Anxiety and depression associated with vertigo: a cross sectional study from India

Abstract

<p class="abstract"><strong>Background:</strong> Vertigo is a common clinical symptom in the community as well as in specialist settings. Depression and anxiety are common among vertigo patients and have a significant impact on the course of illness.</p><p class="abstract"><strong>Methods:</strong> This study was conducted at the outpatient clinics of Department of ENT, Government Medical College, Kottayam. Zung self-rating anxiety and Zung self-rating depression scales were used. </p><p class="abstract"><strong>Results:</strong> There were 158 patients in the study. The commonest diagnosis was benign paroxysmal positional vertigo (BPPV) (76; 48.1%) followed by migrainous vertigo (MV) (41; 25.9%), Meniere’s disease (MD) (31; 19.6%) and vestibular neuronitis (VN) (10; 6.3%). 74 (46.83%) patients had depression. Depression was most prevalent among MD (26; 83.87%) followed by MV (29; 70.73%). Mean depression score was highest with MD (58; SD=8.136) followed by MV (54.29; SD=10.441). 70 (44.03%) patients had anxiety. 50 being women and 20 men. A diagnosis of anxiety was most common in MD (25; 80.6%) followed by MV (33; 80.5%). Mean anxiety score was highest in MD (56.48; SD=11.003) followed by MV (54.15; SD=12.041), A diagnosis of anxiety was most common among patients with MD (25; 80.6%) followed by MV (33; 80.5%).</p><p class="abstract"><strong>Conclusions:</strong> There is a high prevalence of depression and anxiety in Meniere’s disease and migrainous vertigo in India as evidenced by this study. Identification and appropriate management of coexisting mental health problems to address the disability, poor quality of life and protracted course is an integral part of managing vertigo.</p><p class="abstract"> </p>

Factores de salud relacionados con la depresión que influyen en la productividad

“…El vértigo, tal como encontramos en la literatura y en este estudio, no muestra una asociación directa entre la presencia de este y síntomas de depresión, sin embargo, se menciona que aumenta la relación si se tiene en consideración la intensidad y la frecuencia de los eventos del vértigo (Yuan et al, 2015). No obstante, un nuevo estudio en la India muestra que discriminar el tipo de vértigo presenta mayor asociación con la depresión (Asha, Kumar, Punnoose & Jacob, 2019), así como los tipos de vértigo neuritis vestibular y la enfermedad de Ménière muestran mayor relación con el vértigo que los otros tipos (Hong et al, 2013). Los síntomas físicos que se encuentran relacionados con la depresión se han estudiado en los últimos tiempos.…”