Psychiatric and Medical Factors Associated With Disability in Patients With Dizziness

Michael R. Clark; Mark D. Sullivan; Wayne J. Katon; Joan E. Russo; Mark Fischl; Robert A. Dobie; Richard Voorhees

doi:10.1016/S0033-3182(93)71844-7

Psychiatric and Medical Factors Associated With Disability in Patients With Dizziness

Michael R. Clark, Mark D. Sullivan, Wayne J. Katon, Joan E. Russo, Mark Fischl, Robert A. Dobie, Richard Voorhees

Research output: Contribution to journal › Article › peer-review

33 Scopus citations

Abstract

Dizziness is a common patient symptom and often remains medically unexplained even after an extensive work-up. The otologic disorders, psychiatric disorders, and functional disability of 75 patients presenting with dizziness to a community otolaryn gology practice were assessed in 1991. The patients were classified according to the presence or absence of at least one current DSM-III-R psychiatric disorder and the presence or absence of a peripheral vestibular disorder. Decrements in mental health and role functioning, and increases in bodily pain and hypochondriacal focus were significantly associated with the presence of a psychiatric disorder and whether the etiology of dizziness was due to a peripheral vestibular dysfunction.

Original language	English (US)
Pages (from-to)	409-415
Number of pages	7
Journal	Psychosomatics
Volume	34
Issue number	5
DOIs	https://doi.org/10.1016/S0033-3182(93)71844-7
State	Published - 1993
Externally published	Yes

ASJC Scopus subject areas

Arts and Humanities (miscellaneous)
Applied Psychology
Psychiatry and Mental health

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10.1016/S0033-3182(93)71844-7

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title = "Psychiatric and Medical Factors Associated With Disability in Patients With Dizziness",

abstract = "Dizziness is a common patient symptom and often remains medically unexplained even after an extensive work-up. The otologic disorders, psychiatric disorders, and functional disability of 75 patients presenting with dizziness to a community otolaryn gology practice were assessed in 1991. The patients were classified according to the presence or absence of at least one current DSM-III-R psychiatric disorder and the presence or absence of a peripheral vestibular disorder. Decrements in mental health and role functioning, and increases in bodily pain and hypochondriacal focus were significantly associated with the presence of a psychiatric disorder and whether the etiology of dizziness was due to a peripheral vestibular dysfunction.",

author = "Clark, {Michael R.} and Sullivan, {Mark D.} and Katon, {Wayne J.} and Russo, {Joan E.} and Mark Fischl and Dobie, {Robert A.} and Richard Voorhees",

note = "Funding Information: This research was supported by grants from the Virginia Merrill Bloedel Hearing Research Center, University ofWashington, Seattle, WA, and the National Research Service Award, the National Institute ofMental Health, Washington, DC.",

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T1 - Psychiatric and Medical Factors Associated With Disability in Patients With Dizziness

AU - Clark, Michael R.

AU - Sullivan, Mark D.

AU - Katon, Wayne J.

AU - Russo, Joan E.

AU - Fischl, Mark

AU - Dobie, Robert A.

AU - Voorhees, Richard

N1 - Funding Information: This research was supported by grants from the Virginia Merrill Bloedel Hearing Research Center, University ofWashington, Seattle, WA, and the National Research Service Award, the National Institute ofMental Health, Washington, DC.

PY - 1993

Y1 - 1993

N2 - Dizziness is a common patient symptom and often remains medically unexplained even after an extensive work-up. The otologic disorders, psychiatric disorders, and functional disability of 75 patients presenting with dizziness to a community otolaryn gology practice were assessed in 1991. The patients were classified according to the presence or absence of at least one current DSM-III-R psychiatric disorder and the presence or absence of a peripheral vestibular disorder. Decrements in mental health and role functioning, and increases in bodily pain and hypochondriacal focus were significantly associated with the presence of a psychiatric disorder and whether the etiology of dizziness was due to a peripheral vestibular dysfunction.

AB - Dizziness is a common patient symptom and often remains medically unexplained even after an extensive work-up. The otologic disorders, psychiatric disorders, and functional disability of 75 patients presenting with dizziness to a community otolaryn gology practice were assessed in 1991. The patients were classified according to the presence or absence of at least one current DSM-III-R psychiatric disorder and the presence or absence of a peripheral vestibular disorder. Decrements in mental health and role functioning, and increases in bodily pain and hypochondriacal focus were significantly associated with the presence of a psychiatric disorder and whether the etiology of dizziness was due to a peripheral vestibular dysfunction.

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Psychiatric and Medical Factors Associated With Disability in Patients With Dizziness

Abstract

ASJC Scopus subject areas

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