Dizziness: Anxiety, health care utilization and health behavior—

Wiltink, Jörg; Tschan, Regine; Michal, Matthias; Subič-Wrana, Claudia; Eckhardt-Henn, Annegret; Dieterich, Marianne; Beutel, Manfred E.

doi:10.1016/j.jpsychores.2008.09.012

Cited by 107 publications

(66 citation statements)

References 41 publications

(58 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Non-differential misclassification could have led to underestimating the results. However, in another large study, which used the established and validated "Vertigo Symptom Scale", the authors found a dizziness prevalence of 15% [22], which is quite similar to our finding (16.9%). Since there were few missing values on the dizziness question (15 out of 721 in otitis media cases and 237 out of 21,507 in non-cases) and we have no reason to suspect "missing not at random", we do not believe the exclusion of these few participants has biased the results.…”

Section: Selection Biassupporting

confidence: 90%

Childhood otitis media is associated with dizziness in adulthood: the HUNT cohort study

Aarhus

Tambs

Hoffman

et al. 2015

Eur Arch Otorhinolaryngol

View full text Add to dashboard Cite

Objective: To examine the association between otitis media in childhood and dizziness in adulthood.Design: Longitudinal, population-based cohort study of 21,962 adults (aged 20-59 years, mean 40) who completed a health questionnaire in the Nord-Trøndelag Hearing Loss Study. At 7, 10 and 13 years of age, the same individuals underwent screening audiometry in a longitudinal school hearing investigation. Children found with hearing loss underwent an ear, nose and throat specialist examination.Results: Adults diagnosed with childhood chronic suppurative otitis media (n=102) and childhood hearing loss after recurrent acute otitis media (n=590) were significantly more likely to have increased risk of reported dizziness when compared to adults with normal hearing as children at the school investigation and also a negative history of recurrent otitis media (n=21,270), p<0.05. After adjusting for adult age, sex and socio-economic status, the odds ratios were 2.1 (95% confidence interval [CI]: 1.4-3.3) and 1.3 (95% CI: 1.0-1.5), respectively. Conclusion:This longitudinal cohort study suggests that childhood chronic suppurative otitis media and childhood hearing loss after recurrent acute otitis media are associated with increased risk of dizziness in adulthood. This might reflect a permanent effect of inflammatory mediators or toxins on the vestibular system. The new finding stresses the importance of treatment and prevention of these otitis media conditions.

show abstract

Section: Selection Biassupporting

confidence: 90%

Childhood otitis media is associated with dizziness in adulthood: the HUNT cohort study

Aarhus

Tambs

Hoffman

et al. 2015

Eur Arch Otorhinolaryngol

View full text Add to dashboard Cite

show abstract

“…Dizziness and vertigo are frequent complaints of outpatients of the neurological department; they affect approximately 15–35% of the general population [1-5]. A national telephone neurotologic survey in Germany reported that the lifetime prevalence of vertigo was 7.8%, with a 1-year prevalence of 5.2%, and that the 1-year incidence was 1.5% [6].…”

Section: Introductionmentioning

confidence: 99%

Diagnosis of Vertigo and Dizziness Syndromes in a Neurological Outpatient Clinic

Pan¹,

Zhang²,

Long³

et al. 2018

Eur Neurol

View full text Add to dashboard Cite

Background: Dizziness and vertigo are frequent complaints of outpatients in the neurological department. Our objective was to explore the epidemiological category and clinical features of patients with dizziness or vertigo in the neurological outpatient department of a tertiary hospital. Methods: We consecutively recruited all patients with dizziness and/or vertigo visiting the neurological outpatient clinic of the First Affiliated Hospital of Chongqing Medical University from January 2016 to June 2017. All patients were interviewed by 4 neurologists and they completed self-administered questionnaires. General physical and standardized neuro-otology bedside examinations were performed in all participants. Instrumental examinations and other related examinations were prescribed as needed. Results: A total of 392 patients, 272 female and 120 male, were enrolled and the ratio of males to females was 1: 2.27. The mean age was 52.39 ± 13.87 years (range 11–90). Elderly patients (≥60 years) accounted for about one-third of the patients. Peripheral vestibular disorders accounted for 54.6% of patients, central vestibular disorders (including vestibular migraine [VM]) accounted for 22.4% of patients, psychogenic vertigo in 64 (16.3%), other reasons in 9 (2.3%) and unknown in 17 (4.3%). Benign paroxysmal positional vertigo (BPPV; 30.8%), psychiatric dizziness (20.5%), and VM (14.4%) were the 3 major vestibular diseases in patients under 60 years of age; however, BPPV (27.9%), central vertigo (21.7%), and Meniere’s disease (11.7%) were more common in patients over 60 years of age. Conclusions: This study provided a classification and clinical features of vestibular disorders in a neurological outpatient department of a tertiary hospital in China. The spectrum of vertigo or dizziness is different between different age groups and clinicians should pay attention to this difference in clinical reasoning.

show abstract

“…The role of anxiety in vertigo has been intensively investigated, showing that the percentage of vertigo patients (and dizziness) with anxiety can vary from 13.3 % [15] to 28.3 % [16]. Anxiety is considered to be either an indirect cause of vertigo in vestibular disorders, or the consequence of the vestibular affection [17][18][19].…”

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

View full text Add to dashboard Cite

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.

show abstract

Dizziness: Anxiety, health care utilization and health behavior—

Cited by 107 publications

References 41 publications

Childhood otitis media is associated with dizziness in adulthood: the HUNT cohort study

Childhood otitis media is associated with dizziness in adulthood: the HUNT cohort study

Diagnosis of Vertigo and Dizziness Syndromes in a Neurological Outpatient Clinic

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

Contact Info

Product

Resources

About