头晕的心理因素研究

目的探讨头晕患者的相关心理因素。方法对90例头晕患者和50名正常人进行明尼苏达多相人格调查表(MMPI)、汉米尔顿抑郁量表(HAMD)、汉米尔顿焦虑量表(HAMA)、多伦多述情障碍量表(TAS)评定。将患者随机分为常规治疗组和合用帕罗西汀组,治疗2月后(两组失访4例和6例)观察患者HAMD、HAMA量表评分的变化及其与头晕症状变化的关系。结果治疗前,与正常对照组比较,患者组TAS、HAMD、HAMA总分高,MMPI提示人格有偏移。治疗后,合用帕罗西汀组的HAMD分、HAMA分及头晕症状的改善均优于常规组。结论头晕患者的人格因素和述情方式有明显异常,存在抑郁焦虑等负性情绪。常规治疗加帕罗西汀可改善患者的抑郁焦虑症状,从而有助于头晕症状的缓解。

A study of psychological factors in Dizziness

Objective To explore the psychological factors in dizziness.Methods 90 patients with dizziness were assessed by scale for Minnesota Multiphasic Personality Inventory(MMPI),Hamilton Depression Scale(HAMD),Hamilton Anxiety Scale(HAMA),Toronto Alexithymia Scale(TAS).The control group consisted of 50 normal Chinese individuals.The patients were randomly divided into two groups,one being treated with Buflomedil or Danshen,and the other treated with Buflomedil or Danshen in combination with paroxetine 20 mg daily for 2 months.Results Patients with dizziness had significantly higher scores in scale Hs,Hy,D,Pd,Pt,Sc of MMPI and in the three mood scales(HAMD,HAMA,TAS)compared with the controls.After treatment,the improvements on HAMA and HAMD and dizzy symptoms were better in patients receiving combination therapy than in patients with the routine therapy.Conclusion The personality characteristics and style of emotional express may be abnormal in patients with dizziness.The medication of paroxetine combined with the routine therapy for dizziness may probably be helpful in improving the patient's mood.