Kahraman Serif Samil, Arli Cengiz, Copoglu Umit Sertan, Kokacya Mehmet Hanifi, Colak Sait
a Department of Otolaryngology - Head and Neck Surgery , Mustafa Kemal University Faculty of Medicine , Hatay , Turkey.
b Department of Psychiatry , Mustafa Kemal University Faculty of Medicine , Hatay , Turkey.
Acta Otolaryngol. 2017 May;137(5):485-489. doi: 10.1080/00016489.2016.1247986. Epub 2016 Nov 4.
Patients with BPPV experienced short but intense anxiety and/or panic disorder, especially at the initial visit, but most patients recovered without medication with successful treatment.
Recent studies have shown that people with dizziness report some psychological problems such as panic and agoraphobia and anxiety. The aim of this study was to evaluate anxiety and panic agorophobia levels in patients with benign paroxysmal positional vertigo on initial presentation and at the follow-up visit and compare the scores with the control group.
All the 32 patients in the study had a diagnosis of BPPV confirmed by their history, typical subjective symptom reports, and characteristic positional nystagmus during the Dix-Hallpike test and/or Roll test. The patients were instructed to complete the standard forms of Beck anxiety inventory and panic agoraphobia scale questionnaire before and at 7 and 14 days after the canalith repositioning treatment.
The validity scores of panic agoraphobia were statistically significantly higher in patients with BPPV than in the control group in each period (p < .001) and the validity scores of the Beck anxiety inventory were statistically significantly higher in patients with BPPV than in the control group at the first and second evaluation (p < .001).
良性阵发性位置性眩晕(BPPV)患者经历过短暂但强烈的焦虑和/或惊恐障碍,尤其是在初次就诊时,但大多数患者在成功治疗后未经药物治疗便康复了。
最近的研究表明,头晕患者会出现一些心理问题,如惊恐、广场恐惧症和焦虑。本研究的目的是评估初次就诊和随访时良性阵发性位置性眩晕患者的焦虑和惊恐广场恐惧症水平,并将得分与对照组进行比较。
本研究中的所有32例患者均通过病史、典型主观症状报告以及Dix-Hallpike试验和/或Roll试验期间的特征性位置性眼球震颤确诊为BPPV。患者被要求在进行耳石复位治疗前以及治疗后7天和14天填写贝克焦虑量表和惊恐广场恐惧症量表问卷的标准表格。
在各个时期,BPPV患者的惊恐广场恐惧症效度得分均显著高于对照组(p <.001),并且在第一次和第二次评估时,BPPV患者的贝克焦虑量表效度得分也显著高于对照组(p <.001)。