Increased risk of benign paroxysmal positional vertigo in patients with anxiety disorders: a nationwide population-based retrospective cohort study

Chen, Zijun; Chang, Cheng-Ho; Hu, Li-Yu; Tu, Ming-Shium; Lu, Tung‐Wu; Chen, Pan-Ming; Shen, Cheng Che

doi:10.1186/s12888-016-0950-2

Cited by 42 publications

(31 citation statements)

References 38 publications

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“…The median age of the patients in our series is similar to that observed in other studies at specialised clinics [16] [30] and primary care practices [23]. [37]. No signi cant differences between men and women were found in terms of response to the EM during follow-up, even though baseline DHI-S scores were higher among women.…”

Section: Discussionsupporting

confidence: 86%

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Impact of Epley manoeuvre on self-perceived disability: A randomised controlled trial in primary care

Muñoz

Moreno

Balboa

et al. 2020

Preprint

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Background: Posterior canal benign paroxysmal positional vertigo (pc-BPPV) causes physical, functional, and emotional impairment. The treatment of choice is the Epley manoeuvre (EM). The purpose of the study was to compare the impact of the EM and a sham manoeuvre in primary care on self-perceived disability.Method: Randomised, double-blind, sham-controlled clinical trial conducted in primary care with a follow-up of 1 year. Patients aged ≥18 years old diagnosed with pc-BPPV according to the Dix-Hallpike test (DHT) were randomised to an intervention (EM) group or a control (sham manoeuvre) group. The main study covariables were age, sex, history of depression and anxiety, presence of nystagmus in the DHT, patient-perceived disability assessed with the Dizziness Handicap Inventory-screening version (DHI-S). Data were analyzed using bivariate and multivariate mixed Tobit analyses. Results: Overall, 134 patients were studied: 66 in the intervention group and 68 in the control group. Median age was 52 years (interquartile range [IQR], 38.25–68.00 years) and 76.12% of the patients were women. The DHT triggered nystagmus in 40.30% of patients. The median total DHI-S score for the overall sample at baseline was 16 (IQR, 8.00–22.00); 16 [IQR, 10.5–24.0] vs 10 [6.0–14.0] for women vs men (P<0.001) and 16 [IQR, 10.0-24.0] vs 12 [IQR, 8.0–18.0] for patients without nystagmus vs those with nystagmus (P=0.033).Patients treated with the EM experienced a mean reduction of 2.03 points in DHI-S score over the follow-up period compared with patients in the sham group. Conclusion: Pc-BPPV affects the quality of life of primary care patients. A single EM can improve self-perceptions of disability by around 2 points on the DHI-S scale, Trial registration: ClinicalTrials.gov Identifier: NCT01969513. Retrospectively registered. First Posted: October 25, 2013. https://clinicaltrials.gov/ct2/show/NCT01969513

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Section: Discussionsupporting

confidence: 86%

“…It is not uncommon for patients with BPPV to experience psychiatric-psychosomatic disorders such as depression or anxiety [38]. Anxiety disorders, in fact, have been found to be 2.17 times (95% CI, 1.63-2.90, P < 0.001) more common in patients with BPPV than in controls following adjustment for age, sex, and comorbidities [37].…”

Section: Discussionmentioning

confidence: 99%

Impact of Epley manoeuvre on self-perceived disability: A randomised controlled trial in primary care

Muñoz

Moreno

Balboa

et al. 2020

Preprint

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“…The general symptoms defined in ICD‐9‐CM include hallucinations, dizziness and giddiness, sleep disturbances, and so on, which are the common symptoms and complaints about delusional and anxiety disorders patients according to DSM‐5 . About 17% of the patients in delusional disorders present hallucinations; anxiety disorders patients were more likely to develop vertigo than the control patients . Among patients with anxiety disorders, the confidence of simultaneous general symptoms and sleep disturbances was high (Figure ).…”

