title: Psychiatric and medical factors associated with disability in patients with dizziness.
abstract: Dizziness is a common patient symptom and often remains medically unexplained even after an extensive work-up. The otologic disorders, psychiatric disorders, and functional disability of 75 patients presenting with dizziness to a community otolaryngology practice were assessed in 1991. The patients were classified according to the presence or absence of at least one current DSM-III-R psychiatric disorder and the presence or absence of a peripheral vestibular disorder. Decrements in mental health and role functioning, and increases in bodily pain and hypochondriacal focus were significantly associated with the presence of a psychiatric disorder and whether the etiology of dizziness was due to a peripheral vestibular dysfunction.
authors.affiliation: Department of Psychiatry and Behavioral Sciences, University of Seattle, WA.
authors.forename: M R
authors.initials: MR
authors.lastname: Clark
authors.forename: M D
authors.initials: MD
authors.lastname: Sullivan
authors.forename: W J
authors.initials: WJ
authors.lastname: Katon
authors.forename: J E
authors.initials: JE
authors.lastname: Russo
authors.forename: M
authors.initials: M
authors.lastname: Fischl
authors.forename: R A
authors.initials: RA
authors.lastname: Dobie
authors.forename: R
authors.initials: R
authors.lastname: Voorhees
mesh_terms: D003866:Depressive Disorder / Q000175:diagnosis* / Q000523:psychology; D004244:Dizziness / Q000175:diagnosis* / Q000209:etiology; D005260:Female; D006306:Health Surveys; D006801:Humans; D008297:Male; D008875:Middle Aged; D010036:Otolaryngology; D011569:Psychiatric Status Rating Scales; D011788:Quality of Life; D015203:Reproducibility of Results; D011795:Surveys and Questionnaires; D015837:Vestibular Diseases / Q000150:complications / Q000175:diagnosis