良性发性位置性的焦虑特征:第一次与反复发作相比
Lotem Mann Ben Yehuda1,2, David Rachima2,3, Michal Katz-Leurer4
1Physical Therapy Department, Faculty of Medicine, School of Health Professions, Tel-Aviv University, Tel-Aviv, Israel.
概括
患有复发的良性性发性位置性 (BPPV) 患者的特征焦虑比第一次发作患者更高. 复发的BPPV患者在治疗后也表现出高度的焦虑状态,这表明需要进行焦虑评估.
科学领域:
- 神经学 神经学
- 心理学 心理学 心理学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 良性发性定位 (BPPV) 是一种常见的前体障碍.
- 焦虑是前体疾病中已知的并发症,但其对BPPV发作的具体影响不太清楚.
研究的目的:
- 为了比较患者的状态和特征焦虑水平,他们经历了第一次发作 (FE) 与BPPV.的复发发作 (RE).
- 评估 vestibular 物理治疗前后的焦虑变化.
- 为了调查FE患者与RE BPPV患者的潜在健康状况的患病率.
主要方法:
- 招募了55名确诊BPPV的患者 (40-70岁).
- 参与者被分为FE (n=24) 和RE (n=31) 组.
- 在前体理疗之前,之后,以及前体理疗后一周,进行了州道焦虑清单 (STAI).
主要成果:
- 与FE患者相比,复发的BPPV患者在所有测量点上表现出明显更高的特征焦虑 (p<0.05).
- 状态焦虑在两组治疗后都下降,但在随访时在RE组仍然较高 (p=0.03).
- 甲状腺功能低下症在RE组 (16%) 比FE组 (0%) (p=0.04) 更为普遍.
结论:
- 患有复发性BPPV的患者表现出高度的焦虑水平,特别是特征焦虑.
- 建议对患有复发性BPPV的患者进行焦虑评估和潜在干预.
- 潜在的健康状况,如甲状腺功能低下症,可能与复发的BPPV发作有关.
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