Psychiatric and medical factors associated with disability in patients with dizziness.
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.
Clark
M R
MR
Department of Psychiatry and Behavioral Sciences, University of Seattle, WA.
Sullivan
M D
MD
Katon
W J
WJ
Russo
J E
JE
Fischl
M
M
Dobie
R A
RA
Voorhees
R
R
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