It is needless to say that psychosomatic aspects should alway be considered in the diagnosis and treatment of patients conplaining of dizziness.
Psychosomatic aspects of these patients were studied and compared with other ear, nose and throat diseases. Patients were classified into 6 groups :
(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.).
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;
(1) average scores of CMI and SRQ-D in each group
(2) percentage of cases showing abnormally high scores of CMI and SRQ-D in each group
(3) type classification of CMI (Abe) in each group
(4) relationship between psychosomatic findings and operative treatment for vertigo and dizziness
(5) relationship between psychosomatic findings and autogenic training in vertigo and dizziness
Results were as follows;
(1) those with so-called psychosomatic dizziness showed the highest abnormal scores of CMI and SRQ-D.
(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.
(3) 22% of the so-called psychosomatic dizziness showed high abnormal scores in SRQ-D.
(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.
(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.
(6) Those with autogenic training showed high abnormal scores of autonomic nerve dysfunction in CMI.
(7) Autogenic training had some effect on vertigo and dizziness.
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