[Panic disorder and vertigo. On the psychopathologic differentiation between neurologic and psychiatric disease].
Seventy-six in- and outpatients seeking help for complaints of dizziness in a neurological clinic were assessed by the Structured Clinical Interview for DSM III (SCID). Neurological assessment included electrophysiological and otological examination. We established criteria to differentiate between dizziness as a symptom of panic disorder and dizziness as a symptom of neurological illness. Criteria for dizziness as a symptom of panic disorder are: adverse life events before the onset of dizziness, current comorbidity with depression, a high number of vegetative symptoms typical for panic attacks, a specific cluster of symptoms and little evidence of a neurological illness. We conclude that patients with complaints of dizziness often suffer from anxiety disorders. Thus we describe a vestibular subtype and contribute to the classification of panic disorder.
Frommberger
U
U
Psychiatrische Klinik der Universität Mainz.
Hurth-Schmidt
S
S
Dieringer
H
H
Tettenborn
B
B
Buller
R
R
Benkert
O
O
D000328:Adult; D000368:Aged; D003866:Depressive Disorder / Q000175:diagnosis / Q000523:psychology; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008297:Male; D008575:Meniere Disease / Q000175:diagnosis / Q000523:psychology*; D008875:Middle Aged; D009460:Neurologic Examination; D016584:Panic Disorder / Q000175:diagnosis / Q000523:psychology*; D010555:Personality Inventory; D011569:Psychiatric Status Rating Scales; D013001:Somatoform Disorders / Q000175:diagnosis / Q000523:psychology*; D014717:Vertigo / Q000175:diagnosis / Q000523:psychology*
Panikstörung und Schwindel. Zur psychopathologischen Differenzierung zwischen neurologischer und psychiatrischer Erkrankung.