Somatic Symptoms in Those Hospitalized for Dizziness or Vertigo
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- Goto Fumiyuki
- Department of Otorhinolaryngology, Hino Municipal Hospital
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- Tsutumi Tomoko
- Department of Otorhinolaryngology, Hino Municipal Hospital
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- Arai Motohiro
- Department of Otorhinolaryngology, Yokohama City Minato Red Cross Hospital
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- Ogawa Kaoru
- Department of Otorhinolaryngology, Keio University School of Medicine
Bibliographic Information
- Other Title
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- 長期にわたりめまいを訴える症例における他の身体的愁訴,心理状態について
- チョウキ ニ ワタリ メマイ オ ウッタエル ショウレイ ニ オケル タ ノ シンタイテキ シュウソ シンリ ジョウタイ ニ ツイテ
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Abstract
Anxiety and depression greatly affect the prognosis of and burden on subjects seen for dizziness or vertigo, who usually report multiple somatic symptoms. We studied the prevalence of these symptoms in 145 subjects hospitalized for dizziness or vertigo and taking part in 4-day group vestibular rehabilitation. Questionnaires given to determine the prevalence of somatic symptoms assessed headache, insomnia, diarrhea, constipation, stomachache, chest pain, palpitations, dyspnea, general fatigue, and stress. Quantitation used aerical rating scale (NRS). Anxiety and depression were assessed using the hospital anxiety and depression scale (HADS). Disability due to dizziness was assessed using the dizziness handicap inventory (DHI). We conducted correlational analysis between dizziness and somatic symptoms. The top four average NRS scores for somatic symptoms were dizziness at 3.5±2.8, general fatigue at 2.8±2.6, insomnia at 2.4±2.6, and headache at 1.8±2.3. These symptoms resembled those reported for subjects with anxiety and depression. The correlation between headache and dizziness NRS scores was R=0.48 (P<0.0001). The total HADS score was 13.9±8.1 points (anxiety 7.2±4.3, depression 6.7±4.3). The average DHI score was 36.3±24.1 points. These results indicate that those with dizziness reported several somatic symptoms related to anxiety and depression attributable to dizziness. This underscores the need to treat these somatic symptoms when treating subjects seen chiefly dizziness or vertigo.
Journal
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- Nippon Jibiinkoka Gakkai Kaiho
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Nippon Jibiinkoka Gakkai Kaiho 113 (9), 742-750, 2010
Japanese Society of Otorhinolaryngology-Head and neck surgery
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Details 詳細情報について
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- CRID
- 1390001205012523008
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- NII Article ID
- 10029380375
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- NII Book ID
- AN00191551
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- COI
- 1:STN:280:DC%2BC3cbgt12gtA%3D%3D
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- ISSN
- 18830854
- 00306622
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- NDL BIB ID
- 10844577
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed