Anxiety in the first attack of vertigo

Pollak, Lea; Klein, Colin; Stryjer, Rafael; Vera, Kossych; Rabey, J. M.

doi:10.1016/s0194-5998(03)00454-6

Cited by 65 publications

(48 citation statements)

References 24 publications

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“…Recent papers have focused on increasing evidence for a possible overlap between psychiatric and vestibular disorders, BPPV among them, and among patients presenting dizziness, psychiatric disorders are elevated to 5-15 times the rate of the general population [28]. …”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Residual Dizziness after Successful Repositioning Maneuvers for Idiopathic Benign Paroxysmal Positional Vertigo

Teggi

Quaglieri

Gatti

et al. 2013

ORL

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Objective: To establish a possible causal factor for residual dizziness (RD) after successful repositioning maneuvers in patients with benign paroxysmal positional vertigo (BPPV). Materials and Method: Ninety consecutive patients with idiopathic BPPV were treated with repositioning maneuvers, and the rate of RD was assessed as well as clinical data. Posturography and assessment of anxiety levels were performed on patients reporting RD. Results were compared with a control group of BPPV patients of the sample after repositioning maneuvers and without RD. Results: Twenty-eight subjects (31.1%) reported RD on the second day after successful repositioning maneuvers. The mean duration of RD was 11.6 ± 3.9 days. Patients with RD presented a higher duration of BPPV (14.1 vs. 10.9 days, p = 0.01). A correlation was demonstrated between the duration of BPPV and duration of RD (p < 0.01). Subjects with RD presented increased body sways, above all in eyes-closed conditions. Conclusion: RD is mainly correlated with duration of vertigo in BPPV patients. Anxiety was demonstrated to play a role in increased body sways.

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Section: Discussionmentioning

confidence: 99%

“…Overlapping neural circuits between anxiety and the balance control system may provoke increased anxiety levels in subjects after an acute vertigo episode, and subjects developing higher anxiety have an incomplete central adaptation [20,21,22,23,24,25,26,27,28,29]. …”

Section: Discussionmentioning

confidence: 99%

Residual Dizziness after Successful Repositioning Maneuvers for Idiopathic Benign Paroxysmal Positional Vertigo

Teggi

Quaglieri

Gatti

et al. 2013

ORL

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“…In Ménière disease, attacks of vertigo have been described as terrifying, resulting in feelings of helplessness and powerlessness (Yardley, 1997). The first attack in particular may be perceived as life threatening, as people do not know what is happening to them (Pollak et al, 2003;Yardley, 1997). Symptoms of PTSD such as avoidance behavior and increased levels of arousal have been reported among people with vestibular disorders (Cohen et al, 1995;Jacob et al, 2002;Yardley et al, 1998).…”

mentioning

confidence: 99%

The Contribution of Symptoms of Posttraumatic Stress Disorder, Health Anxiety and Intolerance of Uncertainty to Distress in Ménière's Disease

Kirby

Yardley

2009

Journal of Nervous &Amp; Mental Disease

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This study assessed whether symptoms of posttraumatic stress disorder (PTSD), health anxiety, and intolerance of uncertainty were associated with distress in members of the Ménière Society (n ϭ 800), and compared the extent of anxiety, depression, intolerance of uncertainty, and health anxiety with a healthy control group (n ϭ 484). PTSD symptoms were associated with anxiety, depression, and handicap. Health anxiety was associated with anxiety and depression. Intolerance of uncertainty was directly associated with anxiety; its association with depression and handicap was mediated by PTSD symptoms. The Ménière group reported more anxiety, depression, and health anxiety than the control group, but were not more intolerant of uncertainty. More than half of the Ménière group reported experiencing partial or full PTSD symptoms. As PTSD, health anxiety and intolerance of uncertainty are modifiable with psychological treatment, we advise that clinicians should screen patients with Ménière disease who are particularly distressed.

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“…When total slow phase velocity was less than 20 o / second, stimulations were considered hyporesponsive, and hyper-responsive when greater than 140 o /second 11,12 . We considered central signs to comprise at least one of the following findings: [1] disorganized pursuit and reduction of pursuit gain; [2] saccades dysmetria with undershoot, overshoot, or asymmetrical latency or velocity; [3] rebound nystagmus; [4] visual fixation suppression of nystagmus of less than 60 per cent; [5] pure vertical or torsional spontaneous or positional nystagmus; or [6] positional nystagmus when bilateral, beating to the uppermost or lowermost ear, showing no latency, low frequency, lack of fatigability and habituation, without concomitant vertigo 14,15 . The otoneurological evaluations were conducted before the initiation of treatment with imipramine, and were repeated after three months of treatment with imipramine.…”

Section: Methodsmentioning

confidence: 99%

“…In the absence of rotational vertigo, dizziness has been considered another somatoform symptom common to anxiety disorders 1 . Psychiatric disorders have been associated with chronic dizziness in the so-called idiopathic dizziness 2 , and different studies have shown that patients that suffer from acute vestibular conditions often develop psychiatric disorders 3,4 . Patients with anxiety disorders have a higher rate of peripheral vestibular dysfunction compared to control populations, especially in panic disorder with agoraphobia 5 .…”

mentioning

confidence: 99%

Imipramine for vestibular dysfunction in panic disorder: a prospective case series

Mezzasalma

Mathias

Nascimento

et al. 2011

Arq. Neuro-Psiquiatr.

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Objective: The purpose of this study was to evaluate the efficacy and effectiveness of imipramine on the treatment of comorbid chronic dizziness and panic disorder. Method: Nine patients with panic disorder and agoraphobia associated with chronic dizziness underwent otoneurological screening and were treated with a 3-months course of imipramine. Anxiety levels were measured with the Hamilton Anxiety Scale (HAM-A), dizziness levels were evaluated using the Dizziness Handicap Inventory (DHI), and panic severity and treatment outcome were assessed with the Clinical Global Impression Scale (CGI). Results: At the baseline 33.3% (n=3) had a bilateral peripheral deficit vestibulopathy, the mean scores for HAM-A were 27.2±10.4, for DHI were 51.7±22.7, and for CGI-S were 4.8±0.9. All patients had a significant reduction in their HAM-A (11.1±5.5, p=0.008), DHI (11.5±8.1, p=0.008) and CGI-I (1.8±0.7, p=0.011) levels after 3-months imipramine treatment (mean=72.2±23.2 mg/day). Conclusion: This study found a decrease in anxiety levels and in the impact of dizziness in the patients' quality of life after a 3-months treatment course with imipramine.

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Anxiety in the first attack of vertigo

Cited by 65 publications

References 24 publications

Residual Dizziness after Successful Repositioning Maneuvers for Idiopathic Benign Paroxysmal Positional Vertigo

Residual Dizziness after Successful Repositioning Maneuvers for Idiopathic Benign Paroxysmal Positional Vertigo

The Contribution of Symptoms of Posttraumatic Stress Disorder, Health Anxiety and Intolerance of Uncertainty to Distress in Ménière's Disease

Imipramine for vestibular dysfunction in panic disorder: a prospective case series

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