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Understanding psychological distress in Ménière's disease: a systematic review

By Sarah E. Kirby and Lucy Yardley

Abstract

It has long been suspected that psychological disturbance is common in Me´nie`re’s disease (MD), but<br/>there has been no systematic review of research on this topic since 1977. The aim of this review was to<br/>investigate whether components of post-traumatic stress disorder (PTSD) or health anxiety contribute<br/>to distress, so that support and psychological therapy can be tailored better to the particular problems<br/>of people with MD. We systematically identified all studies of psychological factors associated with<br/>MD between 1977 and 2004. We then tabulated the findings from each of the 28 studies to match<br/>them to the components of PTSD and health anxiety. Levels of psychosocial impairment and distress<br/>were comparable to patients with similar illness. Evidence was found for some of the components of<br/>both PTSD and health anxiety. We conclude that more specific research into PTSD-like symptoms<br/>and health anxiety in MD is needed. There was a general lack of research into psychological<br/>mechanisms contributing to distress in this population, many studies had methodological weaknesses,<br/>and only one qualitative and one longitudinal study had been carried out

Topics: BF, RB
Year: 2008
OAI identifier: oai:eprints.soton.ac.uk:80082
Provided by: e-Prints Soton
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