Psychological Factors in Patients with Vestibular Dysfunction:(1) Meniere's diseas

概要

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As a first step in analysing the psychological factors in the onset and recovery of various vestibular dusfunctions, two Cornell Medical Index tests were given to 37 patients with Meniere's disease before and after conservative therapy for more than two years. The results were correlated with the Profile of Complaints and the Psychosomatic Index to evaluate quantitatively the influence psychological factors on vertigo or dizziness.The Profile before Meniere's disease showed definitely higher than average scores for Hypersensitivity and Tension.In patients with this Profile psychological factors may be maximum in the aggravation of and minimum in the treatment process, so the best recovery may be expected. If the Hypersensitivity score is extremely low, the psychological factors have a moderate effect on both the onset and the later course of Meniere's disease, and conservative treatment has good results in these cases.Psychological factors, however, are minimal in patients with cardiovascular, skeletal or skin problems (somatic). Those with Maladjustment, depression and anxiety (psychological probmems) have a high Tension score and an extremely low Hypersensitivity score. Therapy is usually ineffective because there is a high degree of hypochondria in these patients.
耳鼻咽喉科臨床学会の論文