良性阵发性位置性眩晕患者焦虑状态分析

目的 探讨良性阵发性位置性眩晕(benign paroxysmal positional vertigo,BPPV)患者是否存在焦虑状态.方法 对58例确诊为BPPV的患者采用状态-特质焦虑问卷(state-trait anxiety inventory,STAI)进行问卷调查,并与国人标准常模进行比较,分析其是否存在焦虑状态及其程度,并对不同性别、年龄、受教育程度BPPV患者进行比较.结果 男、女性BPPV患者特质焦虑(T-AI)得分(分别为42.19±7.92、41.16±9.40分)与国人男、女性常模得分(分别为41.11±7.74、41.31±7.54分)差异无统计学意义(P值分别为0.539、0.924);但状态焦虑(S-AI)得分(分别为43.64±7.82、41.43±5.47分)高于国人男、女性常模(分别为39.71±8.80、38.97±8.45分),差异有统计学意义(P值分别为0.033、0.01).不同性别、年龄及受教育程度BPPV患者特质焦虑(T-AI)得分差异均无统计学意义(P值分别为0.674、0.349、0.077),但状态焦虑(T-AI)得分差异有统计学意义(P值分别为0.046、0.02、0.035),男性、老年、受教育程度较高的BPPV患者焦虑程度分别高于女性、中青年、受教育程度较低的患者.结论 BPPV患者存在焦虑情绪,但与常人相比无明显焦虑潜质;男性、老年、受教育程度较高的BPPV患者焦虑程度分别高于女性、中青年、受教育程度较低的BPPV患者.

The Impact of Patients with Benign Paroxysmal Positional Vertigo on State-Trait Anxiety

Objective To investigate the anxiety condition of patients with benign paroxysmal positional vertigo (BPPV) and the relationship among the different genders, ages and education levels and anxiety.Methods The general information and a history of 58 patients diagnosed as BPPV were studied.State-trait anxiety inventory (STAI) was adopted to 58 cases of BPPV and compared with the Chinese standard norm.SPSS 19.0 software was used to analyze the data.Results There was no significant difference in trait anxiety (T-AI) score (Pm:0.539;Pf:0.924) between male and female patients with BPPV and the 1998 Chinese male and female norm.The S-AI scores were significantly higher in male and female BPPV patients than that in Chinese men and women norm scores (Pm:0.033;Pf:0.01).There was no significant difference in trait anxiety (T-AI) score (P:0.674;P:0.349;P:0.077) between patients with different genders, ages and education levels.There was significant difference in state anxiety (S-AI) score (P:0.046;P:0.02;P:0.035) between patients with different genders, ages and education levels.The anxiety degrees of BPPV in man, elderly people, higher degree of education were higher than those of in woman, young and middle-age, lower degree of education.Conclusion The patients with BPPV have anxiety condition, but there is no obvious anxiety potential in T-AI.The anxiety degree of BPPV in man, elderly people, higher degree of education was higher than those of in woman, young and middle-age, lower degree of education.Therefore, the correct psychological assessment and psychological intervention were required throughout the whole course of BPPV treatment and rehabilitation.