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  • Title: Psychiatric disorders in patients with dizziness and Ménière's disease.
    Author: Kanzaki J, Goto F.
    Journal: Acta Otolaryngol; 2015 May; 135(5):447-50. PubMed ID: 25678073.
    Abstract:
    CONCLUSIONS: The Self-Rating Depression Score (SDS) is a useful metric for identifying patients with possible psychiatric disorders. OBJECTIVE: A dilemma commonly encountered by otolaryngologists is how to diagnose and treat depression and anxiety disorders in patients who have dizziness or Ménière's disease. METHODS: We administered the SDS and Hospital Anxiety and Depression Scale (HADS) to patients with dizziness (n = 116) or Ménière's disease (n = 22). Overall, 31 and 9 patients, respectively, had SDS ≥ 41. We investigated the correlation between the two questionnaire scores and the relationship between scores and a diagnosis of depression by a psychiatrist. RESULTS: We referred 12 patients with dizziness and 4 with Ménière's disease to a psychiatrist. The most common psychiatric comorbidities were anxiety disorder and major depression. Overall, 7 of the 12 patients who had dizziness and all 4 patients with Ménière's disease were diagnosed with major depression. Patients with an SDS ≥ 41 and ≥ 11 on the D portion of HADS were likely to be diagnosed with major depression (9 of 11). No psychiatric disorders were diagnosed in patients with an SDS < 41. No specific characteristics were identified by HADS in patients with a psychiatric comorbidity.
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