Analysis of psychological distress after management of dizziness in old patients: multicenter study

Hong, Seok Min; Kim, Beom-Gyu; Lee, Boung Chul; Park, Su Kyoung; Hong, Sung Kwang; Lee, Hyo‐Jeong; Kim, Hyung-Jong; Lee, Jun Ho; Kim, Chang Woo; Park, Il‐Seok; Kim, Yong Bok

doi:10.1007/s00405-011-1591-1

Cited by 9 publications

(7 citation statements)

References 22 publications

(20 reference statements)

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“…Some authors advocate venlafaxine as first-line therapy for VM for its strong association with psychiatric comorbidities. 25,27,34,35 Interestingly, Salviz et al noted that depressive symptoms alleviated only with venlafaxine when compared to propranolol. 27 Furthermore, venlafaxine also showed better improvement on the emotional scale on DHI.…”

Section: Discussionmentioning

confidence: 99%

Treatment of Vestibular Migraine: A Systematic Review and Meta‐analysis

et al. 2020

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Objective To assess the efficacy of the various therapies used for the prevention of vestibular migraine (VM). Methods Primary studies were identified though PubMed, Scopus, PsycINFO, and Cochrane Library by two independent investigators for articles published through April 2019. The search identified randomized comparison or observational studies pertaining to vestibular migraine treatment. Meta‐analysis was performed on pre‐ and posttreatment Dizziness Handicap Inventory, vertigo frequency, and percentage of perceived improvement. Results Literature search identified 13 studies that reported sufficient outcome measures to be included in the analysis. Patients with VM had a mean age of 43.3 years with female‐to‐male gender ratio of 2.1:1. Classes of therapeutic agents included antiepileptic drugs, calcium channel blockers, tricyclic antidepressants, β‐blockers, serotonin and norepinephrine reuptake inhibitors, and vestibular rehabilitation. All treatment options that were analyzed demonstrated improvement in all of the outcome parameters, but due to significant heterogeneity and lack of standardized reporting on outcomes, establishment of preferred treatment modality could not be determined. Conclusions Various treatment modalities have been evaluated for preventative treatment of VM. Physician familiarity, patient comorbidities, and the side‐effect profiles of various interventions likely influence the selection of intervention. Future randomized controlled trials with restrictive inclusion criteria and generalizable standardized outcome measures will allow for more robust meta‐analyses and for more evidence‐based treatment of vestibular migraines. Laryngoscope, 131:186–194, 2021

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Section: Discussionmentioning

confidence: 99%

Treatment of Vestibular Migraine: A Systematic Review and Meta‐analysis

et al. 2020

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“…However, this may be relevant, as research has revealed that a large percentage of patients presenting with dizziness develop secondary psychiatric disorders over the course of their disease. In particular, clinical depression and anxiety are health problems in older persons [47]. Is dizziness related to depression?…”

Section: Discussionmentioning

confidence: 99%

Living with Stigma: Depressed Elderly Persons’ Experiences of Physical Health Problems

Holm

Lyberg

Severinsson

2014

Nursing Research and Practice

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The aim of this paper is to deepen the understanding of depressed elderly persons' lived experiences of physical health problems. Individual in-depth interviews were conducted with 15 depressed elderly persons who suffer from physical health problems. A hermeneutic analysis was performed, yielding one main theme, living with stigma, and three themes: longing to be taken seriously, being uncertain about whether the pain is physical or mental, and a sense of living in a war zone. The second theme comprised two subthemes, feeling like a stranger and feeling dizzy, while the third had one subtheme: afraid of being helpless and dependent on others. Stigma deprives individuals of their dignity and reinforces destructive patterns of isolation and hopelessness. Nurses should provide information in a sensitive way and try to avoid diagnostic overshadowing. Effective training programmes and procedures need to be developed with more focus on how to handle depressive ill health and physical problems in older people.

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“…[12] Whether or not the exact reason that caused vertigo complaint has been confirmed, especially in those who have experienced vertigo for prolonged periods, psychologic factors should be expected to accompany the clinical picture. [12] There have been numerous investigations of anxiety and depression in patients with otoneurologic disorders [18][19][20][21][22][23] but health anxiety has not been studied in patients with vestibular complaints. [24] Actually, several features of otoneurologic diseases may be particularly troublesome for patients who are prone to health anxiety.…”

Section: Discussionmentioning

confidence: 99%

The possible relationship between health anxiety and vertigo

Sarı¹,

Gül²,

Gencer³

et al. 2014

Int J Med Sci Public Health

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Background: Health anxiety is defined by fears and worries of a severe illness in an otherwise healthy subject. A recent epidemiological study found a point prevalence of 3.4% and a life time prevalence of 5.7% for health anxiety. The term vertigo is a symptom, not a disease. Aims & Objectives: Health anxiety has not been investigated previously in patients with vertigo complaint. In this study we investigated the possible relationship between health anxiety and vertigo. Materials and Methods: We performed Short Health Anxiety Inventory (SHAI) scale in Turkish and Beck Anxiety Inventory (BAI) to study group and control group. The study group consisted of 62 patients who admitted to the otolaryngology clinic with vertigo complaint. The control group consisted of 70 healthy subjects. Results: With regard to the SHAI and BAI scores. With regard to gender and marital status, SHAI and BAI results did not reach significant difference. Conclusion: Health anxiety and vertigo are common problems that may easily be neglected by busy general practitioners. Otolaryngologists and psychiatrists should be in closer cooperation to diagnose and to treat these health problems.

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Analysis of psychological distress after management of dizziness in old patients: multicenter study

Cited by 9 publications

References 22 publications

Treatment of Vestibular Migraine: A Systematic Review and Meta‐analysis

Treatment of Vestibular Migraine: A Systematic Review and Meta‐analysis

Living with Stigma: Depressed Elderly Persons’ Experiences of Physical Health Problems

The possible relationship between health anxiety and vertigo

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