Department of Neuroscience, Institute of Health Sciences, Dokuz Eylul University, Izmir, Turkey.
Department of Neurology, Faculty of Medicine, Dokuz Eylül University, İzmir, Turkey.
J Neurol. 2017 Oct;264(Suppl 1):37-41. doi: 10.1007/s00415-017-8439-6. Epub 2017 Mar 9.
The link between vertigo and anxiety is well known. The aim of this study is to compare anxiety disorders in 3 groups: patients with vestibular migraine (VM), patients with migraine but without vertigo (MO) and healthy controls (HC).We performed cross-sectional analysis of following tests: (a) Hamilton Anxiety Rating Scale (HAMA); (b) State-Trait Anxiety Inventory (STAI-X1 and STAI-X2); (c) Beck Depression Inventory (BDI); (d) Panic-Agoraphobic Scale and (e) Penn State Worry Questionnaire (PSWQ). ANOVA, Kruskal-Wallis and Chi-square tests were used for comparisons and least significant difference was used for further post-hoc analysis. There were 35 definite VM patients, 31 MO patients and 32 volunteer HC. There were no significant differences between three groups in age, total years of education or duration of headaches in VM and MO patients. On the other hand, vertigo severity was moderately and positively correlated with headache severity and with headache duration. There were significant differences in scores of HARS, BDI, PSWQ, and various PAS-R sub-scales between the three groups. Our study shows that VM patients are significantly more anxious and agoraphobic than MO patients and HC, displaying higher sensitivity to separation and being more prone to seeking medical reassurance.
眩晕与焦虑之间存在关联，这是众所周知的。本研究旨在比较 3 组人群中的焦虑障碍：前庭性偏头痛（VM）患者、偏头痛但无眩晕（MO）患者和健康对照组（HC）。我们对以下测试进行了横断面分析：（a）汉密尔顿焦虑量表（HAMA）；（b）状态-特质焦虑量表（STAI-X1 和 STAI-X2）；（c）贝克抑郁量表（BDI）；（d）惊恐-广场恐怖症量表和（e）宾夕法尼亚州担忧问卷（PSWQ）。采用方差分析、克鲁斯卡尔-沃利斯检验和卡方检验进行比较，采用最小显著差异进行进一步的事后分析。共有 35 例明确的 VM 患者、31 例 MO 患者和 32 名志愿者 HC。VM 和 MO 患者的年龄、总受教育年限或头痛持续时间在三组之间无显著差异。另一方面，眩晕严重程度与头痛严重程度和头痛持续时间呈中度正相关。HARS、BDI、PSWQ 和各种 PAS-R 子量表的评分在三组之间存在显著差异。我们的研究表明，VM 患者比 MO 患者和 HC 更焦虑和广场恐怖，对分离的敏感性更高，更倾向于寻求医疗保证。
