medalphabetМедицинский алфавитMedical alphabet2078-56312949-2807ООО «Альфмед»10.33667/2078-5631-2022-10-18-23medalphabet-2647Research ArticleСтатьиЭмоциональноличностные особенности пациентов с доброкачественным пароксизмальным позиционным головокружением и их влияние на развитие функционального головокруженияEmotional and personal characteristics of patients with benign paroxysmal positional vertigo and their influence on development of functional dizzinesshttps://orcid.org/0000-0002-5663-6628МакаровС. А.MakarovS. A.

Макаров Сергей Антонович, ассистент кафедры нервных болезней института профессионального образования

Москва

Makarov Sergey A., assistant at Dept of Nervous Diseases of the Institute of Vocational Education

Moscow

makarov_s_a@staff.sechenov.ruhttps://orcid.org/0000-0002-7988-4229ГусеваА. Л.GusevaA. L.

Гусева Александра Леонидовна, к.м.н., доцент кафедры оториноларингологии им. акад. Б. С. Преображенского лечебного факультета

Москва

Guseva Alexandra L., PhD Med, associate professor at Dept of Otorhinolaryngology of Medical Faculty

Moscow

https://orcid.org/0000-0002-5567-9407ДоронинаО. М.DoroninaO. M.

Доронина Ольга Михайловна, к.м.н., доцент кафедры оториноларингологии им. акад. Б. С. Преображенского лечебного факультета

Москва

Doronina Olga M., PhD Med, associate professor at Dept of Medical Faculty

Moscow

ФГАОУ ВО «Первый Московский государственный медицинский университет имени И. М. Сеченова» Минздрава России (Сеченовский университет)РоссияI. M. Sechenov First Moscow State Medical University (Sechenov University)Russian FederationФГАОУ ВО «Российский национальный исследовательский медицинский университет имени Н. И. Пирогова» Минздрава РоссииРоссияPirogov Russian National Research Medical UniversityRussian Federation202208062022010Неврология и психиатрия (2)1823Copyright © Макаров С.А., Гусева А.Л., Доронина О.М., 20222022Макаров С.А., Гусева А.Л., Доронина О.М.Makarov S.A., Guseva A.L., Doronina O.M.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.med-alphabet.com/jour/article/view/2647Цель

Цель. Изучить эмоционально-личностные особенности пациентов с доброкачественным пароксизмальным позиционным головокружением (ДППГ) и их влияние на развитие функционального головокружения (ФГ).

Материалы и методы

Материалы и методы. Девяносто три пациента обследованы сразу и через месяц после лечения ДППГ. Пациенты заполняли шкалы: шкала оценки головокружения (DHI), шкала депрессии (PHQ-9), шкала тревоги (GAD-7), шкала соматических симптомов (PHQ-15), шкала оценки суммарного психосоциального стресса Холмса и Рэя, расширенный тест Леонгарда – Шмишека для оценки акцентуации личности, индекс тревожной сенситивности и субъективную шкалу оценки агорафобии.

Результаты

Результаты. Через месяц после лечения ДППГ у 17 (18%) пациентов выявлено ФГ (группа ФГ+). Пациенты без ФГ составили группу ФГ–. Сразу после лечения ДППГ в группе ФГ+ были больше значения шкал DHI (57 [49; 68] против 49 [33; 61], р = 0,035), GAD-7 (13 [7; 15] против 4 [2; 7], p < 0,001) и PHQ-9 (9 [6; 13] против 5 [3; 11], p = 0,025). Через месяц после лечения ДППГ в группе ФГ+ уровень депрессии был выше (4,5 [4; 11] против 3 [1; 6], p = 0,049), а уровень тревоги уменьшился и стал сопоставим с группой ФГ– (р = 0,2). В группе ФГ+ выявлены более высокие показатели тревожной личностной акцентуации (15 [12; 18] против 12 [9; 15]; р = 0,020), тревожной сенситивности (55,5 [43; 68,5] против 36,5 [22,5; 53,5]; р = 0,010), а также агорафобии (11 [9; 18] против 6 [2; 9], р = 0,003). Уровень психосоциального стресса не различался между группами.

Выводы

Выводы. Тревожно-депрессивная реакция часто встречается у пациентов с ДППГ, которая уменьшается после успешного лечения репозиционными маневрами. Высокий уровень тревоги и депрессии, личностная тревожность и тревожная сенситивность могут быть факторами риска развития ФГ после ДППГ.

Aim

Aim. To study the emotional and personal characteristics of patients with benign paroxysmal positional vertigo (BPPV) and their impact on the development of functional dizziness (FD).

Materials and methods

Materials and methods. 93 patients with BPPV were examined. Patients were twice examined (immediately after BPPV treatment and 1 month follow up) with scales: dizziness (DHI), depression (PHQ-9), anxiety (GAD-7), somatic symptoms scale (PHQ-15), Holmes – Rahe Stress Inventory, Leonhard – Schmishek personality accentuation test, Anxiety Sensitivity Index, and Agoraphobic Cognitions Scale.

Results

Results. Seventeen (18%) patients had FD1 month after BPPV treatment (FD+ group), 76 patients had no dizziness (FD– group). Immediately after BPPV treatment patients FD+ group had more hight results of DHI (57 [49; 68] vs 49 [33; 61], p = 0.035), GAD-7 (13 [7; 15] vs 4 [2; 7]), p < 0.001) and PHQ-9 (9 [6; 13] vs 5 [3; 11], p = 0.025). One month after BPPV treatment, the level of depression in the FD+ group was higher (4.5 [4; 11] vs 3 [1; 6], p = 0.049), but the level of anxiety decreased and became comparable with the FD– group (p = 0.2). In the FD+ group had found higher rates of anxious personal accentuation (15 [12; 18] vs 12 [9; 15]; p = 0.020), anxious sensitivity (55.5 [43; 68.5] vs 36.5 [22.5; 53.5]; p = 0.010), as well as agoraphobia (11 [9; 18] vs 6 [2; 9], p = 0.003). The level of psychosocial stress did not differ between the groups.

Conclusion

Conclusion. Anxiety-depressive reaction is common in patients with BPPV. Anxiety and depression decrease after successful treatment with repositioning maneuvers. High levels of anxiety and depression, personal anxiety and anxiety sensitivity may be predictors of the development of functional dizziness.

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The authors declare that there are no conflicts of interest present.