Psychiatric disorders and functional impairment in patients with persistent dizziness

Kurt Kroenke, Christine A. Lucas, Michael L. Rosenberg, Barbara J. Scherokman

Research output: Contribution to journalArticle

41 Citations (Scopus)

Abstract

Objective: To determine the prevalence and predictors of psychiatric dizziness and to measure functional impairment associated with dizziness. Design: Consecutive outpatients with a chief complaint of dizziness. Setting: Four outpatient clinics at a military teaching hospital. Patients: 100 dizzy patients and 25 control patients. Measurements and main results: Structured psychiatric interviews were conducted using the Diagnostic Interview Schedule, and functional status was assessed with the Sickness Impact Profile and the 20-item MOS (Medical Outcomes Study) Short-Form. Psychiatric disorders were a primary or contributory cause of dizziness for 40% of the dizzy patients. Compared with the control patients, the dizzy patients had a higher lifetime (46% vs 32%) as well as recent (37% vs 20%) prevalence of axis I disorders. The greatest differences were in disorders of depression and somatization. The dizzy patients had a higher lifetime prevalence (2 3% vs 8%) as well as recent history (11 % vs 0%) of major depression or dysthymia. Also, somatization disorders were strikingly more common among the dizzy patients than among the control patients (37% vs 8%, p=0.005), with the dizzy patients reporting more than three times as many psychiatric or unexplained physical symptoms (5.2 vs 1.5). Age

Original languageEnglish (US)
Pages (from-to)530-535
Number of pages6
JournalJournal of General Internal Medicine
Volume8
Issue number10
DOIs
StatePublished - Oct 1993
Externally publishedYes

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Dizziness
Psychiatry
Somatoform Disorders
Sickness Impact Profile
Interviews
Depression
Military Hospitals
Ambulatory Care Facilities
Teaching Hospitals
Appointments and Schedules
Outpatients
History
Outcome Assessment (Health Care)

Keywords

  • depression
  • dizziness
  • health status
  • predictors
  • psychiatry
  • somatization
  • vertigo

ASJC Scopus subject areas

  • Internal Medicine

Cite this

Psychiatric disorders and functional impairment in patients with persistent dizziness. / Kroenke, Kurt; Lucas, Christine A.; Rosenberg, Michael L.; Scherokman, Barbara J.

In: Journal of General Internal Medicine, Vol. 8, No. 10, 10.1993, p. 530-535.

Research output: Contribution to journalArticle

Kroenke, Kurt ; Lucas, Christine A. ; Rosenberg, Michael L. ; Scherokman, Barbara J. / Psychiatric disorders and functional impairment in patients with persistent dizziness. In: Journal of General Internal Medicine. 1993 ; Vol. 8, No. 10. pp. 530-535.
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