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A Journal on Psychiatry, Psychology and Psychopharmacology
Official Journal of the Italian Society of Social Psychiatry
Indexed/Abstracted in: EMBASE, e-psyche, PsycINFO, Scopus
Minerva Psichiatrica 2010 December;51(4):255-62
Psychiatric comorbidity of benign paroxysmal positional vertigo
Al-Huthail Y. R.
Consultation-Liaison Psychiatry Unit Psychiatry Department, King Khaled University Hospital, King Saud University, Riyadh, Saudi Arabia
Aim. Vertigo is a psychologically disabling symptom and is known to have psychiatric comorbidity. This study aimed to evaluate the psychiatric comorbidity of patients with benign paroxysmal positional vertigo (BPPV).
Methods. This cross-sectional study included a total of 95 outpatients with BPPV and 109 controls who are BPPV-free neurotologic outpatients . Patients and controls were screened for psychiatric comorbidity using the General Health Questionnaire (GHQ-28), and depressive and anxiety symptoms were measured with the Hospital Anxiety and Depression Scale (HADS).
Results. The mean scores in the GHQ-28 were statistically significantly higher in the case group than in the control group in overall GHQ-28 as well as in its subscales. Of the BPPV cases, 63.2% had anxiety compared with 42.2% of the controls (p=0.003), while 42.1% of BPPV cases had depression compared with 30.3% of the controls (p=0.079). The risk of anxiety was 2.35 times higher for the case group than for the control group. Only female gender and BPPV were independently statistically associated with anxiety but not with depression.
Conclusion. Psychiatric comorbidity in general and anxiety in particular are common among BPPV patients. Interdisciplinary assessment and treatment is an essential component of the health care of BPPV patients.