Psychosomatic study of vertigo
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概要
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It is needless to say that psychosomatic aspects should alway be considered in the diagnosis and treatment of patients conplaining of dizziness.<BR>Psychosomatic aspects of these patients were studied and compared with other ear, nose and throat diseases. Patients were classified into 6 groups : <BR>(1) Meniere's disease, (2) sudden deafness, (3) vestibular, neuronitis, (4) benign paroxysmal positional vertigo (BPPV), (5) dizziness without any neurootological signs (so-called psychosomatic dizziness), (6) vertigo and dizziness caused by other diseases (for eg. vertigo accompanied by chronic otitis media, labyrinthine syphilis, posttraumatic vertigo, etc.).<BR>Cornell Medical Index (CMI) modified by Abe and Self Rating Questionnaire for Depression (SRQ-D) originated by Abe were used and the following were evaluated;<BR>(1) average scores of CMI and SRQ-D in each group <BR>(2) percentage of cases showing abnormally high scores of CMI and SRQ-D in each group<BR>(3) type classification of CMI (Abe) in each group<BR>(4) relationship between psychosomatic findings and operative treatment for vertigo and dizziness<BR>(5) relationship between psychosomatic findings and autogenic training in vertigo and dizziness<BR>Results were as follows;<BR>(1) those with so-called psychosomatic dizziness showed the highest abnormal scores of CMI and SRQ-D.<BR>(2) The scores of CMI and SRQ-D in Meniere's disease were not so high compared with those of other cases of vertigo and dizziness.<BR>(3) 22% of the so-called psychosomatic dizziness showed high abnormal scores in SRQ-D.<BR>(4) In the so-called psychosomatic dizziness, only 19.9% of the cases showed normal type (Type I) in CMI (Abe) and 50.4% showed the type indicating psychosomatic disease (Type IV). In contrast with this, 58.3% of those with vestibular neuronitis showed a normal type in CMI.<BR>(5) Patients with many complaints, but without objective neurootological signs in Meniere's disease and BPPV showed the type indicating psychosomatic disease (Type IV) in CMI.<BR>(6) Those with autogenic training showed high abnormal scores of autonomic nerve dysfunction in CMI.<BR>(7) Autogenic training had some effect on vertigo and dizziness.
著者
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桜井 栄
警友総合病院耳鼻咽喉科
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阿部 正
慶応大学医学部神経科教室
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高橋 正紘
東京女子医科大学耳鼻咽喉科学教室
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神崎 仁
慶応大学医学部耳鼻咽喉科学教室
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大内 利昭
慶応大学医学部耳鼻咽喉科学教室
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桜井 栄
警友総合病院
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