Prevalence and presentation of dizziness in a general practice community sample of working age people.
Prevalence and presentation of dizziness in a general practice community sample of working age people.
复制标题
工作年龄人群的一般实践社区样本中头晕的患病率和表现。
DOI：
10.1002/14651858.cd003162
复制
发表时间：
1998
期刊：
影响因子：
--
通讯作者：
L. Luxon
中科院分区：
文献类型：
--
作者：
L. Yardley;Natalie Owen;I. Nazareth;L. Luxon
背景
众所周知，头晕是老年人常见的一种障碍性疾病，并且在医院样本中观察到头晕与焦虑症之间存在密切关联。然而，人们对社区工作年龄人群头晕的患病率及其对心理社会功能和全科咨询和治疗的影响知之甚少。
目的
确定头晕、眩晕、眩晕和不稳定的患病率，以及与残疾和残障的关系、恐慌和广场恐惧症的症状，以及全科咨询和治疗。
方法
从伦敦四家诊所的患者名单中随机抽取 2064 名年龄在 18-64 岁之间的人，完成了邮寄问卷调查。经过验证的调查项目用于评估症状、恐慌和广场恐惧症、职业残疾和障碍水平以及一般实践咨询和治疗。
结果
超过五分之一的受访者 (n = 480) 在过去一个月中经历过头晕；其中近一半 (n = 225) 报告有一定程度的障碍，30% 的人头晕已超过五年。几乎一半 (n = 221) 的头晕患者也报告有焦虑和/或回避行为。多种身体和心理症状与较高程度的障碍有关。在 225 名报告有一定程度障碍的眩晕反应者中，只有四分之一接受过任何形式的治疗。
结论
头晕是 18-65 岁人群中常见、慢性且经常未经治疗的症状，与广泛的障碍和心理疾病相关。
BACKGROUND
Dizziness is known to be a common, handicapping condition in the elderly, and a strong association between dizziness and anxiety disorders has been observed in hospital samples. However, little is known about the prevalence of dizziness among people of working age in the community and its implications for psychosocial functioning and general practice consultation and treatment.
AIM
To determine the prevalence of dizziness, giddiness, vertigo, and unsteadiness, and associations with disability and handicap, symptoms of panic and agoraphobia, and general practice consultation and treatment.
METHOD
Postal questionnaires were completed by 2064 people aged 18-64 years randomly sampled from the patient lists of four London practices. Validated survey items were used to assess symptoms, panic and agoraphobia, levels of occupational disability and handicap, and general practice consultation and treatment.
RESULTS
More than one in five responders (n = 480) had experienced dizziness during the past month; nearly half of these (n = 225) reported some degree of handicap and 30% had been dizzy for more than five years. Almost half (n = 221) of those with dizziness also reported anxiety and/or avoidance behaviour. Multiple physical and psychological symptoms were associated with higher levels of handicap. Only one in four of the 225 dizzy responders reporting some degree of handicap had received any form of treatment.
CONCLUSION
Dizziness is a common, chronic, and often untreated symptom in people aged 18-65 years, associated with extensive handicap and psychological morbidity.
耳鼻喉科患者出现头晕或听力丧失的恐慌。
DOI：
10.1176/ajp.151.8.1223
发表时间：
1994
期刊：
The American journal of psychiatry
影响因子：
--
作者：
Clark,DB;Hirsch,BE;Smith,MG;Furman,JM;Jacob,RG
通讯作者：
Jacob,RG
DOI：
--
发表时间：
1988
期刊：
The Psychiatric clinics of North America
影响因子：
--
作者：
Jacob,RG
通讯作者：
Jacob,RG