Psychological Comorbidities and Their Relationship to Self-Reported Handicap in Samples of Dizzy Patients

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Abstract:

Factors such as anxiety, depression, somatic awareness, autonomic symptoms, and differences in coping strategies are known to affect dizziness handicap. We studied these factors in 63 consecutive "dizzy" patients. This sample was subgrouped into normals and patients with benign paroxysmal positional vertigo, compensated and uncompensated unilateral peripheral vestibular system impairment, or abnormal vestibular evoked myogenic potential as a single significant diagnostic finding. Results showed that (1) anxiety and depression occur with greater frequency in dizzy patients than in the normal population; (2) the magnitude of anxiety, depression, somatization, and autonomic symptoms does not differ significantly in subgroups of patients; (3) women tended to report greater handicap and somatic/autonomic symptoms; and (4) Dizziness Handicap Inventory total scores were correlated with patients' complaints of somatic/autonomic symptoms, anxiety, depression, and coping strategies. These findings suggest that self-reported measures represent unique pieces of information important for the management of dizzy patients.

Spanish
Factores tales como la ansiedad, la depresión, la conciencia somática, los síntomas autonómicos y las diferencias en las estrategias de afrontamiento, se sabe que afectan el impedimento por mareo. Estudiamos estos factores en 63 pacientes “mareados” consecutivos. Esta muestra fue sub-agrupada en pacientes normales, con vértigo posicional paroxístico benigno, con trastornos periféricos unilaterales, compensados y descompensados, del sistema vestibular, o con potenciales miogénicos vestibulares evocados anormales, como único hallazgo diagnóstico significativo. Los resultados mostraron que (1) la ansiedad y la depresión ocurrían con mayor frecuencia en pacientes mareados que en la población normal; (2) la magnitud de la ansiedad, la depresión, la somatización y los síntomas autonómicos no difería significativamente entre los sub-grupos de pacientes; (3) las mujeres tendieron a reportar un impedimento mayor y mayores síntomas somáticos/autonómicos; y (4) los puntajes totales del Inventario de Impedimento por Mareo correlacionaron con los quejas de los pacientes de síntomas somáticos/autonómicos, ansiedad, depresión, y estrategias de afrontamiento. Estos hallazgos sugieren que las mediciones auto-reportadas representan piezas singulares de información importante para el manejo de los pacientes mareados.

Keywords: COMORBIDITY; COPING SKILLS; DIZZINESS; HANDICAP

Document Type: Research Article

DOI: http://dx.doi.org/10.3766/jaaa.19.4.6

Publication date: April 1, 2008

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