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Dizziness handicap and anxiety depression among patients with benign paroxysmal positional vertigo and vestibular migraine
To investigate the dizziness handicap and anxiety depression among patients with benign paroxysmal positional vertigo (BPPV) and vestibular migraine (VM). A prospective cohort study in which patients came from the Department of Neurology, Beijing Tiantan Hospital, Capital Medical University was cond...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7769355/ https://www.ncbi.nlm.nih.gov/pubmed/33350759 http://dx.doi.org/10.1097/MD.0000000000023752 |
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author | Zhu, Cuiting Li, Yiqing Ju, Yi Zhao, Xingquan |
author_facet | Zhu, Cuiting Li, Yiqing Ju, Yi Zhao, Xingquan |
author_sort | Zhu, Cuiting |
collection | PubMed |
description | To investigate the dizziness handicap and anxiety depression among patients with benign paroxysmal positional vertigo (BPPV) and vestibular migraine (VM). A prospective cohort study in which patients came from the Department of Neurology, Beijing Tiantan Hospital, Capital Medical University was conducted. Patients were diagnosed with BPPV and VM from September 2016 to December 2017. Dizziness handicap inventory (DHI) scale and hospital anxiety and depression scale (HADS) were assessed among subjects before treatment and 3 months follow-up. We used the Mann–Whitney U test to compare the DHI and HADS scores of BPPV and VM patients before and after 3 months and found significantly statistical difference. Before treatment, the median DHI scores of BPPV and VM were 34 and 60, with a Z = −5.643 (P = .001); The median HADS scores were 6 and 14, with Z = −4.807 (P = .001). After 3 months follow-up, the median DHI scores of BPPV and VM were 0 and 22, with a Z = −8.425 (P = .001); The median HADS scores were 6 and 14, with Z = −7.126 (P = .001) 51.11% VM patients and 12.21% BPPV patients have anxiety and depression. A Spearman correlation revealed a significantly moderate positive correlation (r = .455, P < .001) between DHI and HADS scores. The emotional, functional and physical effects of vertigo on VM patients were more significant than BPPV patients. The change of DHI scores in BPPV and VM patients was positively correlated with changes in the anxiety and depression in the HADS. |
format | Online Article Text |
id | pubmed-7769355 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-77693552020-12-29 Dizziness handicap and anxiety depression among patients with benign paroxysmal positional vertigo and vestibular migraine Zhu, Cuiting Li, Yiqing Ju, Yi Zhao, Xingquan Medicine (Baltimore) 5300 To investigate the dizziness handicap and anxiety depression among patients with benign paroxysmal positional vertigo (BPPV) and vestibular migraine (VM). A prospective cohort study in which patients came from the Department of Neurology, Beijing Tiantan Hospital, Capital Medical University was conducted. Patients were diagnosed with BPPV and VM from September 2016 to December 2017. Dizziness handicap inventory (DHI) scale and hospital anxiety and depression scale (HADS) were assessed among subjects before treatment and 3 months follow-up. We used the Mann–Whitney U test to compare the DHI and HADS scores of BPPV and VM patients before and after 3 months and found significantly statistical difference. Before treatment, the median DHI scores of BPPV and VM were 34 and 60, with a Z = −5.643 (P = .001); The median HADS scores were 6 and 14, with Z = −4.807 (P = .001). After 3 months follow-up, the median DHI scores of BPPV and VM were 0 and 22, with a Z = −8.425 (P = .001); The median HADS scores were 6 and 14, with Z = −7.126 (P = .001) 51.11% VM patients and 12.21% BPPV patients have anxiety and depression. A Spearman correlation revealed a significantly moderate positive correlation (r = .455, P < .001) between DHI and HADS scores. The emotional, functional and physical effects of vertigo on VM patients were more significant than BPPV patients. The change of DHI scores in BPPV and VM patients was positively correlated with changes in the anxiety and depression in the HADS. Lippincott Williams & Wilkins 2020-12-24 /pmc/articles/PMC7769355/ /pubmed/33350759 http://dx.doi.org/10.1097/MD.0000000000023752 Text en Copyright © 2020 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nc/4.0 This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC), where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc/4.0 |
spellingShingle | 5300 Zhu, Cuiting Li, Yiqing Ju, Yi Zhao, Xingquan Dizziness handicap and anxiety depression among patients with benign paroxysmal positional vertigo and vestibular migraine |
title | Dizziness handicap and anxiety depression among patients with benign paroxysmal positional vertigo and vestibular migraine |
title_full | Dizziness handicap and anxiety depression among patients with benign paroxysmal positional vertigo and vestibular migraine |
title_fullStr | Dizziness handicap and anxiety depression among patients with benign paroxysmal positional vertigo and vestibular migraine |
title_full_unstemmed | Dizziness handicap and anxiety depression among patients with benign paroxysmal positional vertigo and vestibular migraine |
title_short | Dizziness handicap and anxiety depression among patients with benign paroxysmal positional vertigo and vestibular migraine |
title_sort | dizziness handicap and anxiety depression among patients with benign paroxysmal positional vertigo and vestibular migraine |
topic | 5300 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7769355/ https://www.ncbi.nlm.nih.gov/pubmed/33350759 http://dx.doi.org/10.1097/MD.0000000000023752 |
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