Validation of the German version of the Vertigo Symptom Scale (VSS) in patients with organic or somatoform dizziness and healthy controls

Tschan, Regine; Wiltink, Jörg; Best, C.; Bense, Sandra; Dieterich, Marianne; Beutel, Manfred E.; Eckhardt-Henn, Annegret

doi:10.1007/s00415-008-0863-1

Cited by 56 publications

(63 citation statements)

References 27 publications

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“…As unit of measurement, the sum scores of the two scales are calculated. The VSS-VER and the VSS-AA have good internal consistencies (Cronbach's >: VER, 0.79; AA, 0.89; Tschan et al, 2008).…”

Section: Vertigo Symptom Scalementioning

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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Section: Vertigo Symptom Scalementioning

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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“…As unit of measurement the average scores of the two scales are calculated. VSS-VER and VSS-AA have good internal consistencies (Cronbach's alpha: VER 0.79; AA 0.89) [41,46].…”

Section: Vertigo Symptom Scalementioning

confidence: 99%

“…Vertigo and dizziness-related symptoms were assessed by the German version of the Vertigo Symptom Scale (VSS) [41]. This questionnaire consists of 34 items measuring symptom severity and quality of dizziness (vertigo, imbalance, diffuse dizziness, or lightheadedness), autonomic symptomatology and signs of anxiety arousal, panic, hyperventilation and somatization.…”

Section: Vertigo Symptom Scalementioning

confidence: 99%

Patients’ psychological well-being and resilient coping protect from secondary somatoform vertigo and dizziness (SVD) 1 year after vestibular disease

et al. 2010

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Secondary somatoform dizziness and vertigo (SVD) is an underdiagnosed and handicapping psychosomatic disorder, leading to extensive utilization of health care and maladaptive coping. Few long-term follow-up studies have focused on the assessment of risk factors and little is known about protective factors. The aim of this 1-year follow-up study was to identify neurootological patients at risk for the development of secondary SVD with respect to individual psychopathological disposition, subjective well-being and resilient coping. In a prospective interdisciplinary study, we assessed mental disorders in n=59 patients with peripheral and central vestibular disorders (n=15 benign paroxysmal positional vertigo, n=15 vestibular neuritis, n=8 Menière's disease, n=24 vestibular migraine) at baseline (T0) and 1 year after admission (T1). Psychosomatic examinations included the structured clinical interview for DSM-IV, the Vertigo Symptom Scale (VSS), and a psychometric test battery measuring resilience (RS), sense of coherence (SOC), and satisfaction with life (SWLS). Subjective well-being significantly predicted the development of secondary SVD: Patients with higher scores of RS, SOC, and SWLS at T0 were less likely to acquire secondary SVD at T1. Lifetime mental disorders correlated with a reduced subjective well-being at T0. Patients with mental comorbidity at T0 were generally more at risk for developing secondary SVD at T1. Patients' dispositional psychopathology and subjective well-being play a major predictive role for the long-term prognosis of dizziness and vertigo. To prevent secondary SVD, patients should be screened for risk and preventive factors, and offered psychotherapeutic treatment in case of insufficient coping capacity.

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“…In addition, vertiginous episodes have been associated with anxiety, panic and social phobia (Aslan, Ceylan, Kemaloglu & Goksu, 2003;Tschan et al, 2008;Wiltink et al, 2009). There is increasing evidence of an association between vestibular disorders and activation of areas of the brain concerned with emotion, and in turn with the autonomic nervous system (Best et al, 2006; Meli, Zimatore, Badaracco, De Angelis & Tufarelli, 2007; Wiltink et al, 2009).…”

mentioning

confidence: 99%

“…The VSS is the self-assessment scale targeting vestibular symptoms most used in clinical practice (Faag, Bergenius, Forsberg & Langius-Eklöf, 2007). It has been translated into a number of languages without losing validity (Tschan et al, 2008).…”

mentioning

confidence: 99%

The translation of the Vertigo Symptom Scale into Afrikaans: A pilot study

Rogers

Wet

Gina

et al. 2011

South African Journal of Communication Disorders

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Dizziness is a common clinical problem that is challenging to diagnose and treat. One of a subset of symptoms that fall under the encompassing term of dizziness is vertigo, which is the subjective experience of hallucination of movement, often associated with vestibular disorders. While dizziness has a broad range of causes, the association between vestibular disturbance, and its attendant vertigo, and anxiety is well established. The Vertigo Symptom Scale (VSS) is a questionnaire that assesses aspects of vertigo and vertigo-related anxiety. The aim of this study was twofold. In phase 1, a translation of the VSS into Afrikaans was evaluated using the Delphi consensus technique and two panels of participants. Panel 1 comprised first-language Afrikaans speakers who commented on the language, grammar and vocabulary of the items. Panel 2 were bilingual health care practitioners with either a psychology background or a special interest in vertigo. After two rounds of consultation, consensus was achieved and the final translation of the Afrikaans Vertigo Symptom Scale (AVSS) was agreed upon, as well as a list of Afrikaans words descriptive of vertigo. Phase 2 used a descriptive, correlational design. The aim was to pilot the AVSS with a sample of vertiginous and control participants to establish its ability to differentiate between the two groups and to explore experiences of vertigo and anxiety within the two embedded subscales. The results of the pilot study yielded significant statistical differences (p<0.001) between the groups on both subscales of the tool. Preliminary results suggest that the AVSS is able to identify patients with vertiginous disturbance and anxiety. The AVSS presents with good sensitivity and specificity as measured by the receiver-operating characteristic (ROC) curve.Afrikaans is the home language of almost 6 million people in South Africa. The translation of the VSS into Afrikaans presents health care professionals with a tool with which to assess vertigo and vertigo-related anxiety in this population.

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Validation of the German version of the Vertigo Symptom Scale (VSS) in patients with organic or somatoform dizziness and healthy controls

Abstract: The German version of the VSS has good reliability and validity in the detection of different vertigo syndromes. Measurement of anxiety symptoms can be helpful to identify patients with somatoform dizziness.

Cited by 56 publications

References 27 publications

Persistence of Symptoms in Primary Somatoform Vertigo and Dizziness

Persistence of Symptoms in Primary Somatoform Vertigo and Dizziness

Patients’ psychological well-being and resilient coping protect from secondary somatoform vertigo and dizziness (SVD) 1 year after vestibular disease

The translation of the Vertigo Symptom Scale into Afrikaans: A pilot study

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