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首页> 外文期刊>Psychosomatics >Vertigo 'in the pink': The impact of female gender on psychiatric-psychosomatic comorbidity in benign paroxysmal positional vertigo patients
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Vertigo 'in the pink': The impact of female gender on psychiatric-psychosomatic comorbidity in benign paroxysmal positional vertigo patients

机译：眩晕“粉红色”：良性阵发性位置性眩晕患者中女性性别对心理-心身合并症的影响

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Background: Comorbidity between vestibular and psychiatric disorders in predisposed individuals is underestimated, untreated, and may result in chronicization and poor quality of life. There are few studies concerning the type and the prevalence of psychiatric-psychosomatic distress in patients with benign paroxysmal positional vertigo (BPPV). Objective: The aim of this study was to evaluate psychiatric-psychosomatic comorbidities, in particular anxiety, depression, somatization symptoms, and alexithymia, in a group of BPPV patients compared with healthy subjects, and according to gender. Methods: Case-control study comparing 92 BPPV patients recruited at the ENT Unit of Modena General Hospital between November 2007 and December 2010, and 141 healthy controls. The Beck Depression Inventory (BDI), State-Trait Anxiety Inventory (STAI), Diagnostic Criteria for Psychosomatic Research (DCPR), Brief Symptom Inventory (BSI), and Toronto Alexithymia Scale (TAS-20) were used to perform psychometric assessment. Results: BPPV patients scored higher than controls, with statistical significance, at BDI, BSI somatization, anxiety, and phobic anxiety subscales, and STAI state anxiety; a larger proportion of BPPV patients suffered from clinically significant BDI depressive symptomatology; DCPR disease phobia, functional somatic symptoms secondary to a psychiatric disorder, and demoralization were more common among BPPV subjects. High levels of symptomatology were still found among BPPV female patients, but not among males, even after controlling for symptom severity. Conclusions: Affective symptomatology, such as depression, demoralization, phobia and anxiety, and somatization, were significantly prevalent in BPPV patients, and female gender may be a predisposing factor.
机译：背景：易患个体的前庭和精神疾病之间的合并症被低估，未治疗，并可能导致慢性化和生活质量下降。关于良性阵发性位置性眩晕（BPPV）患者的精神病-心身困扰的类型和患病率的研究很少。目的：本研究的目的是评估一组BPPV患者与健康受试者的性别，心理，心身合并症，尤其是焦虑，抑郁，躯体化症状和智力低下。方法：病例对照研究比较了2007年11月至2010年12月在摩德纳综合医院耳鼻喉科招募的92例BPPV患者和141例健康对照者。使用贝克抑郁量表（BDI），状态特质焦虑量表（STAI），心身研究诊断标准（DCPR），简短症状量表（BSI）和多伦多Alexithymia量表（TAS-20）进行心理测量评估。结果：BPPV患者在BDI，BSI躯体化，焦虑和恐惧性焦虑量表以及STAI状态焦虑方面得分高于对照组，具有统计学意义。具有较大临床意义的BDI抑郁症状的BPPV患者比例更大;在BPPV受试者中，DCPR疾病恐惧症，继发于精神疾病的功能性躯体症状和士气低落。即使在控制症状严重程度之后，在BPPV女性患者中仍发现较高的症状，但在男性中则没有。结论：BPPV患者的情感症状，如抑郁，士气低落，恐惧症和焦虑症以及躯体化现象普遍存在，女性可能是诱发因素。

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