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Cited by 142Vestibular and auditory disordersNausea and vomiting managementCardiovascular Syncope and Autonomic Disorders

The DOI matches its Crossref record; 52 of the 53 references it cites were found in a registry or an index.

Who is at risk for ongoing dizziness and psychological strain after a vestibular disorder?

Best, C., Tschan, R., Eckhardt-Henn, A., Dieterich, M.·2009·Neuroscience
DOI 10.1016/j.neuroscience.2009.09.034
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Abstract

Patients with vestibular vertigo syndromes often suffer from anxiety and depression, whereas patients with psychiatric disorders often experience subjective unsteadiness, dizziness, or vertigo. Thus, it has been hypothesized that the vestibular system may be interlinked with the emotion processing systems. The aim of the current study was to evaluate this hypothesis by correlating vestibular and psychiatric symptoms with the course of the disease over 1 year. This interdisciplinary, prospective, longitudinal study included a total of 68 patients with acute vestibular vertigo syndromes. Four subgroups of patients with benign paroxysmal positioning vertigo (BPPV, n=19), acute vestibular neuritis (VN, n=14), vestibular migraine (VM, n=27), or Menière's disease (MD, n=8) were compared. All patients underwent neurological and neuro-otological examinations and filled out standardized self-report inventories including the Vertigo Symptom Scale (VSS), the Vertigo Handicap Questionnaire (VHQ) and the Symptom Checklist 90R (GSI, SCL-90R) at five different times (T0-T4) in the course of 1 year. VM patients experienced significantly more "vertigo and related symptoms" (VSS-VER), "somatic anxiety and autonomic arousal" (VSS-AA), and "vertigo induced handicap" (VHQ) than all other patients (P<0.001-P=0.006). Patients with a positive history of psychiatric disorders had significantly more emotional distress (GSI, SCL-90R), regardless of the specific phenomenology of the four diagnostic subgroups. Finally, fluctuations of vestibular excitability correlated positively with the extent of subjectively perceived vertigo. VM patients are significantly more handicapped by vertigo and related symptoms. They show significantly elevated fluctuations of vestibular excitability, which correlate with the (subjective) severity of vertigo symptoms.

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Research works printed but not linked: 2

  1. Tschan, 2008, Subjective impairment and health care utilization in patients with somatoform dizziness-results of a three year follow-up study, J Psychsom Res, 64, 678
  2. Zwanzger, 2005, Selective GABAergic treatment for panic?, J Psychiatry Neurosci, 30, 167

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Metadata

Authors
Best, C., Tschan, R., Eckhardt-Henn, A., & Dieterich, M.
Affiliations
Johannes Gutenberg University Mainz (DE)
Corresponding author
Best, C.
ORCID
Dieterich, M.
Venue
Neuroscience
Publisher
Elsevier BV
Published
2009-12
Volume
164
Issue
4
Pages
1579-1587
ISSN
0306-4522 (ISSN-L)
DOI
10.1016/j.neuroscience.2009.09.034
OpenAlex
W1999864054
Cited by
142
References
53
Citations by year
2026: 10 · 2025: 14 · 2024: 10 · 2023: 13 · 2022: 16 · 2021: 9 · 2020: 12 · 2019: 8 · 2018: 7 · 2017: 5 · 2016: 7 · 2015: 3 · 2014: 8 · 2013: 5 · 2012: 6
FWCI
3.19
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Neuroscience (publishedVersion)
  • PubMed (publishedVersion)
Funders
Deutsche Forschungsgemeinschaft (DFG (EC 220/2-1)
Topics
  • Life Sciences › Neuroscience › Neurology › Vestibular and auditory disorders
  • Health Sciences › Medicine › Surgery › Nausea and vomiting management
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Syncope and Autonomic Disorders
Keywords
vestibular vertigo, vestibular migraine, benign paroxysmal positional vertigo, acute vestibular neuritis, Meniere's disease, dizziness, anxiety, depression, psychological distress, vestibular excitability, emotional distress, clinical course
MeSH terms
Dizziness, Female, Humans, Male, Meniere Disease, Middle Aged, Migraine Disorders, Prospective Studies, Stress, Psychological, Syndrome, Vertigo, Vestibular Diseases, Vestibular Neuronitis

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