Anxious, introverted personality traits in patients with chronic subjective dizziness

Staab, Jeffrey P.; Rohe, Daniel E.; Eggers, Scott D.Z.; Shepard, Neil T.

doi:10.1016/j.jpsychores.2013.11.008

Cited by 118 publications

(88 citation statements)

References 23 publications

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“…Table 1 Features of PPV, SMD, VV, and CSD that informed the definition of PPPD PPV [13] SMD [39] VV [15] CSD [79,81] Primary Symptoms (criteria A. [76] Included in the definition of CSD were persistent nonvertiginous dizziness or unsteadiness, heightened sensitivity to motion of self or objects in the environment, and difficulty performing tasks that required precise visual focus. Staab, et al [74] found that this diagnostic definition was highly sensitive (>85%) and specific (>90%) for detecting CSD versus Menière's disease, vestibular migraine, or benign paroxysmal positional vertigo (BPPV), in patients with or without additional neuro-otologic comorbidity.…”

Section: Contemporary Contextmentioning

confidence: 99%

“…Subsequent studies using formal psychometric measures found that individuals with the anxiety-related personality traits of neuroticism and introversion [76] had an increased risk for CSD. High neuroticism also was identified in a report on PPPD [100].…”

Section: Possible Risk Factorsmentioning

confidence: 99%

“…Individuals who respond to the precipitating event with a high level of anxiety and body vigilance appear likely to progress to PPPD (i.e., to traverse the arrow from the initial structural event through this transient psychological stage to the chronic functional disorder) [23,28,30]. Anxiety-related personality traits or pre-existing anxiety disorders appear to increase the risk of developing PPPD [7,76,80]. In about 30% of patients, PPPD begins with acute psychological distress (black dot, b) and then progresses to the functional disorder [79].…”

Section: Additional Commentarymentioning

confidence: 99%

“…67,68,71,98]. Arguments against the idea included concerns that the mix of physical and psychological symptoms and personality traits that constitute PPV is difficult to operationalize in clinical practice [75] and may have to be updated based on newer research [76,85], and that including PPV as a subtype of PPPD without validating their relationship could perplex clinicians and investigators. In the end, a simple majority of subcommittee members voted against including PPV as a subtype of PPPD.…”

Section: Additional Commentarymentioning

confidence: 99%

See 3 more Smart Citations

Diagnostic criteria for persistent postural-perceptual dizziness (PPPD): Consensus document of the committee for the Classification of Vestibular Disorders of the Bárány Society

Staab

Eckhardt-Henn

Horii

et al. 2017

VES

Self Cite

528

571

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Abstract. This paper presents diagnostic criteria for persistent postural-perceptual dizziness (PPPD) to be included in the International Classification of Vestibular Disorders (ICVD). The term PPPD is new, but the disorder is not. Its diagnostic criteria were derived by expert consensus from an exhaustive review of 30 years of research on phobic postural vertigo, space-motion discomfort, visual vertigo, and chronic subjective dizziness. PPPD manifests with one or more symptoms of dizziness, unsteadiness, or non-spinning vertigo that are present on most days for three months or more and are exacerbated by upright posture, active or passive movement, and exposure to moving or complex visual stimuli. PPPD may be precipitated by conditions that disrupt balance or cause vertigo, unsteadiness, or dizziness, including peripheral or central vestibular disorders, other medical illnesses, or psychological distress. PPPD may be present alone or co-exist with other conditions. Possible subtypes await future identification and validation. The pathophysiologic processes underlying PPPD are not fully known. Emerging research suggests that it may arise from functional changes in postural control mechanisms, multi-sensory information processing, or cortical integration of spatial orientation and threat assessment. Thus, PPPD is classified as a chronic functional vestibular disorder. It is not a structural or psychiatric condition.

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Section: Contemporary Contextmentioning

confidence: 99%

Section: Possible Risk Factorsmentioning

confidence: 99%

Section: Additional Commentarymentioning

confidence: 99%

Section: Additional Commentarymentioning

confidence: 99%

See 2 more Smart Citations

Diagnostic criteria for persistent postural-perceptual dizziness (PPPD): Consensus document of the committee for the Classification of Vestibular Disorders of the Bárány Society

Staab

Eckhardt-Henn

Horii

et al. 2017

VES

Self Cite

528

571

View full text Add to dashboard Cite

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“…2014; Staab et al. 2014). However, most reports have shown that visual dependence is not related to an anxiety trait or a psychiatric disease.…”

Section: Introductionmentioning

confidence: 99%

Magnetic resonance brain imaging in patients with visual vertigo

et al. 2015

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IntroductionPatients with visual vertigo (VV) report dizziness provoked by moving visual surroundings. It has been suggested that these subjects develop a compensation strategy for a vestibulo‐proprioceptive deficit and rely excessively on visual input. We have postulated that patients with VV might have brain abnormalities that interfere with appropriate processing of visual stimulation and performed a brain MRI study to verify this hypothesis.Materials and MethodsPatients with VV of more than 3 months duration were included. They were asked to complete the Situational Characteristic Questionnaire (SCQ) that scores for the symptoms of VV. Dizzy patients without VV served as controls. A brain MRI was performed with a Siemens 1.5 Tesla scanner in patients and controls.ResultsTwenty‐four patients with VV were included. Their mean SCQ score was 1.45 ± 0.9 (normal 0.16 ± 0.28). In 50% of patients, abnormalities in MRI imaging were found. Thirty‐three percent of 27 controls demonstrated an abnormal brain MRI. The two groups were similar in respect to the prevalence of a localized hemispheric or posterior fossa lesion (P = 0.13), but VV patients had more unspecific white matter brain changes than controls (P = 0.009). Patients and controls did not differ in age and gender distribution (P = 0.9) or the history of a neurotological event preceding their symptoms (P = 0.3).ConclusionsOur study suggests that multiple white matter lesions might contribute to occurrence of the phenomenon of VV. Future prospective large‐scale studies by specific MR techniques are indicated to validate our preliminary findings and elucidate the pathological mechanism of VV.

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Association Between Catastrophizing and Dizziness-Related Disability Assessed With the Dizziness Catastrophizing Scale

Pothier

Shah

Quilty

et al. 2018

JAMA Otolaryngol Head Neck Surg

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In this study, the DCS was a valid and reliable measure for evaluating catastrophic thinking in patients with dizziness, which was independently associated with dizziness-related disability. Future studies should investigate the influence of alleviating symptoms of catastrophizing on functional outcomes in patients with dizziness or imbalance, the results of which will help guide novel approaches to the clinical care of patients with chronic dizziness.

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Anxious, introverted personality traits in patients with chronic subjective dizziness

Cited by 118 publications

References 23 publications

Diagnostic criteria for persistent postural-perceptual dizziness (PPPD): Consensus document of the committee for the Classification of Vestibular Disorders of the Bárány Society

Diagnostic criteria for persistent postural-perceptual dizziness (PPPD): Consensus document of the committee for the Classification of Vestibular Disorders of the Bárány Society

Magnetic resonance brain imaging in patients with visual vertigo

Association Between Catastrophizing and Dizziness-Related Disability Assessed With the Dizziness Catastrophizing Scale

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