Anxiety and depressive disorders in elderly with chronic dizziness of vestibular origin

Peluso, Érica de Toledo Piza; Quintana, Maria Inês; Ganança, Fernando Freitas

doi:10.1016/j.bjorl.2015.04.015

Cited by 27 publications

(48 citation statements)

References 28 publications

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“…Duarte and Soldera 32 sought to investigate the association between dizziness, fear of falling and the occurrence of falls in older adults, with the results showing that 97.4% of the total sample studied had a fear of falling and, consequently, found their daily activities restricted. It is worth noting that, in addition to limitations in daily activities, fear of falling can also lead to a reduction in self-confidence, and these factors together cause greater dependence and loss of autonomy 31,32 . In addition, there is a high prevalence of anxiety disorder, phobias and depression in older adults with chronic dizziness 16 . However, the present study focused only on investigating depressive symptoms, as this disease can be screened by any health professional.…”

Section: Discussionmentioning

confidence: 99%

“…Dizziness has a great impact on the lives of older adults, as it tends to cause various conditions such as: physical and psychological insecurity, irritability, anxiety, phobias, panic, depression and falls 15,16 . It is therefore extremely necessary to identify the biopsychosocial factors that are associated with dizziness in patients with DM2, as this will represent an important contribution towards developing effective preventive and rehabilitative strategies and, thus, systematizing an ideal model of care for this population.…”

Section: Introductionmentioning

confidence: 99%

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Biopsychosocial factors associated with complaints of dizziness in older adults with Type 2 Diabetes Mellitus

Silva

Filho

Dias

et al. 2020

Rev. bras. geriatr. gerontol.

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Objective: To analyze the biopsychosocial factors associated with complaints of dizziness in older adults with Type 2 Diabetes Mellitus. Methods: A cross-sectional, descriptive study with a sample selected for convenience was performed in a university hospital. The participants were individuals aged 60 years or older diagnosed with type 2 Diabetes Mellitus. Patients were assessed using a multidimensional survey, containing sociodemographic, clinical-functional, psycho-psychological and cognitive data. The Mini-Mental State Exam and the Short Geriatric Depression Scale (GDS-15) were used to screen for cognitive deficits and depressive symptoms, respectively, and the Timed Up and Go Test was used to assess mobility. Data analysis was performed using the Chi-square and Mann-Whitney tests. Results: The sample consisted of 157 older adults of whom 45.22% complained of dizziness. There was a statistically significant association between dizziness and the variables: female sex, being unmarried, a low level of education, a negative self-perception of general health and vision, complaints of pain in the lower limbs, a fear of falling, a tendency to fall, cognitive impairment and psychological symptoms. Conclusion: Knowledge of the factors associated with the complaint of dizziness in older adults with DM2 allows improved targeting of prevention, assessment and intervention actions, in order to minimize the occurrence of falls, maintain or optimize functional capacity and cognitive skills, and thus improve quality of life.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Biopsychosocial factors associated with complaints of dizziness in older adults with Type 2 Diabetes Mellitus

Silva

Filho

Dias

et al. 2020

Rev. bras. geriatr. gerontol.

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“…Most importantly, irregularities in eye movement and head coordination propensities associated with difficulties in classification of relevant visual stimuli have been observed in schizophrenia patients40. Furthermore, the primary vestibular disfunction leading to chronic dizziness occurs both in specific phobias and depressive disorders41. Lastly, acrophobia is a significant predictor of later depressive episodes, generalized anxiety and panic attacks42.…”

Section: Discussionmentioning

confidence: 99%

A genome-wide screen for acrophobia susceptibility loci in a Finnish isolate

Misiewicz

Hiekkalinna

Paunio

et al. 2016

Sci Rep

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Acrophobia, an abnormal fear of heights, is a specific phobia characterized as apprehension cued by the occurrence or anticipation of elevated spaces. It is considered a complex trait with onset influenced by both genetic and environmental factors. Identification of genetic risk variants would provide novel insight into the genetic basis of the fear of heights phenotype and contribute to the molecular-level understanding of its aetiology. Genetic isolates may facilitate identification of susceptibility alleles due to reduced genetic heterogeneity. We took advantage of an internal genetic isolate in Finland in which a distinct acrophobia phenotype appears to be segregating in pedigrees originally ascertained for schizophrenia. We conducted parametric, nonparametric, joint linkage and linkage disequilibrium analyses using a microsatellite marker panel, genotyped in families to search for chromosomal regions correlated with acrophobia. Our results implicated a few regions with suggestive evidence for linkage on chromosomes 4q28 (LOD = 2.17), 8q24 (LOD = 2.09) and 13q21-q22 (LOD = 2.22). We observed no risk haplotypes shared between different families. These results suggest that genetic predisposition to acrophobia in this genetic isolate is unlikely to be mediated by a small number of shared high-risk alleles, but rather has a complex genetic architecture.

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“…Patients with chronic dizziness often complain of not only physical complaints but also mental issues. There are reports on the high rate of psychiatric comorbidity in patients with chronic dizziness, including VM [3,4], which may contribute to the treatment outcomes.…”

Section: Introductionmentioning

confidence: 99%

Vestibular Rehabilitation to the Patients With Vestibular Migraine and Vestibular Neuritis

Goto¹,

Sugaya²,

Okami³

et al. 2021

Preprint

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BackgroundIt is not yet clarified the effect of vestibular rehabilitation on patients with vestibular migraine (VM) .Aims/Objectives In this study, we aimed to compare the effect of vestibular rehabilitation on patients with VM and those in the chronic stage of vestibular neuritis (VN). Material and Methods A total of 26 patients with VM and 31 patients in the chronic stage of VN who were treated. All patients underwent an in-hospitalized vestibular rehabilitation program. A variety of data including the Dizziness Handicap Inventory (DHI), POMS, and posturography were compared. ResultsBefore treatment, there was no significant difference in the parameters between the two groups, except for a higher confusion score of Profile of Mood States (POMS) in the VM group. In both groups, the DHI score significantly improved. In the VM group, the confusion score of POMS, physical component score (PCS) of SF-8, and some parameters in posturography significantly improved. In the VN group, anxiety, depression, and PCS of SF-8 significantly improved.Conclusions and Significance The higher confusion score of POMS in patients with VM reflects the known increased comorbidity risk of psychiatric disorders. In both groups, in-hospitalized vestibular rehabilitation was effective in alleviating the subjective and objective parameters of vestibular symptoms within a month.

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Anxiety and depressive disorders in elderly with chronic dizziness of vestibular origin

Abstract: Aged patients with chronic dizziness had high prevalence of some mental disorders.

Cited by 27 publications

References 28 publications

Biopsychosocial factors associated with complaints of dizziness in older adults with Type 2 Diabetes Mellitus

Biopsychosocial factors associated with complaints of dizziness in older adults with Type 2 Diabetes Mellitus

A genome-wide screen for acrophobia susceptibility loci in a Finnish isolate

Vestibular Rehabilitation to the Patients With Vestibular Migraine and Vestibular Neuritis

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