) reported continuing dizziness after neuropathia vestibularis. Eleven of the 13 patients showed high scores on a scale for measuring vertigo-related symptoms, which can be interpreted as being equivalent to anxiety. The variables of gender, catastrophic thoughts and a dependent personality accounted for 35% of why vertigo became chronic. Conclusion: Neuropathia vestibularis represents a risk factor for the development of chronic vertigo. Chronic vertigo after neuropathia vestibularis appears to be equivalent to anxiety and is partly conditional on catastrophic thoughts at the beginning.