Section: Discussionmentioning

confidence: 99%

“…37 These may be possibly due to the side effects for gastrointestinal diseases of antipsychotic medicine 38 About 17% of the patients in delusional disorders present hallucinations 40 ; anxiety disorders patients were more likely to develop vertigo than the control patients. 41 Among patients with anxiety disorders, the confidence of simultaneous general symptoms and sleep disturbances was high (Figure 1). According to the previous study, sleep disturbances were bidirectionally related to anxiety; the relationship was found where anxiety predicted excessive daytime sleepiness.…”

Section: Number Of Patients With and Number Of Patients Withmentioning

confidence: 99%

Mental disorders and medical comorbidities: Association rule mining approach

Wang

Lee

Hui

et al. 2019

Perspect Psychiatr Care

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Purpose This study explored the medical comorbidities of mental disorders using association rule mining. Design and methods Patients diagnosed with mental disorders between 2002 and 2010 were identified. An equal number of nonmental disorder subjects were randomly selected and matched with case group by age and gender. Findings Sleep disorders and digestive diseases were frequent comorbidities among mental disorders. The specific medical comorbidities were diabetes mellitus, chronic liver disease, extrapyramidal diseases, disorders of stomach function, general symptoms, sleep disturbance, and family circumstances. Practice implications The results suggest that education of professional knowledge of comorbid conditions should be provided to nurses for caring patients with mental illnesses.

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“…Psychiatric disorders or emotional stress are frequently observed in patients suffering from vertigo 12 13. The results of most studies have been reported the higher rate of coexistence of depression and vestibular disorders,14–16 which may lead to a vicious circle and a serious influence on the quality of life 17. Peripheral vertigo may play an essential role in the pathophysiology of development of subsequent depressive disorder.…”

Section: Introductionmentioning

confidence: 99%

Risk of benign paroxysmal positional vertigo in patients with depressive disorders: a nationwide population-based cohort study

et al. 2019

Self Cite

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ObjectiveThe association between depression and benign paroxysmal positional vertigo (BPPV) remains debated. This study aimed to investigate the risk of BPPV in patients with depressive disorders.DesignLongitudinal nationwide cohort study.SettingNational health insurance research database in Taiwan.ParticipantsWe enrolled 10 297 patients diagnosed with depressive disorders between 2000 and 2009 and compared them to 41 188 selected control patients who had never been diagnosed with depressive disorders (at a 1:4 ratio matched by age, sex and index date) in relation to the risk of developing BPPV.MethodsThe follow-up period was defined as the time from the initial diagnosis of depressive disorders to the date of BPPV, censoring or 31 December 2009. Cox proportional hazard regression analysis was used to investigate the risk of BPPV by sex, age and comorbidities, with HRs and 95% CIs.ResultsDuring the 9-year follow-up period, 44 (0.59 per 1000 person-years) patients with depressive disorders and 99 (0.33 per 1000 person-years) control patients were diagnosed with BPPV. The incidence rate ratio of BPPV among both cohorts calculating from events of BPPV per 1000 person-years of observation time was 1.79 (95% CI 1.23 to 2.58, p=0.002). Following adjustments for age, sex and comorbidities, patients with depressive disorders were 1.55 times more likely to develop BPPV (95% CI 1.08 to 2.23, p=0.019) as compared with control patients. In addition, hyperthyroidism (HR=3.75, 95% CI 1.67–8.42, p=0.001) and systemic lupus erythematosus (SLE) (HR=3.47, 95% CI 1.07 to 11.22, p=0.038) were potential risk factors for developing BPPV in patients with depressive disorders.ConclusionsPatients with depressive disorders may have an increased risk of developing BPPV, especially those who have hyperthyroidism and SLE.

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Increased risk of benign paroxysmal positional vertigo in patients with anxiety disorders: a nationwide population-based retrospective cohort study

Cited by 42 publications

References 38 publications

Impact of Epley manoeuvre on self-perceived disability: A randomised controlled trial in primary care

Impact of Epley manoeuvre on self-perceived disability: A randomised controlled trial in primary care

Mental disorders and medical comorbidities: Association rule mining approach

Risk of benign paroxysmal positional vertigo in patients with depressive disorders: a nationwide population-based cohort study

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