Psychological assessment in patients with phobic postural vertigo

Ferreira, Liliani Souza dos Santos; Pereira, Cristiana Borges; Rossini, Sueli; Kanashiro, Aline Mizuta Kozoroski; Adda, Carla Cristina; Scaff, Milberto

doi:10.1590/s0004-282x2010000200013

Cited by 4 publications

(3 citation statements)

References 19 publications

(24 reference statements)

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“…Although there is no consensus on a diagnosis for these patients, explanations for the prolongation of symptoms range from psychological disorders [2][3][4] to defective central compensation of the initial peripheral vestibular insult [5,6]. Amongst reasons for the latter, several authors have hypothesised that increased reliance on, or high sensitivity to, visual input could interfere with full vestibular recovery in some patients.…”

Section: Introductionmentioning

confidence: 99%

Visual dependence and BPPV

et al. 2011

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The increased visual dependence noted in some vestibular patients may be secondary to their vertigo. We examine whether a single, brief vertigo attack, such as in benign paroxysmal positional vertigo (BPPV), modifies visual dependency. Visual dependency was measured before and after the Hallpike manoeuvre with (a) the Rod and Frame and the Rod and Disc techniques whilst seated and (b) the postural sway induced by visual roll-motion stimulation. Three subject groups were studied: 20 patients with BPPV (history and positive Hallpike manoeuvre; PosH group), 20 control patients (history of BPPV but negative Hallpike manoeuvre; NegH group) and 20 normal controls. Our findings show that while both patient groups showed enhanced visual dependency, the PosH and the normal control group decreased visual dependency on repetition of the visual tasks after the Hallpike manoeuvre. NegH patients differed from PosH patients in that their high visual dependency did not diminish on repetition of the visual stimuli; they scored higher on the situational characteristic questionnaire ('visual vertigo' symptoms) and showed higher incidence of migraine. We conclude that long term vestibular symptoms increase visual dependence but a single BPPV attack does not increase it further. Repetitive visual motion stimulation induces adaptation in visual dependence in peripheral vestibular disorders such as BPPV. A positional form of vestibular migraine may underlie the symptoms of some patients with a history of BPPV but negative Hallpike manoeuvre. The finding that they have non adaptable increased visual dependency may explain visuo-vestibular symptoms in this group and, perhaps more widely, in patients with migraine.

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Section: Introductionmentioning

confidence: 99%

Visual dependence and BPPV

et al. 2011

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“…Adaptive compromise was observed in individuals with PPV which was shown to be associated to psychiatric disorders. (Ferreira et al, 2010) According to Brandt's data, patients with psychiatric disorders may have pathological responses on vestibular testing. Patients with anxiety may have greater sensitivity and directional preponderance in vestibular testing, while organic vestibular symptoms may precipitate consecutive panic attacks with or without agoraphobia (Brandt 2000).…”

Section: Introductionmentioning

confidence: 99%

Anxiety and Related Disorders

Barlow¹,

Ellard²,

Cummings³

et al. 2015

Abnormal Child and Adolescent Psychology

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in Budapest. Her specialties are otorhinolaryngology, neurology, audiology, and neurootology. She has been the chief of the neurootological outpatient department of the University since 1989. She has been teaching medical students in Hungarian language since 1983 and in English since 1989. Dr. Szirmai holds postgradual courses for otorhinolaryngologist, neurologists, audiologists, and family doctors. She has wide range of publications about vertigo and vestibular system disorders (53 articles, 62 abstracts, 2 books, 18 book-chapters). Dr. Szirmai is a member of several Hungarian and International Scientific Societies (Hungarian Society of Otorhinolaryngologists, Hungarian Stroke Society, Hungarian Headache Society, Neurootological and Equilibriometric Society, which has its seat in Bad Kissingen, Germany and Barany Society (Uppsala, Sweden). She has been the president of the Otoneurological Section of Hungarian Society of Otorhinolaryngologists since 2008.

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“…X-axis shows time course from days 1-5 and follow-up 1-3. Y-axis shows depression score.Phobic Postural Vertigo (PPV) is a disabling disease with explicit psychosomatic aspects and comorbid depressive and anxiety disorder (Lahmann et al, in press;Ferreira et al, 2010). Transcranial direct current stimulation (tDCS) has been proven to improve depressive symptoms (Mondino et al, 2014;Shiozawa et al, 2014).…”

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confidence: 99%