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Health-related quality of life and emotional distress in patients with dizziness: a cross-sectional approach to disentangle their relationship

BACKGROUND: Dizziness is frequently encountered in medical practice, often takes a chronic course and can impair the health related quality of life (HRQoL). However results on the extent of this impairment of HRQoL are mixed. Furthermore, the relationship between dizziness and the HRQoL is only part...

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Autores principales: Weidt, Steffi, Bruehl, Annette B, Straumann, Dominik, Hegemann, Stefan CA, Krautstrunk, Gerhard, Rufer, Michael
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4119060/
https://www.ncbi.nlm.nih.gov/pubmed/25052136
http://dx.doi.org/10.1186/1472-6963-14-317
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author Weidt, Steffi
Bruehl, Annette B
Straumann, Dominik
Hegemann, Stefan CA
Krautstrunk, Gerhard
Rufer, Michael
author_facet Weidt, Steffi
Bruehl, Annette B
Straumann, Dominik
Hegemann, Stefan CA
Krautstrunk, Gerhard
Rufer, Michael
author_sort Weidt, Steffi
collection PubMed
description BACKGROUND: Dizziness is frequently encountered in medical practice, often takes a chronic course and can impair the health related quality of life (HRQoL). However results on the extent of this impairment of HRQoL are mixed. Furthermore, the relationship between dizziness and the HRQoL is only partially understood. The role of clinical symptoms of dizziness and psychosocial factors such as emotional distress on this relationship is for the most part unknown. METHODS: The cross-sectional study evaluated the HRQoL in 203 patients suffering from dizziness, using the Medical Outcomes Studies 36-Item Short-Form Health-Survey (SF-36). The results were correlated with the severity of dizziness, using the Dizziness Handicap-Inventory (DHI), with emotional distress, using the Hospital Anxiety and Depression-Scale (HADS) and with further clinical symptoms and psychosocial parameters. In a multivariate hierarchical regression analysis associated variables which explain significant variance of the mental and physical HRQoL (MCS-36, PCS-36) were identified. RESULTS: Patients suffering from dizziness showed a markedly reduced mental and physical HRQoL. Higher DHI and HADS scores were correlated with lower MCS-36 and PCS-36 scores. Taken together DHI and vertigo characteristics of dizziness explained 38% of the variance of PCS-36. Overall explained variance of PCS-36 was 45%. HADS and living with a significant other explained 66% of the variance of MCS-36 (overall variance explained: 69%). CONCLUSION: Both the physical and mental HRQoL are significantly impaired in patients with dizziness. While the impairment in PCS-36 can be explained by clinical symptoms of the dizziness, MCS-36 impairment is largely associated with psychosocial factors. To improve the patient’s overall well-being significantly and permanently doctors have to keep in mind both, the clinical symptoms and the psychosocial factors. Therefore, in addition to the physical examination doctors should integrate a basic psychological examination into the daily routine with dizziness patients.
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spelling pubmed-41190602014-08-02 Health-related quality of life and emotional distress in patients with dizziness: a cross-sectional approach to disentangle their relationship Weidt, Steffi Bruehl, Annette B Straumann, Dominik Hegemann, Stefan CA Krautstrunk, Gerhard Rufer, Michael BMC Health Serv Res Research Article BACKGROUND: Dizziness is frequently encountered in medical practice, often takes a chronic course and can impair the health related quality of life (HRQoL). However results on the extent of this impairment of HRQoL are mixed. Furthermore, the relationship between dizziness and the HRQoL is only partially understood. The role of clinical symptoms of dizziness and psychosocial factors such as emotional distress on this relationship is for the most part unknown. METHODS: The cross-sectional study evaluated the HRQoL in 203 patients suffering from dizziness, using the Medical Outcomes Studies 36-Item Short-Form Health-Survey (SF-36). The results were correlated with the severity of dizziness, using the Dizziness Handicap-Inventory (DHI), with emotional distress, using the Hospital Anxiety and Depression-Scale (HADS) and with further clinical symptoms and psychosocial parameters. In a multivariate hierarchical regression analysis associated variables which explain significant variance of the mental and physical HRQoL (MCS-36, PCS-36) were identified. RESULTS: Patients suffering from dizziness showed a markedly reduced mental and physical HRQoL. Higher DHI and HADS scores were correlated with lower MCS-36 and PCS-36 scores. Taken together DHI and vertigo characteristics of dizziness explained 38% of the variance of PCS-36. Overall explained variance of PCS-36 was 45%. HADS and living with a significant other explained 66% of the variance of MCS-36 (overall variance explained: 69%). CONCLUSION: Both the physical and mental HRQoL are significantly impaired in patients with dizziness. While the impairment in PCS-36 can be explained by clinical symptoms of the dizziness, MCS-36 impairment is largely associated with psychosocial factors. To improve the patient’s overall well-being significantly and permanently doctors have to keep in mind both, the clinical symptoms and the psychosocial factors. Therefore, in addition to the physical examination doctors should integrate a basic psychological examination into the daily routine with dizziness patients. BioMed Central 2014-07-22 /pmc/articles/PMC4119060/ /pubmed/25052136 http://dx.doi.org/10.1186/1472-6963-14-317 Text en Copyright © 2014 Weidt et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Weidt, Steffi
Bruehl, Annette B
Straumann, Dominik
Hegemann, Stefan CA
Krautstrunk, Gerhard
Rufer, Michael
Health-related quality of life and emotional distress in patients with dizziness: a cross-sectional approach to disentangle their relationship
title Health-related quality of life and emotional distress in patients with dizziness: a cross-sectional approach to disentangle their relationship
title_full Health-related quality of life and emotional distress in patients with dizziness: a cross-sectional approach to disentangle their relationship
title_fullStr Health-related quality of life and emotional distress in patients with dizziness: a cross-sectional approach to disentangle their relationship
title_full_unstemmed Health-related quality of life and emotional distress in patients with dizziness: a cross-sectional approach to disentangle their relationship
title_short Health-related quality of life and emotional distress in patients with dizziness: a cross-sectional approach to disentangle their relationship
title_sort health-related quality of life and emotional distress in patients with dizziness: a cross-sectional approach to disentangle their relationship
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4119060/
https://www.ncbi.nlm.nih.gov/pubmed/25052136
http://dx.doi.org/10.1186/1472-6963-14-317
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