Psychiatric morbidity and comorbidity in different vestibular vertigo syndromes

Best, C.; Eckhardt-Henn, Annegret; Tschan, Regine; Dieterich, Marianne

doi:10.1007/s00415-009-0038-8

Cited by 181 publications

(141 citation statements)

References 28 publications

(28 reference statements)

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“…High levels of psychological distress, as screened using the HADS and DHI, were observed in this study population. This finding is consistent with previous investigations showing a high prevalence of anxiety and depression in dizzy patients [Best et al, 2009;Clark et al, 1993;Eckhardt-Henn et al, 2008]. However, the HADS is a screening tool and should not be used to make a psychiatric differential diagnosis in anxiety and depression disorders.…”

Section: Discussionsupporting

confidence: 82%

“…In neuro-otological settings, the HADS has been shown to be a useful screening tool used to identify dizzy patients with clinically meaningful psychological distress [Best et al, 2009;Grunfeld et al, 2003;Holmberg et al, 2006;Piker et al, 2008;Yardley et al, 1992]. Perhaps one reason for its widespread use in this population lies in the fact that it taps into the two domains that comprise the vast majority of psychiatric comorbidities in patients with dizziness (i.e.…”

Section: Introductionmentioning

confidence: 99%

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Hospital Anxiety and Depression Scale: Factor Structure, Internal Consistency and Convergent Validity in Patients with Dizziness

Piker

Kaylie²,

Garrison³

et al. 2015

Audiol Neurotol

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Psychiatric comorbidities, particularly anxiety-related pathologies, are often observed in dizzy patients. The Hospital Anxiety and Depression Scale (HADS) is a widely used self-report instrument used to screen for anxiety and depression in medical outpatient settings. The purpose of this study was to assess the factor structure, internal consistency and convergent validity of the HADS in an unselected group of patients with dizziness. The HADS and the Dizziness Handicap Inventory (DHI) were administered to 205 dizzy patients. An exploratory factor analysis was conducted and indicated a 3-factor structure, inconsistent with the 2-subscale structure (i.e. anxiety and depression) of the HADS. The total scale was found to be internally consistent, and convergent validity, as assessed using the DHI, was acceptable. Overall findings suggest that the HADS should not be used as a tool for psychiatric differential diagnosis, but rather as a helpful screener for general psychiatric distress in the two domains of psychiatric illness most germane in dizzy patients.

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Section: Discussionsupporting

confidence: 82%

Section: Introductionmentioning

confidence: 99%

Hospital Anxiety and Depression Scale: Factor Structure, Internal Consistency and Convergent Validity in Patients with Dizziness

Piker

Kaylie²,

Garrison³

et al. 2015

Audiol Neurotol

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“…In contrast to primary SVD, secondary SVD is defined as a mental comorbidity after an initial (and meanwhile centrally compensated or peripheral remitted) vestibular disorder resulting from individual maladaptive coping (Best et al, 2009). For example, phobic postural vertigo as a subtype of secondary SVD can be a result of catastrophizing beliefs and anxious avoidance during states of vertigo attacks (Huppert et al, 2005;Kapfhammer et al, 1997).…”

mentioning

confidence: 99%

Persistence of Symptoms in Primary Somatoform Vertigo and Dizziness

Tschan¹,

Best²,

Wiltink³

et al. 2013

Journal of Nervous &Amp; Mental Disease

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The aim of this study was to perform a 3-year follow-up of primary somatoform vertigo and dizziness (SVD) regarding health care use and treatment. Ninety-two patients with dizziness underwent detailed vestibular neurophysiological testing and a Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition. Psychometric assessments comprised the Vertigo Symptom Scale, the Vertigo Handicap Questionnaire, the SCL-90-R, and the Short-FormY36 Health Survey. At the 3-year follow-up, 65 patients with primary SVD (anxiety, n = 29; depression, n = 14; somatoform disorders, n = 22) were reassessed (70.7% response). The patients improved in symptom severity (p G 0.05), handicap (p G 0.01), and physical quality of life (QoL; p G 0.05) but showed no change in emotional distress. A total of 63.1% (of n = 65) had ongoing SVD. A total of 69.2% (of n = 65) received different forms of treatments. A total of 46.1% (of n = 65) searched redundant medical diagnostic procedures. The patients with decreased coping capacity over time obtained the best prognosis. Primary SVD is an ineffectively treated disorder. Recommendations for specific complaint-oriented psychotherapy programs were given.

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“…They are a set of related conditions, and each with single symptoms. However, all anxiety disorders have one thing in common: impact on day-to-day activities [1][2][3]. Anxiety influences the ability to concentrate, sleep and carry out ordinary tasks.…”

Section: Communicationmentioning

confidence: 99%

Anxiety and Vestibular Disorders

Felipe

2017

JOENTR

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Psychiatric morbidity and comorbidity in different vestibular vertigo syndromes

Cited by 181 publications

References 28 publications

Hospital Anxiety and Depression Scale: Factor Structure, Internal Consistency and Convergent Validity in Patients with Dizziness

Hospital Anxiety and Depression Scale: Factor Structure, Internal Consistency and Convergent Validity in Patients with Dizziness

Persistence of Symptoms in Primary Somatoform Vertigo and Dizziness

Anxiety and Vestibular Disorders

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