Psychological assessment in patients with phobic postural vertigo.
Phobic postural vertigo (PPV) is a frequent diagnosis which can be challenging to treat.


OBJECTIVE
To investigate the presence of psychiatric disturbances in patients with PPV; to assess the psychological status of patients using adaptive diagnosis; to verify possible correlations between severity of psychiatric disturbance and adaptive efficacy.


METHODS
A total of nineteen subjects were assessed and two instruments applied: the Primary Care Evaluation of Mental Disorders Questionnaire (PRIME-MD) and the Adaptive Operationalized Diagnostic Scale (AODS), and results from both tests were compared.


RESULTS
Fourteen patients presented with mood disorder and thirteen with anxiety. All patients presented compromised adaptive efficacy. Correlation was found between overall outcome on the PRIME and the AODS (tau= -0.42, p=0.027), Separate analysis revealed correlation between results of the AODS and anxiety disorders (tau= -0.45, p=0.018) but not with mood disorders (tau= -0.36, p=0.054).


CONCLUSIONS
Adaptive compromise was observed in individuals with PPV which was shown to be associated to psychiatric disorders.
Ferreira
Liliani Souza Dos Santos
LS
Hospital das Clinicas, School of Medicine, São Paulo University, São Paulo, SP, Brazil.
Pereira
Cristiana Borges
CB
Rossini
Sueli
S
Kanashiro
Aline Mizuta Kozoroski
AM
Adda
Carla Cristina
CC
Scaff
Milberto
M
D000222:Adaptation, Physiological; D000293:Adolescent; D000328:Adult; D000368:Aged; D001008:Anxiety Disorders / Q000209:etiology / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019964:Mood Disorders / Q000209:etiology / Q000523:psychology*; D010698:Phobic Disorders / Q000523:psychology*; D004856:Postural Balance; D014717:Vertigo / Q000150:complications / Q000523:psychology*; D055815:Young Adult