Marques Tatiana, Bernardo Patrícia, Serrano Margarida
Coimbra Institute for Biomedical Imaging and Translational Research, University of Coimbra, 3000-548 Coimbra, Portugal.
Polytechnic University of Coimbra, Rua da Misericórdia, Lagar dos Cortiços, S. Martinho do Bispo, 3045-093 Coimbra, Portugal.
Audiol Res. 2025 May 12;15(3):57. doi: 10.3390/audiolres15030057.
The ability of young adults to control their balance is generally effortless and can occur automatically with minimal cognitive involvement. However, this ability may be compromised when integration conflicts arise due to impairments in vestibular, visual, or somatosensory functions. Hence, psychomotor symptoms linked to emotional states can also influence postural control. The purpose of this study was to understand the effects of anxiety and depression on balance in young adults. Our study included 50 young adults (21.86 ± 2.63 years), consisting of 13 males and 37 females. Anxiety and depressive symptoms were evaluated using the Hospital Anxiety and Depression Scale (HADS), while balance was assessed through the Modified Clinical Test for the Sensory Interaction on Balance (mCTSIB). Data analysis was conducted using Pearson's correlation coefficient test and the Kruskal-Wallis test. Pearson's correlation analysis indicated that young adults exhibited stable postural control. However, a positive correlation (0.259, < 0.1) was observed between anxiety levels and the sway index. Additionally, positive correlations were found between anxiety and both somatosensory (0.281, < 0.05) and visual (0.276, < 0.1) ratios. The results suggest that higher anxiety levels are associated with reduced postural balance, with sensory inputs, particularly visual and somatosensory, playing a key role in this decreased stability.
年轻人控制平衡的能力通常毫不费力,且在认知参与度极低的情况下就能自动实现。然而,当由于前庭、视觉或体感功能受损而出现整合冲突时,这种能力可能会受到影响。因此,与情绪状态相关的精神运动症状也会影响姿势控制。本研究的目的是了解焦虑和抑郁对年轻人平衡能力的影响。我们的研究纳入了50名年轻人(21.86±2.63岁),其中男性13名,女性37名。使用医院焦虑抑郁量表(HADS)评估焦虑和抑郁症状,同时通过改良的平衡感觉交互临床测试(mCTSIB)评估平衡能力。数据分析采用Pearson相关系数检验和Kruskal-Wallis检验。Pearson相关分析表明,年轻人表现出稳定的姿势控制。然而,焦虑水平与摇摆指数之间存在正相关(0.259,<0.1)。此外,焦虑与体感(0.281,<0.05)和视觉(0.276,<0.1)比率之间也存在正相关。结果表明,较高的焦虑水平与姿势平衡能力下降有关,感觉输入,尤其是视觉和体感输入,在这种稳定性下降中起关键作用。