title: [Panic disorder and vertigo. On the psychopathologic differentiation between neurologic and psychiatric disease].
abstract: 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.
authors.affiliation: Psychiatrische Klinik der Universität Mainz.
authors.forename: U
authors.initials: U
authors.lastname: Frommberger
authors.forename: S
authors.initials: S
authors.lastname: Hurth-Schmidt
authors.forename: H
authors.initials: H
authors.lastname: Dieringer
authors.forename: B
authors.initials: B
authors.lastname: Tettenborn
authors.forename: R
authors.initials: R
authors.lastname: Buller
authors.forename: O
authors.initials: O
authors.lastname: Benkert
mesh_terms: 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*
vernacular_title: Panikstörung und Schwindel. Zur psychopathologischen Differenzierung zwischen neurologischer und psychiatrischer Erkrankung.