title: Anxiety and depression among patients with different types of vestibular peripheral vertigo.
abstract: Numerous studies have been published on comorbid anxiety and depression in patients with vertigo. However, very few studies have separately described and analyzed anxiety or depression in patients with different types of vestibular peripheral vertigo. The present study investigated anxiety and depression among patients with 4 different types of peripheral vertigo. A total of 129 patients with 4 types of peripheral vertigo, namely, benign paroxysmal positional vertigo (BPPV, n = 49), migrainous vertigo (MV, n = 37), Menière disease (MD, n = 28), and vestibular neuritis (VN, n = 15), were included in the present study. Otological and neurootological examinations were carefully performed, and self-rating anxiety scale and self-rating depression scale were used to evaluate anxiety and depression. Patients were divided into 2 groups, according to the vestibular function: normal and abnormal vestibular function. There was no significant difference in the risk of anxiety/depression between these 2 groups. However, for patients with the 4 different vertigo types, the prevalence of anxiety (MV = 45.9%, MD = 50%) and depression (MV = 27%, MD = 28.6%) was significantly higher in the patients with MV or MD than those with BPPV or VN (P < 0.05). Vestibular function is not significantly associated with the risk of anxiety/depression. Anxiety/depression is more common in patients with MV or MD than those with BPPV or VN. This may be due to the different mechanisms involved in these 4 types of vertigo, as well as differences in the prevention and self-control of the patients against the vertigo.
authors: From the Department of Otolaryngology (QY, HZ), The First Affiliated Hospital of Xinjiang Medical University; Department of Otolaryngology (QY, DS, XK), The People's Hospital of Xinjiang Uygur Autonomous Region, Xinjiang; and Department of Otolaryngology (LY), Peking University People's Hospital, Beijing, China.
authors: Qing
authors: Q
authors: Yuan
authors: Lisheng
authors: L
authors: Yu
authors: Dongmei
authors: D
authors: Shi
authors: Xingxing
authors: X
authors: Ke
authors: Hua
authors: H
authors: Zhang
mesh_terms: D000328:Adult; D000368:Aged; D001007:Anxiety / Q000453:epidemiology*; D065635:Benign Paroxysmal Positional Vertigo / Q000453:epidemiology / Q000523:psychology; D003863:Depression / Q000453:epidemiology*; D005260:Female; D006801:Humans; D008297:Male; D008575:Meniere Disease / Q000453:epidemiology / Q000523:psychology; D008875:Middle Aged; D014717:Vertigo / Q000453:epidemiology* / Q000523:psychology*; D020338:Vestibular Neuronitis / Q000453:epidemiology / Q000523:psychology
references: Arch Neurol. 2000 Nov;57(11):1631-4
references: 11074796
references: J Neurol. 2009 Jan;256(1):58-65
references: 19221849
references: J Neurol. 2008 Mar;255(3):420-8
references: 18338198
references: J Vestib Res. 2012;22(4):167-72
references: 23142830
references: J Anxiety Disord. 2001 Jan-Apr;15(1-2):53-79
references: 11388358
references: Eur Arch Otorhinolaryngol. 2005 Aug;262(8):627-30
references: 15666205
references: J Neurol Neurosurg Psychiatry. 2005 Jan;76(1):1-8
references: 15607984
references: Expert Rev Neurother. 2011 Mar;11(3):379-94
references: 21375443
references: Psychosomatics. 1971 Nov-Dec;12(6):371-9
references: 5172928
references: J Psychosom Res. 2001 Jun;50(6):319-23
references: 11438113
references: J Psychosom Res. 2010 Sep;69(3):289-98
references: 20708451
references: Psychosom Med. 2004 Sep-Oct;66(5):783-7
references: 15385707
references: J Comp Neurol. 1990 May 22;295(4):624-61
references: 1694187
references: Semin Neurol. 2009 Nov;29(5):473-81
references: 19834858
references: Neurosci Lett. 2008 May 30;437(2):107-10
references: 18436376
references: N Engl J Med. 2004 Jul 22;351(4):354-61
references: 15269315
references: Otolaryngol Head Neck Surg. 1995 Sep;113(3):181-5
references: 7675476
references: Neurology. 2003 Apr 22;60(8):1308-12
references: 12707434
references: Neurol Clin. 2005 Aug;23(3):731-49, vi
references: 16026674
references: Arch Gen Psychiatry. 1965 Dec;13(6):508-15
references: 4378854
references: Cephalalgia. 2004;24 Suppl 1:9-160
references: 14979299