The effect of accompanying anxiety and depression on patients with different vestibular syndromes

Abstract

ObjectiveThis study aims to investigate the situation of vertigo disorder combined with anxiety and depression in patients with different types of vestibular syndrome.MethodsA total of 330 patients with vertigo in otolaryngology outpatient department were selected, and clinical information such as age, gender, and scores of Dizziness handicap inventory (DHI), Generalized anxiety disorder-7 (GAD-7), and Patient Health Questionnaire-9 (PHQ-9) were collected. Analyzed the differences among acute vestibular syndrome (AVS), episodic vestibular syndrome (EVS) and chronic vestibular syndrome (CVS) in terms of age, gender, comorbid anxiety and depression, and the multivariate ordered logistic regression analysis was used to evaluate the relationship between the above factors and the degree of vertigo disorder.ResultsThe three types of vestibular syndrome had no significant difference in age composition, sex composition, anxiety and depression. There was no significant difference in the probability of anxiety and depression among vertigo patients of different ages and genders. The total score of vertigo disorder and each sub-item score were higher in patients with anxiety and depression. Patients with anxiety mainly manifested in EVS and CVS, while patients with depression mainly manifested in EVS and AVS. The probability of increased vertigo in anxious patients was 4.65 times that of non-anxious patients, and the probability of increased vertigo in depressed patients was 3.49 times that of non-depressed patients. Age and gender had no statistically significant effect on the degree of vertigo. In patients with EVS, anxiety and depression had a significant effect on the degree of vertigo; in patients with CVS, anxiety had a significant effect on the degree of vertigo, but depression had no significant effect.ConclusionAge and gender do not significantly affect the degree of vertigo disorder and mental state in various vestibular syndromes. Instead, anxiety and depression are the risk factors for aggravating the degree of vertigo disorder, and manifest differently in each type of vestibular syndrome. Therefore, it is necessary to use a quick scale tool to conduct a standardized screening of the psychological status of patients with vertigo.

Effectiveness of Telerehabilitation in Dizziness: A Systematic Review with Meta-Analysis

“…Whilst DHI explores each of the three ICF domains (activity, participation, body function and structures), VSS-SF focuses only on "body functions and structures" [54]. The remaining HADS, PHQ-9, GAD-7 and BDI-II have been frequently utilized in clinical vestibular research [24,55,56], considering the emotional, cognitive and psychological impacts of dizziness [57,58], which can result in a deterioration of the quality of life [59][60][61].…”

Persistent Challenges: A Comprehensive Review of Persistent Postural-Perceptual Dizziness, Controversies, and Clinical Complexities

“…Also, this condition is frequently associated with psychological factors such as anxiety and depression [ 15 ]. Emotional responses can influence the severity and persistence of symptoms, and these conditions often coexist [ 15 ].…”

“…Also, this condition is frequently associated with psychological factors such as anxiety and depression [ 15 ]. Emotional responses can influence the severity and persistence of symptoms, and these conditions often coexist [ 15 ]. This association has a significant impact on an individual's quality of life, leading to functional impairment, reduced daily activities, and increased healthcare utilization [ 16 ].…”

Central vestibular networking for sensorimotor control, cognition, and emotion

“…Anxiety and depression not only influence eye, head, and body movements in individuals with normal vestibular test results, but also affect patients with different types of vestibular syndromes, whether they are acute, episodic or chronic. In anxious patients, the degree of handicap and the probability of increased vertigo was 4.65 times that of nonanxious patients and the probability of increased vertigo in depressed patients was 3.49 times that of nondepressed patients [ 18 ]. There is some evidence that the vestibular system and the cerebellum – by means of reciprocal interconnections within a multilocal anxiety system – influence both cognition and emotional regulation in animals and humans [ 19 , 20 ].…”