Emotional and personal characteristics of patients with benign paroxysmal positional vertigo and their influence on development of functional dizziness
https://doi.org/10.33667/2078-5631-2022-10-18-23
Abstract
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. 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. 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. 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.
About the Authors
S. A. Makarov
I. M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation
Russian Federation
Makarov Sergey A., assistant at Dept of Nervous Diseases of the Institute of Vocational Education
Moscow
A. L. Guseva
Pirogov Russian National Research Medical University
Russian Federation
Russian Federation
Guseva Alexandra L., PhD Med, associate professor at Dept of Otorhinolaryngology of Medical Faculty
Moscow
O. M. Doronina
Pirogov Russian National Research Medical University
Russian Federation
Russian Federation
Doronina Olga M., PhD Med, associate professor at Dept of Medical Faculty
Moscow
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Makarov S.A., Guseva A.L., Doronina O.M. Emotional and personal characteristics of patients with benign paroxysmal positional vertigo and their influence on development of functional dizziness. Medical alphabet. 2022;(10):18-23. (In Russ.) https://doi.org/10.33667/2078-5631-2022-10-18-23
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