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Cited by 265Vestibular and auditory disordersPsychosomatic Disorders and Their TreatmentsCardiovascular Syncope and Autonomic Disorders

The DOI matches its Crossref record; 14 of the 14 references it cites were found in a registry or an index.

Which comes first? psychogenic dizziness versus otogenic anxiety

Staab, Jeffrey P., Ruckenstein, Michael J.·2003·The Laryngoscope
DOI 10.1097/00005537-200310000-00010
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Abstract

SUMMARY: OBJECTIVE To investigate the hypotheses that physical neurotologic conditions may trigger anxiety disorders (otogenic pattern of illness), that psychiatric disorders may produce dizziness (psychogenic pattern), and that risk factors for these syndromes may be identified. STUDY DESIGN Retrospective review of all patients (N = 132) treated at a tertiary care balance center from 1998 to 2002 for psychogenic dizziness with or without physical neurotologic illnesses. METHODS All patients underwent comprehensive neurotologic and psychiatric evaluations with attention to the longitudinal course of symptoms and risk factors for psychopathology. Patients were grouped according to the condition first causing dizziness. Risk factors were compared across groups. RESULTS Three equally prevalent patterns of illness were found: anxiety disorders as the sole cause of dizziness (33% of cases), neurotologic conditions exacerbating preexisting psychiatric disorders (34%), and neurotologic conditions triggering new anxiety or depressive disorders (33%). Panic disorder and agoraphobia were significantly more prevalent than less severe phobias in the first two groups, whereas the opposite pattern existed in the third group (P <.0001). More patients in the first two groups had risk factors for anxiety disorders (P <.05). Depression was not a primary cause of dizziness in any patient. Vestibular neuronitis, benign paroxysmal positional vertigo, and migraine were the most common neurotologic conditions. CONCLUSIONS These data support the hypothesis that physical neurotologic conditions may trigger psychopathology as often as primary anxiety disorders cause dizziness. A third pattern appears to be equally common wherein physical neurotologic conditions exacerbate preexisting psychiatric illnesses. Individuals at risk for anxiety disorders may be more likely to have primary psychopathology.

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Crossref · 10.1097/00005537-200310000-00010

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  1. American Academy of Otolaryngology, Head Neck Surgery, 1985, Ménière's disease criteria for diagnosis and evaluation of therapy for reporting, AAO‐HNS Bull, 7, 6

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Metadata

Authors
Staab, J. P., & Ruckenstein, M. J.
Affiliations
  • Hospital of the University of Pennsylvania (US)
  • University of Pennsylvania (US)
ORCID
Staab, Jeffrey P.
Venue
The Laryngoscope
Publisher
Wiley
Published
2003-10
Volume
113
Issue
10
Pages
1714-1718
ISSN
  • 0023-852X (ISSN-L)
  • 1531-4995
DOI
10.1097/00005537-200310000-00010
OpenAlex
W2150304727
Cited by
265
References
14
Citations by year
2026: 11 · 2025: 10 · 2024: 12 · 2023: 17 · 2022: 12 · 2021: 17 · 2020: 18 · 2019: 12 · 2018: 13 · 2017: 13 · 2016: 16 · 2015: 10 · 2014: 12 · 2013: 8 · 2012: 8
FWCI
5.26
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor, 2529 d)
Locations
  • The Laryngoscope (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Life Sciences › Neuroscience › Neurology › Vestibular and auditory disorders
  • Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Syncope and Autonomic Disorders
Keywords
psychogenic dizziness, anxiety disorders, panic disorder, agoraphobia, phobia, depression, vestibular neuritis, benign paroxysmal positional vertigo, migraine, risk factors, psychiatric comorbidity, balance disorders
MeSH terms
Adolescent, Adult, Aged, Aged, 80 and over, Anxiety Disorders, Chronic Disease, Dizziness, Female, Humans, Male, Middle Aged, Risk Factors, Logistic Models

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