Psychiatric diagnoses in patients with psychogenic dizziness or severe tinnitus.
Psychiatric assessments were made of patients with psychogenic dizziness (N = 17) and severe tinnitus (N = 24) using the Structured Clinical Interview for DSM-III-R (SCID). The psychogenic dizziness group had a high prevalence of psychiatric disorders (100%), the majority being anxiety disorders (94%), particularly diagnoses in the panic-agoraphobic cluster (76%). The severe tinnitus group had a lower prevalence of psychiatric disorders (63%) with a predominance of mood disorders (46%). Those tinnitus patients with no hearing loss tended to have more diagnoses per patient and more anxiety disorders than those with hearing loss. Although this was not a random sampling of these patients populations, the results are of sufficient magnitude to warrant further studies. The implications of the results are discussed in terms of treatment and future research.
Simpson
R B
RB
Department of Otolaryngology, University of Toronto, Ontario, Canada.
Nedzelski
J M
JM
Barber
H O
HO
Thomas
M R
MR
D000328:Adult; D001008:Anxiety Disorders / Q000175:diagnosis; D003866:Depressive Disorder / Q000175:diagnosis; D004244:Dizziness / Q000209:etiology / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis*; D008875:Middle Aged; D019964:Mood Disorders / Q000175:diagnosis; D010698:Phobic Disorders / Q000175:diagnosis; D011602:Psychophysiologic Disorders / Q000523:psychology*; D014012:Tinnitus / Q000209:etiology / Q000523:psychology*