Relationship between balance system function and agoraphobic avoidance

Yardley, Lucy; Britton, Justine; Lear, Samantha; Bird, Judith; Luxon, Linda M.

doi:10.1016/0005-7967(94)00060-w

Cited by 88 publications

(32 citation statements)

References 22 publications

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“…Beginning with the SOM scale the two factors which emerged were a dizziness/vertigo/anxiety factor and a factor related to aural symptoms (e.g., tinnitus). This finding gives some indirect support to the recent theorizing regarding the link between vestibular problems and anxiety which has been researched by Clark et al [32], Jacob et al [33]and Yardley et al [34]. Interestingly, there may be similarities in prodromal symptomatology between vertigo attacks and panic attacks [31].…”

Section: Discussionsupporting

confidence: 75%

Correlates of Vertigo Attacks in Ménière’s Disease

Hägnebo

Andersson²,

Melin³

1998

Psychother Psychosom

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Background: Ménière’s disease is a medical condition that involves hearing loss, tinnitus and attacks of vertigo. The attacks can be severely disabling with nausea, dizziness, and aural sensations. Method: Three scales assessing the correlates of vertigo attacks in Ménière’s disease were developed and completed by 514 subjects diagnosed with the disease. The three scales measured were somatic sensations (SOM), psychological state (PSYCHOL), and situational characteristics (SIT) associated with an attack. Results: Psychometric properties of the three scales were investigated showing Cronbach’s alphas of 0.76, 0.80, and 0.62 for the three scales respectively. The results on the scales were related to disease progression. Principal components factor analyses showed that the SOM scale could be divided into two subscales: dizziness/vertigo/anxiety and sensations in the ear. The PSYCHOL scale showed an energy/awareness factor and a negative emotional state factor. The SIT scale, finally, showed two factors: environmental disturbances and stressful conditions. Conclusions: Knowledge of somatic, psychological and situational premonitory characteristics of attacks in Ménière’s disease could lead to improved therapy and counselling.

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Section: Discussionsupporting

confidence: 75%

Correlates of Vertigo Attacks in Ménière’s Disease

Hägnebo

Andersson²,

Melin³

1998

Psychother Psychosom

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“…These discrepancies could be explained by a visual dependence phenomenon. Studies have shown that anxious patients were visually dependent in balance performance [28,29]. Moreover, it has been also suggested that ITA subjects have a greater visual dependence than VLTA subjects while performing a perceptual-motor task [30].…”

Section: Baselinementioning

confidence: 99%

The role of trait anxiety on static balance performance in control and anxiogenic situations

Hainaut¹,

Caillet²,

Lestienne³

et al. 2011

Gait & Posture

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Recent studies have highlighted interactions between state anxiety, sensory processing involved in motor performance, and personality traits such as trait anxiety. In the present study, we investigated the effects of moderate state anxiety on static balance performance with eyes open and eyes closed in two groups of healthy subjects with contrasting trait anxiety. We found that an anxiogenic condition induces larger and faster body swaying in both groups in the eyes-open test. This suggests that state anxiety could modify the processing of the different sensory inputs involved in balance control whatever the subjects' trait anxiety level. When vision is absent, precision of static balance control in individuals with intermediate level of trait anxiety - characterized by a higher visual dependence - is more disrupted than in low trait anxiety subjects. Moreover, moderate state anxiety seems to disturb the ability to use vestibular and/or somatosensory inputs in individuals with low anxiety, but not in individuals with intermediate trait anxiety. These results on inter-individual differences provide a first insight into the inter-dependence between trait anxiety, state anxiety and static balance control.

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“…About 30 percent of patients with vestibular disorders report persistent panic and agoraphobic symptoms or generalized anxiety (Eagger, et al, 1992;Stein, et al, 1994;. Conversely, vestibular dysfunction is common among patients with anxiety disorders (Jacob, Moller, et al, 1985;Sklare, et al, 1990;Hoffman, et al, 1994;Jacob Furman, Durrant, et al, 1996;Yardley, 1994Yardley, ,1995Perna, et al, 2001).…”

Section: Introductionmentioning

confidence: 99%

Visually induced postural sway in anxiety disorders

Redfern

Furman

Jacob

2007

Journal of Anxiety Disorders

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Postural sensitivity to moving visual environments in patients with anxiety disorders was studied. We hypothesized that patients with anxiety disorders would have greater sway in response to a moving visual environment compared to healthy adults, especially if they have space and motion discomfort (SMD). Twenty one patients with generalized anxiety without panic (NPA), and 38 patients with panic and agoraphobia (PAG) were compared to 22 healthy controls. SMD was evaluated in all subjects via questionnaire. Subjects stood on a force platform that was either fixed or rotating with the subject (i.e. sway referenced) during exposure to a sinusoidally moving visual surround. Center of Pressure (COP) data were computed from force transducers in the platform as a measure of sway. Results showed that patients swayed significantly more in response to the moving visual scene compared to control subjects, with no differences between the NPA and PAG groups. SMD was a predictor of sway response in the patients: patients with high SMD swayed significantly more than both Controls and anxiety patients with low SMD. These results indicate that patients with anxiety disorders, particularly those with SMD, are more visually dependent for balance. This subgroup of patients may be amenable to treatment used for patients with balance disorders (i.e. vestibular rehabilitation) that focuses on sensory re-integration processes that address visual sensitivity.

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Relationship between balance system function and agoraphobic avoidance

Cited by 88 publications

References 22 publications

Correlates of Vertigo Attacks in Ménière’s Disease

Correlates of Vertigo Attacks in Ménière’s Disease

The role of trait anxiety on static balance performance in control and anxiogenic situations

Visually induced postural sway in anxiety disorders

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