Versão brasileira do Dizziness Handicap Inventory

Castro, Ana Sílvia Oliveira de; Gazzola, Juliana Maria; Natour, Jamil; Ganança, Fernando Freitas

doi:10.1590/s0104-56872007000100011

Cited by 132 publications

(159 citation statements)

References 16 publications

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“…It is a focused questionnaire that has been translated and adapted for use in the Brazilian population; 13 it is also easy to understand and to apply.…”

Section: Discussionmentioning

confidence: 99%

“…Higher scores are associated with more losses in the QoL of subjects; the questions investigate the selfperception of patients about the difficulties caused by dizziness on their daily activities. 3,13,14 In BPPV cases, the Dix-Hallpike test is conducted for diagnosis, after which Epley's maneuver is applied for repositioning the otoconia. These procedures are described below:…”

Section: Methodsmentioning

confidence: 99%

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Efeito da manobra de Epley na qualidade de vida dos pacientes com vertigem posicional paroxística benigna

Pereira¹,

Santos²,

Volpe

2010

Braz. j. otorhinolaryngol. (Impr.)

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Qual ity of life (QoL) is significantly impaired by vertigo. The effect of specific treatments on QoL deserves investigation. Aim:To assess the effect of repositioning maneuvers on the QoL of benign paroxysmal positioning vertigo (BPPV) patients. Materials and methods:A retrospective study design consiting of reviews of charts of BPPV patients in a vestibular rehabilitation unit at a teaching institution in Belo Horizonte, MG, Brazil, from 2007 to 2008. Pre-and post-therapy (Epley's repositioning maneuver) scores on the physical, functional and emotional dimensions of the Dizziness Handicap Inventory (DHI) were analyzed.Results: Twenty-one patients were included, eighteen (86%) were females; the average age was 53.2 years. Ten patients presented bilateral BPPV; in eleven it was unilateral. The mean interval between assessments (pre-and post-treatment) was 21 days. The average number of required maneuvers was 2.3 (±1.1). Pre-treatment DHI results showed a significant impact of BPPV on quality of life. Initial scores for physical (17.5), functional (17.3), emotional (13.2) dimensions decreased with therapy: respectively 3.7, 3.9, and 3.2 (p<0.001). Conclusion:In the present sample, Epley's maneuver had a positive and significant effect on emotional, physical and functional dimensions of quality of life, as measured by the DHI scores before and after therapy. Braz J Otorhinolaryngol. 2010;76(6):704-8. ORIGINAL ARTICLE BJORL

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“…It is a focused questionnaire that has been translated and adapted for use in the Brazilian population; 13 it is also easy to understand and to apply.…”

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Efeito da manobra de Epley na qualidade de vida dos pacientes com vertigem posicional paroxística benigna

Pereira¹,

Santos²,

Volpe

2010

Braz. j. otorhinolaryngol. (Impr.)

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“…applied 13 . For the cognitive assessment, the Mini-Mental State examination (MMSe) was used 14 , and to detect depressive symptoms, the Geriatric Depression Scale (GDS) 10 .…”

Section: Methodsmentioning

confidence: 99%

Factors relating to depressive symptoms among elderly people with chronic vestibular dysfunction

Gazzola

Aratani

Doná

et al. 2009

Arq. Neuro-Psiquiatr.

