A prospective study on the course of anxiety after vestibular neuronitis

Godemann, F.; Lindén, Michael; Neu, Peter; Heipp, Esther; Dörr, Peggy

doi:10.1016/s0022-3999(03)00079-5

Cited by 58 publications

(30 citation statements)

References 6 publications

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“…Dizziness is often combined with anxiety, with an impact on everyday life [30]. The experience of the symptom is to a high degree subjective and, consequently, different coping strategies are probably used by different people.…”

Section: Discussionmentioning

confidence: 99%

Balance performance and self-perceived handicap among dizzy patients in primary health care

Hansson

Månsson

Håkansson

2005

Scandinavian Journal of Primary Health Care

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Section: Discussionmentioning

confidence: 99%

Balance performance and self-perceived handicap among dizzy patients in primary health care

Hansson

Månsson

Håkansson

2005

Scandinavian Journal of Primary Health Care

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“…Anxiety is considered to be either an indirect cause of vertigo in vestibular disorders, or the consequence of the vestibular affection [17][18][19]. In support of the latter, the evolution of anxiety presented by some patients with vestibular neuritis has been explained, at least partially, by a specific anxious personality style (such as insecure personality type) [20]. The psychological distress (anxiety and depression) associated with vertigo is more linked to the severity of the vertigo (evaluated by the Dizziness Handicap Inventory-DHI) compared to the type of disease causing the vertigo (Ménière's disease, vestibular neuritis, etc.)…”

Section: Introductionmentioning

confidence: 99%

The development of a new questionnaire for cognitive complaints in vertigo: the Neuropsychological Vertigo Inventory (NVI)

Lacroix

Deggouj

Salvaggio

et al. 2016

Eur Arch Otorhinolaryngol

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Vertigo patients frequently complain of emotional and associated cognitive problems, yet currently, there is no satisfactory questionnaire to measure these associated problems. In the present paper, we propose a new internet-based Neuropsychological Vertigo Inventory (NVI; French) that evaluates attention, memory, emotion, space perception, time perception, vision, and motor abilities. The questionnaire was created using four steps: (1) open interviews with patients suffering from vertigo; (2) semi-structured interviews with an analysis grid to quantify and define the various cognitive and emotional problems reported by the patients; (3) a first version of an internet questionnaire tested on 108 vertigo participants; and (4) the selection of subscale items using principal component analyses (PCA). From the development phase, the revised NVI was composed of seven subscales, each with four items (28 items). In the validation phase, Cronbach's alphas were performed on the revised NVI for total and each subscale score, and to test extreme groups validity, the analyses of covariance (ANCOVAs) taking into account age were performed between 108 vertigo and 104 non-vertigo participants. The Cronbach's alphas showed good to satisfactory coefficients for the total and for all subscale scores, demonstrating acceptable reliability. The extreme groups validity analyses (ANCOVAs) were reliable for the total scale and for four subscales. Supplementary analyses showed no effect of hearing difficulties and an inverse age effect for attention and emotion subscales, with reduced problems with increased age in the vertigo participants. The NVI provides a useful new questionnaire to determine cognitive and emotional neuropsychological complaints that are associated with vertigo.

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“…Acute vestibular neuritis is accompanied by feelings of helplessness and intense anxiety [5] , leading to an increased need for social support. At these moments, it becomes clear which patients are alone and which patients have people upon whom they can rely.…”

Section: Discussionmentioning

confidence: 99%

“…Automatic anxiety can also be observed in acute vestibular neuritis: in the days following the onset of the vestibular disorder, 80% of patients experience acute anxiety [5] . Normally, fear should activate successful defence mechanisms and prompt an individual to take concrete measures to cope with the conflict.…”

Section: Introductionmentioning

confidence: 99%

Psychodynamic Vulnerability Factors in the Development of Panic Disorders – A Prospective Trial in Patients after Vestibular Neuritis

et al. 2009

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Background: In our 2-year prospective study of 80 patients admitted consecutively to our clinic with an episode of acute vestibular neuritis, a total of 8 patients later developed a panic disorder according to DSM-III-R criteria. The goal of our analysis was to determine whether certain conflict patterns (e.g. in the area of autonomy vs. dependence) or deficient psychological structure could predict later panic disorder, as might be expected based on psychodynamic theory. Sampling and Methods: Between 4 and 8 weeks after the acute vestibular episode, we evaluated all patients using operationalized psychodynamic diagnostics (OPD). With the different axes of the OPD system, we were able to assess patients’ experience of illness (Axis I), potential conflicts (Axis III), and psychological structure (Axis IV) in a semiquantitative manner. Results and Conclusions: Poor psychosocial integration, a lack of social support, a high burden of suffering, and moderate to severe impairment of self-experience were able to account for 32.1% (Nagelkerkes R² = 0.321) of variance in the development of panic disorder over the course of 2 years. However, contrary to what might have been expected based on psychodynamic theory, patients who later developed a panic disorder did not exhibit any differences in their Axis III or IV scores compared to patients who remained psychologically healthy.

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A prospective study on the course of anxiety after vestibular neuronitis

Cited by 58 publications

References 6 publications

Balance performance and self-perceived handicap among dizzy patients in primary health care

Balance performance and self-perceived handicap among dizzy patients in primary health care

The development of a new questionnaire for cognitive complaints in vertigo: the Neuropsychological Vertigo Inventory (NVI)

Psychodynamic Vulnerability Factors in the Development of Panic Disorders – A Prospective Trial in Patients after Vestibular Neuritis

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