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While psychiatric diagnoses were present in both those with and without evidence of a peripheral vestibular disorder,those without such evidence had a greater mean number of lifetime psychiatric diagnoses as defined by the Diagnostic and Statistical Manual of Mental Disorders,Revised Third Edition,and specifically,a greater lifetime prevalence of major depression and panic disorder.This group also more frequently met criteria for somatization disorder,had more current and lifetime unexplained medical symptoms,and had more severe current depressive,anxiety,and somatic symptoms.Psychiatric diagnoses are common among patients with dizziness referred for otologic evaluation who do not show evidence of a peripheral vestibular disorder.Specific psychiatric disorders should be part of the differential diagnosis of patients who present with dizziness. |
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