Anxiety and Depression Among Patients With Different Types of Vestibular Peripheral Vertigo

Abstract

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.

The Spectrum of Vestibular Migraine: Clinical Features, Triggers, and Examination Findings

“…Psychiatric disorders were frequently encountered, particularly anxiety, underscoring the relationship between vestibular disturbances with mood disorders. [45][46][47][48][49][50] Many of the triggers reported by our patients correspond to commonly described migraine triggers. Stress is the most common trigger.…”

“…Interictal symptoms observed in migraineurs, including persistent hypersensitivity to light, sound, and smell, as well as visual snow, and cognitive slowing, were also observed in our patients. Psychiatric disorders were frequently encountered, particularly anxiety, underscoring the relationship between vestibular disturbances with mood disorders …”

Prevalence of depression and anxiety among otolaryngology outpatients at Jordan University Hospital

“…Globus pharyngeus was found to be a significant predictor of severe anxiety (OR = 5.993) with a suggested moderate to high clinical significance. Several reports in the literature support the strong association of these symptoms with mental disorders , , . Some authors suggest a bidirectional relationship between tinnitus and dizziness and mental disorders .…”

“…clinical significance. Several reports in the literature support the strong association of these symptoms with mental disorders 9,68,[18][19][20]23. Some authors suggest a bidirectional relationship between tinnitus and dizziness and mental disorders.…”

Effectiveness of Customised Vestibular Rehabilitation Therapy in Unilateral and Bilateral Vestibular Lesion Patients

“…These patients experience anxiety due to dizziness and the fear of fall. 12,13 Studies have shown that inclusion of psychological counselling about the condition and its prognosis along with emotional support in the treatment protocol can go a far way in reducing a patient's anxiety and improving their emotional state. 13 A study done by Kathryn E. Brown et al 2001 suggested that in bilateral vestibular lesion the emotional and physical domains of the scale show significant improvement but the functional domain doesn't.…”