title: Anxiety in the first attack of vertigo.
abstract: BACKGROUND
  Although psychiatric disturbances have been reported in chronic vestibular disorders, little is known about the psychological impact of an acute vertigo attack.
  
  
  METHODS
  We conducted a comparative questionnaire study in 30 patients with a first attack of vestibular dysfunction and in 35 patients with a nonvestibular neurologic deficit of acute onset.
  
  
  RESULTS
  Patients with vertigo reported more anxiety than patients with nonvestibular neurologic deficits (P = 0.002), despite the fact that premorbid anxiety was similar in both groups (P = 0.5). No difference in anxiety levels was found between vertigo patients who vomited and those who were free of vegetative symptoms (P = 0.97). Vertigo patients felt more disabled than nonvertigo patients (P = 0.06), irrespective of the objective restrictions caused by the disease. The rate of depression did not differ between the groups of patients (P = 0.09).
  
  
  CONCLUSIONS
  Patients with acute vertigo experience extreme anxiety, and this contributes to their feeling of disproportionate disability. The reason for emotional disturbances in vestibular dysfunction is probably the result of physiological connections between the vestibular and limbic system and deserves further neuroanatomic investigation.
authors.affiliation: Department of Neurology, Tha Assaf Harofeh Medical Center, Affiliated with the Sackler School of Medicine, Tel Aviv University,Tel Aviv, Israel. Eitan.pollak@telrad.co.il
authors.forename: Lea
authors.initials: L
authors.lastname: Pollak
authors.forename: Colin
authors.initials: C
authors.lastname: Klein
authors.forename: Stryjer
authors.initials: S
authors.lastname: Rafael
authors.forename: Kossych
authors.initials: K
authors.lastname: Vera
authors.forename: Jose Martin
authors.initials: JM
authors.lastname: Rabey
mesh_terms: D000208:Acute Disease; D000342:Affective Symptoms; D001007:Anxiety / Q000209:etiology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010555:Personality Inventory; D011795:Surveys and Questionnaires; D014717:Vertigo / Q000523:psychology*; D015837:Vestibular Diseases / Q000150:complications