Role of Emotional Distress in Prolongation of Dizziness: A Cross-Sectional Study

Abstract

Background and ObjectivesDizziness is a common condition in outpatient clinics. Comorbid conditions such as anxiety and/or depression often complicate a patient’s ability to cope with dizziness. The purpose of the present study was to explore the extent of psychiatric distress using the Hospital Anxiety and Depression Scale (HADS) and to compare the results with the subjective severity of dizziness.Subjects and MethodsThe cross-sectional study included a total of 456 consecutive patients presenting with acute (n=327) and chronic (n=127) dizziness symptoms. The HADS was used to estimate emotional distress and compare between patients with acute and chronic dizziness symptoms. Also, we calculated correlations between subjective dizziness handicap scores and emotional distress using the total and subscale scores of the Dizziness Handicap Inventory (DHI), Disability Scale (DS), and HADS.ResultsThe HADS total and subscale scores were significantly increased in patients with chronic dizziness (p<0.01) compared with those with acute symptoms. In patients with symptoms of both acute and chronic dizziness, moderate correlations were evident between the DHI and HADS total scores. When we compared DHI subscale scores with the HADS scores, the emotional DHI subscale scores correlated more highly with the HADS total scores and the scores on the anxiety and depression subscales, than did the functional or physical DHI subscale scores.ConclusionsIncreased levels of distress measured using the HADS in patients with chronic symptoms suggest that emotional status of the patients may contribute to prolongation of dizziness symptoms from the acute phase.

Co-morbidities to Vestibular Impairments—Some Concomitant Disorders in Young and Older Adults

“…Still, older subjects reported high scores in the DHI questionnaire, suggesting a considerable emotional load anyway and interference of daily activities. Hence, the emotional factor is a substantial handicap to consider also among older adults ( 23 , 43 , 44 ).…”

Relación entre la disfunción vestibular y los trastornos de ansiedad: una revisión de la literatura

“…En ambos grupos se observó una correlación moderada entre la puntuación total de la escala de ansiedad y la discapacidad del vértigo. Lo anterior sugiere que el aumento de los niveles de angustia emocional en pacientes con sintomatología crónica demuestra que el estado emocional puede contribuir en la prolongación de los síntomas de vértigo desde la fase aguda (Roh, Kim, Kim, & Son, 2018).…”

Evaluation of anxiety sensitivity, depression, and personality characteristics in chronic subjective dizziness patients

“…In a study of the role of emotional disorders in the extent of dizziness, Roh et al [26] found that chronic dizziness patients had higher anxiety depression levels and emotional distress and stated that emotional distress extends the duration of dizziness.…”