摘要：

20 世纪 80 年代后已知慢性头晕与各种精神心理障碍有关，并提出“恐惧性姿势性眩晕”、“空间运动不适”、 “视觉性眩晕”、 “慢性主观性头晕”和“慢性特发性头晕”等概念和诊断术语，而最新诊断术语 — —“持续性姿势感知性头晕”涵盖上述术语的共同临床特征。关于慢性头晕与精神心理障碍关联性的机制假说包括慢性头晕与精神障碍和人格障碍的关联，认为适应不良是功能性头晕的中枢机制。

关键词: 头晕, 眩晕, 精神障碍, 医学史, 综述

Abstract:

Chronic dizziness has long been associated with various mental and psychological disorders since 1980s. Accordingly, concepts and diagnostic terms such as phobic postural vertigo, space motion discomfort, visual vertigo, chronic subjective dizziness and chronic idiopathic dizziness have been proposed. The latest diagnostic term, persistent postural-perceptual dizziness, attempts to cover the common clinical features of these different terms. The hypothesis of relation between chronic dizziness and mental disorders includes the relation of chronic dizziness with mental disorders and personality disorders, while maladaptation is generally accepted as the central mechanism of functional dizziness.

Key words:  Dizziness, Vertigo, Mental disorders, History of medicine, Review