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-Objective: To identify factors relating to depressive symptoms among elderly people with chronic vestibular dysfunction. Method: This was a cross-sectional study in which 120 elderly people with chronic vestibular dysfunction answered the Geriatric Depression Scale questionnaire. Multivariate linear regression analysis was performed (p<0.05 and 95% CI). Results: The patients presented a mean score of 12.86±6.39 points on the Geriatric Depression Scale, and 67 of them (55.8%) scored above the cutoff of 11 points. The predictive model for worsening of depressive symptoms was composed of female gender, memory and concentration disorders, insomnia, hearing disorders, poor sight, nonuse of walking aids and greater emotional impact of dizziness. Conclusion: Greater numbers of depressive symptoms among elderly people with chronic vestibular disease were related to the presence of memory and concentration disorders, insomnia, hearing disorders, very poor sight, greater emotional impact of dizziness, female gender and nonuse of walking aids.Key worDS: risk factors, depression, elderly people, vestibular disease. Fatores relacionados aos sintomas depressivos de idosos com disfunção vestibular crônicaResumo -Objetivo: Identificar os fatores relacionados aos sintomas depressivos de idosos com disfunção vestibular crônica. Método: estudo transversal, em que 120 idosos com disfunção vestibular crônica submeteram-se ao questionário Geriatric Depression Scale. realizou-se análise de regressão linear multivariada (p<0,05 e IC de 95%). Resultados: os pacientes apresentaram média de 12,86±6,39 pontos no GDS, sendo que 67 idosos (55,8%) pontuaram acima da nota de corte 11. o modelo preditivo para piora dos sintomas depressivos foi composto por gênero feminino, distúrbios de memória e da concentração, insônia, hipoacusia, visão péssima, não utilização de dispositivo de auxílio à marcha e maior impacto da tontura no aspecto emocional. Conclusão: o maior número de sintomas depressivos de idosos vestibulopatas crônicos está relacionado à presença de distúrbios de memória e da concentração, insônia, hipoacusia, visão péssima, maior impacto da tontura no aspecto emocional, gênero feminino e não utilização de dispositivo de auxílio à marcha.PALAVrAS-CHAVe: fatores de risco, depressão, idoso, doença vestibular.

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“…The severity of anxiety was measured using the Hamilton Scale for Anxiety (HAM-A) 16 , and the severity of dizziness was measured by the 25-item Dizziness Handicap Inventory scale (DHI), which generated a total score (range zero to 100) which indicated the patient's selfperceived level of handicap associated with their dizziness 17 . Global severity of panic disorder was evaluated with the Clinical Global Impression Severity Scale (CGI-S, ranging from 1 -not at all ill to 7 -extremely ill) 18 .…”

Section: Methodsmentioning

confidence: 99%

Imipramine for vestibular dysfunction in panic disorder: a prospective case series

Mezzasalma

Mathias

Nascimento

et al. 2011

Arq. Neuro-Psiquiatr.

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Objective: The purpose of this study was to evaluate the efficacy and effectiveness of imipramine on the treatment of comorbid chronic dizziness and panic disorder. Method: Nine patients with panic disorder and agoraphobia associated with chronic dizziness underwent otoneurological screening and were treated with a 3-months course of imipramine. Anxiety levels were measured with the Hamilton Anxiety Scale (HAM-A), dizziness levels were evaluated using the Dizziness Handicap Inventory (DHI), and panic severity and treatment outcome were assessed with the Clinical Global Impression Scale (CGI). Results: At the baseline 33.3% (n=3) had a bilateral peripheral deficit vestibulopathy, the mean scores for HAM-A were 27.2±10.4, for DHI were 51.7±22.7, and for CGI-S were 4.8±0.9. All patients had a significant reduction in their HAM-A (11.1±5.5, p=0.008), DHI (11.5±8.1, p=0.008) and CGI-I (1.8±0.7, p=0.011) levels after 3-months imipramine treatment (mean=72.2±23.2 mg/day). Conclusion: This study found a decrease in anxiety levels and in the impact of dizziness in the patients' quality of life after a 3-months treatment course with imipramine.

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Versão brasileira do Dizziness Handicap Inventory

Cited by 132 publications

References 16 publications

Efeito da manobra de Epley na qualidade de vida dos pacientes com vertigem posicional paroxística benigna

Efeito da manobra de Epley na qualidade de vida dos pacientes com vertigem posicional paroxística benigna

Factors relating to depressive symptoms among elderly people with chronic vestibular dysfunction

Imipramine for vestibular dysfunction in panic disorder: a prospective case series

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