Silvia Ferrari1, Daniele Monzani2, Sara Baraldi3, Elena Simoni3, Giada Prati3, Matilde Forghieri3, Marco Rigatelli3, Elisabetta Genovese2, Luca Pingani4. 1. Department of Clinical-Diagnostic Medicine and Public Health, Section of Psychiatry, University of Modena, Reggio Emilia, Modena, Italy. Electronic address: silvia.ferrari@unimore.it. 2. Department of Clinical-Diagnostic Medicine and Public Health, Section of ENT, University of Modena and Reggio Emilia, Modena, Italy. 3. Department of Clinical-Diagnostic Medicine and Public Health, Section of Psychiatry, University of Modena, Reggio Emilia, Modena, Italy. 4. Human Resources, AUSL, Reggio Emilia, Reggio Emilia, Italy; International PhD School in Clinical and Experimental Medicine, University of Modena, Reggio Emilia, Modena, Italy.
Abstract
BACKGROUND: Comorbidity between vestibular and psychiatric disorders in predisposed individuals is underestimated, untreated, and may result in chronicization and poor quality of life. There are few studies concerning the type and the prevalence of psychiatric-psychosomatic distress in patients with benign paroxysmal positional vertigo (BPPV). OBJECTIVE: The aim of this study was to evaluate psychiatric-psychosomatic comorbidities, in particular anxiety, depression, somatization symptoms, and alexithymia, in a group of BPPV patients compared with healthy subjects, and according to gender. METHODS: Case-control study comparing 92 BPPV patients recruited at the ENT Unit of Modena General Hospital between November 2007 and December 2010, and 141 healthy controls. The Beck Depression Inventory (BDI), State-Trait Anxiety Inventory (STAI), Diagnostic Criteria for Psychosomatic Research (DCPR), Brief Symptom Inventory (BSI), and Toronto Alexithymia Scale (TAS-20) were used to perform psychometric assessment. RESULTS: BPPV patients scored higher than controls, with statistical significance, at BDI, BSI somatization, anxiety, and phobic anxiety subscales, and STAI state anxiety; a larger proportion of BPPV patients suffered from clinically significant BDI depressive symptomatology; DCPR disease phobia, functional somatic symptoms secondary to a psychiatric disorder, and demoralization were more common among BPPV subjects. High levels of symptomatology were still found among BPPV female patients, but not among males, even after controlling for symptom severity. CONCLUSIONS: Affective symptomatology, such as depression, demoralization, phobia and anxiety, and somatization, were significantly prevalent in BPPV patients, and female gender may be a predisposing factor.
BACKGROUND: Comorbidity between vestibular and psychiatric disorders in predisposed individuals is underestimated, untreated, and may result in chronicization and poor quality of life. There are few studies concerning the type and the prevalence of psychiatric-psychosomatic distress in patients with benign paroxysmal positional vertigo (BPPV). OBJECTIVE: The aim of this study was to evaluate psychiatric-psychosomatic comorbidities, in particular anxiety, depression, somatization symptoms, and alexithymia, in a group of BPPV patients compared with healthy subjects, and according to gender. METHODS: Case-control study comparing 92 BPPV patients recruited at the ENT Unit of Modena General Hospital between November 2007 and December 2010, and 141 healthy controls. The Beck Depression Inventory (BDI), State-Trait Anxiety Inventory (STAI), Diagnostic Criteria for Psychosomatic Research (DCPR), Brief Symptom Inventory (BSI), and Toronto Alexithymia Scale (TAS-20) were used to perform psychometric assessment. RESULTS: BPPV patients scored higher than controls, with statistical significance, at BDI, BSI somatization, anxiety, and phobic anxiety subscales, and STAI state anxiety; a larger proportion of BPPV patients suffered from clinically significant BDI depressive symptomatology; DCPR disease phobia, functional somatic symptoms secondary to a psychiatric disorder, and demoralization were more common among BPPV subjects. High levels of symptomatology were still found among BPPV female patients, but not among males, even after controlling for symptom severity. CONCLUSIONS: Affective symptomatology, such as depression, demoralization, phobia and anxiety, and somatization, were significantly prevalent in BPPV patients, and female gender may be a predisposing factor.
Authors: Alicia M Sufrinko; Anne Mucha; Tracey Covassin; Greg Marchetti; R J Elbin; Michael W Collins; Anthony P Kontos Journal: Clin J Sport Med Date: 2017-03 Impact factor: 3.638
Authors: Hasan Hüseyin Kozak; Mehmet Akif Dündar; Ali Ulvi Uca; Faruk Uğuz; Keziban Turgut; Mustafa Altaş; Gonca Tekin; Suhayb Kuria Aziz Journal: Noro Psikiyatr Ars Date: 2018-03-19 Impact factor: 1.339