Anxiety and Depression Among Patients With Different Types of Vestibular Peripheral Vertigo
نویسندگان
چکیده
Numerous studies have been published on comorbid anxiety and depression in patients with vertigo. However, very few studies have separately described and analyzed anxiety or depression in patients with different types of vestibular peripheral vertigo. The present study investigated anxiety and depression among patients with 4 different types of peripheral vertigo. A total of 129 patients with 4 types of peripheral vertigo, namely, benign paroxysmal positional vertigo (BPPV, n = 49), migrainous vertigo (MV, n = 37), Menière disease (MD, n = 28), and vestibular neuritis (VN, n = 15), were included in the present study. Otological and neurootological examinations were carefully performed, and self-rating anxiety scale and self-rating depression scale were used to evaluate anxiety and depression. Patients were divided into 2 groups, according to the vestibular function: normal and abnormal vestibular function. There was no significant difference in the risk of anxiety/depression between these 2 groups. However, for patients with the 4 different vertigo types, the prevalence of anxiety (MV = 45.9%, MD = 50%) and depression (MV = 27%, MD = 28.6%) was significantly higher in the patients with MV or MD than those with BPPV or VN (P < 0.05). Vestibular function is not significantly associated with the risk of anxiety/depression. Anxiety/depression is more common in patients with MV or MD than those with BPPV or VN. This may be due to the different mechanisms involved in these 4 types of vertigo, as well as differences in the prevention and self-control of the patients against the vertigo.
منابع مشابه
The effects of the rotatory maneuver on ENG results of patients with directional preponderance and a history of peripheral vestibular vertigo
This study was performed following favorable results from a previous research, which studied the response of acute vestibular patients to the rotatory maneuver, to investigate the effects of the rotatory maneuver on chronic vestibular patients. In an attempt to normalize the patient’s directional preponderance (DP), and hence their vestibular symptoms, the study was designed to reduce the imbal...
متن کاملAnxiety in the Elderly Can be a Vestibular Problem
Anxiety and vestibular disorders appear to be intimately related. Anxiety can be a symptom of underlying health problems, such as dizziness, and vice versa. Both sets of symptoms can deprive patients of social interactions, social encounters, and participation in daily activities. Psychological disorders, such as anxiety and depression, on one hand, and vestibular disorders, such as dizziness o...
متن کاملEffects and tolerability of betahistine in patients with vestibular vertigo: results from the Romanian contingent of the OSVaLD study
BACKGROUND AND METHODS An efficacy population of 245 patients with vertigo of peripheral vestibular origin was recruited in Romania as part of a 3-month multinational, post-marketing surveillance study of open-label betahistine 48 mg/day (OSVaLD). Endpoints were changes in the Dizziness Handicap Index (primary endpoint), Medical Outcome Study Short-Form 36 (SF-36v2(®)), and the Hospital Anxiety...
متن کاملThe effects of the rotatory maneuver on ENG results of patients with directional preponderance and a history of peripheral vestibular vertigo
This study was performed following favorable results from a previous research, which studied the response of acute vestibular patients to the rotatory maneuver, to investigate the effects of the rotatory maneuver on chronic vestibular patients. In an attempt to normalize the patient’s directional preponderance (DP), and hence their vestibular symptoms, the study was designed to reduce the imbal...
متن کاملPsychological comorbidities and their relationship to self-reported handicap in samples of dizzy patients.
Factors such as anxiety, depression, somatic awareness, autonomic symptoms, and differences in coping strategies are known to affect dizziness handicap. We studied these factors in 63 consecutive "dizzy" patients. This sample was subgrouped into normals and patients with benign paroxysmal positional vertigo, compensated and uncompensated unilateral peripheral vestibular system impairment, or ab...
متن کامل