title: Psychiatric disorders in patients with dizziness and Ménière's disease.
abstract: CONCLUSIONS
  The Self-Rating Depression Score (SDS) is a useful metric for identifying patients with possible psychiatric disorders.
  
  
  OBJECTIVE
  A dilemma commonly encountered by otolaryngologists is how to diagnose and treat depression and anxiety disorders in patients who have dizziness or Ménière's disease.
  
  
  METHODS
  We administered the SDS and Hospital Anxiety and Depression Scale (HADS) to patients with dizziness (n = 116) or Ménière's disease (n = 22). Overall, 31 and 9 patients, respectively, had SDS ≥ 41. We investigated the correlation between the two questionnaire scores and the relationship between scores and a diagnosis of depression by a psychiatrist.
  
  
  RESULTS
  We referred 12 patients with dizziness and 4 with Ménière's disease to a psychiatrist. The most common psychiatric comorbidities were anxiety disorder and major depression. Overall, 7 of the 12 patients who had dizziness and all 4 patients with Ménière's disease were diagnosed with major depression. Patients with an SDS ≥ 41 and ≥ 11 on the D portion of HADS were likely to be diagnosed with major depression (9 of 11). No psychiatric disorders were diagnosed in patients with an SDS < 41. No specific characteristics were identified by HADS in patients with a psychiatric comorbidity.
authors: Department of Otolaryngology, Atami Hospital, International University of Health and Welfare , Shizuoka.
authors: Jin
authors: J
authors: Kanzaki
authors: Fumiyuki
authors: F
authors: Goto
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001008:Anxiety Disorders / Q000175:diagnosis* / Q000453:epidemiology / Q000523:psychology* / Q000628:therapy; D015897:Comorbidity; D003299:Cooperative Behavior; D003430:Cross-Sectional Studies; D003866:Depressive Disorder / Q000175:diagnosis* / Q000453:epidemiology / Q000523:psychology* / Q000628:therapy; D004244:Dizziness / Q000175:diagnosis* / Q000453:epidemiology / Q000523:psychology* / Q000628:therapy; D005260:Female; D006801:Humans; D033183:Interdisciplinary Communication; D008297:Male; D008403:Mass Screening / Q000706:statistics & numerical data; D008575:Meniere Disease / Q000175:diagnosis* / Q000453:epidemiology / Q000523:psychology* / Q000628:therapy; D008875:Middle Aged; D011594:Psychometrics; D012017:Referral and Consultation / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires; D014041:Tokyo; D055815:Young Adult
keywords: Hospital Anxiety and Depression Scale; Self-Rating Depression Score; Vestibular disorder; anxiety disorder; depression