MacDowell Sara G, Wellons Rachel, Bissell Ashlen, Knecht Lisa, Naquin Caitlin, Karpinski Aryn
Our Lady of the Lake Hearing and Balance Center, Baton Rouge, LA, USA.
Department of Physical Therapy, Louisiana State University Health Sciences Center New Orleans, New Orleans, LA, USA.
J Vestib Res. 2018;27(5-6):295-303. doi: 10.3233/VES-170627.
Anxiety and depression are common in individuals with vestibular disorders and anecdotally symptoms of these disorders have been associated with poorer scores on subjective outcome measures of dizziness and balance. It is unknown if symptoms of psychological distress impact individual outcomes with vestibular rehabilitation therapy (VRT).
To compare subjective and objective outcome measures in subjects with vestibular disorders who have symptoms of anxiety and/or depression to those who do not exhibit those symptoms.
A retrospective chart review was performed at two outpatient vestibular rehabilitation clinics. Data recorded included demographics, scores on the Positive and Negative Affective Scale (PANAS), and subjective and objective outcome measures of balance and gait.
The PANAS scale was utilized to group subjects (N = 118) into two groups: Subjects with abnormal affect (SAA) (18.6%; N = 22) and subjects with normal affect (SNA) (81.4%; N = 96). Both groups demonstrated a statistically significant improvement in all outcome measures (p < 0.001) from evaluation to discharge. SAA subjects took longer than SNA subjects to achieve goals (p < 0.05). SAA subjects tended to have poorer outcome measure scores at both initial and final assessment, but this was not statistically significant (p > 0.05).
Results from this study indicate that VRT is effective in treating vestibular disorders in individuals with symptoms of psychological distress such as anxiety and depression. However, individuals with these symptoms may not achieve as high of outcomes as those that do not report symptoms of psychological distress.
焦虑和抑郁在前庭疾病患者中很常见，并且据传闻，这些疾病的症状与头晕和平衡的主观结果测量得分较低有关。尚不清楚心理困扰症状是否会影响前庭康复治疗（VRT）的个体疗效。
比较有焦虑和/或抑郁症状的前庭疾病患者与无这些症状的患者的主观和客观结果测量。
在两家门诊前庭康复诊所进行了一项回顾性病历审查。记录的数据包括人口统计学、正负情感量表（PANAS）得分以及平衡和步态的主观和客观结果测量。
使用PANAS量表将受试者（N = 118）分为两组：情感异常受试者（SAA）（占18.6%；N = 22）和情感正常受试者（SNA）（占81.4%；N = 96）。从评估到出院，两组在所有结果测量中均显示出统计学上的显著改善（p < 0.001）。SAA受试者比SNA受试者花费更长时间达到目标（p < 0.05）。SAA受试者在初始和最终评估时的结果测量得分往往较低，但这在统计学上并不显著（p > 0.05）。
本研究结果表明，VRT对治疗有焦虑和抑郁等心理困扰症状的个体的前庭疾病有效。然而，有这些症状的个体可能无法取得与未报告心理困扰症状的个体一样高的疗效。
