Psychological Comparison of Adults with Dizziness: Depression, Anxiety, and Somatization in Typical vs. Abnormal Vestibular Test Results

Hanifi Korkmaz; Ahmet Kutluhan; Banu Müjdeci; Erkan Karataş

Makale detayları

Psychological Comparison of Adults with Dizziness: Depression, Anxiety, and Somatization in Typical vs. Abnormal Vestibular Test Results

Yazarlar:

Hanifi Korkmaz | Ahmet Kutluhan | Banu Müjdeci | Erkan Karataş

Yayıncı:

Aydin Adnan Menderes University

Ana Başlıklar:

Otorhinolaryngology | Psychiatry | Sensory Systems | Health Care Administration

Dergi:

Meandros Medical And Dental Journal Vol.26 Issue 2, pp.177-184

Belge Tipi:

Makale

Yayın Tarihi:

6/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001348319

pISSN:

2149-9063

Anahtar kelimeler:

Özet:

 Introduction: The association between vestibular deficits and psychological symptoms remains controversial. Thus, this paper aims to report the psychological state of patients complaining of dizziness according to whether their symptoms are observed or not. Methods: Sixty patients with dizziness symptoms were included in the study. Videonystagmography, video head impulse test, and vestibulospinal tests were applied to all patients. 30 dizzy patients with positive findings were included in Group I, and 30 dizzy patients with typical results from all tests were included in Group II. All individuals were asked to fill out the Beck Depression Inventory, Beck Anxiety Inventory, Dizziness Handicap Inventory, and Somatization subscale of the Symptom Checklist, and the findings were compared between the two groups. The relationship between BDI, BAI, and SOM results and vHIT and DHI scores in all individuals was examined. Results: There was no significant difference between the two groups regarding depression, anxiety, and somatization. The level of disability due to dizziness was significantly higher in group II compared to group I. A significant correlation was found between DHI scores and depression and anxiety scores in all patients. Similar psychogenic effects were observed between the groups. However, individuals with dizziness who had regular vestibular tests had a higher level of disability due to dizziness. Conclusion: Evaluation of psychogenic affect and disability due to dizziness by questionnaires in dizzy individuals with regular vestibular tests can be a guide in performing advanced vestibular examinations or directing the patient to a comprehensive psychological evaluation.

 Introduction: The association between vestibular deficits and psychological symptoms remains controversial. Thus, this paper aims to report the psychological state of patients complaining of dizziness according to whether their symptoms are observed or not. Methods: Sixty patients with dizziness symptoms were included in the study. Videonystagmography, video head impulse test, and vestibulospinal tests were applied to all patients. 30 dizzy patients with positive findings were included in Group I, and 30 dizzy patients with typical results from all tests were included in Group II. All individuals were asked to fill out the Beck Depression Inventory, Beck Anxiety Inventory, Dizziness Handicap Inventory, and Somatization subscale of the Symptom Checklist, and the findings were compared between the two groups. The relationship between BDI, BAI, and SOM results and vHIT and DHI scores in all individuals was examined. Results: There was no significant difference between the two groups regarding depression, anxiety, and somatization. The level of disability due to dizziness was significantly higher in group II compared to group I. A significant correlation was found between DHI scores and depression and anxiety scores in all patients. Similar psychogenic effects were observed between the groups. However, individuals with dizziness who had regular vestibular tests had a higher level of disability due to dizziness. Conclusion: Evaluation of psychogenic affect and disability due to dizziness by questionnaires in dizzy individuals with regular vestibular tests can be a guide in performing advanced vestibular examinations or directing the patient to a comprehensive psychological evaluation.

 Introduction: The association between vestibular deficits and psychological symptoms remains controversial. Thus, this paper aims to report the psychological state of patients complaining of dizziness according to whether their symptoms are observed or not. Methods: Sixty patients with dizziness symptoms were included in the study. Videonystagmography, video head impulse test, and vestibulospinal tests were applied to all patients. 30 dizzy patients with positive findings were included in Group I, and 30 dizzy patients with typical results from all tests were included in Group II. All individuals were asked to fill out the Beck Depression Inventory, Beck Anxiety Inventory, Dizziness Handicap Inventory, and Somatization subscale of the Symptom Checklist, and the findings were compared between the two groups. The relationship between BDI, BAI, and SOM results and vHIT and DHI scores in all individuals was examined. Results: There was no significant difference between the two groups regarding depression, anxiety, and somatization. The level of disability due to dizziness was significantly higher in group II compared to group I. A significant correlation was found between DHI scores and depression and anxiety scores in all patients. Similar psychogenic effects were observed between the groups. However, individuals with dizziness who had regular vestibular tests had a higher level of disability due to dizziness. Conclusion: Evaluation of psychogenic affect and disability due to dizziness by questionnaires in dizzy individuals with regular vestibular tests can be a guide in performing advanced vestibular examinations or directing the patient to a comprehensive psychological evaluation.

 Amaç: Bu çalışma, baş dönmesi şikayeti olan bireylerde vestibüler test sonuçları ile depresyon, anksiyete ve somatizasyon düzeyleri arasındaki ilişkiyi incelemeyi amaçlamaktadır. Ayrıca, vestibülo-oküler refleks VOR test bulguları ile subjektif değerlendirme ölçekleri arasındaki korelasyon değerlendirilmiştir. Gereç ve Yöntemler: Baş dönmesi şikayeti olan 60 hasta iki gruba ayrıldı: Grup I n30, vestibüler testlerde anormal bulgu saptananlar ve Grup II n30, vestibüler testleri normal olanlar. Tüm katılımcılara odyolojik ve vestibüler değerlendirmeler videonistagmografi VNG, video baş impuls testi vHIT ile birlikte psikolojik ölçekler Beck Depresyon Envanteri BDI, Beck Anksiyete Envanteri BAI, Belirti Tarama Listesi-90 SCL-90 Somatizasyon alt ölçeği uygulandı. Veriler SPSS 22.0 programı kullanılarak analiz edildi ve istatistiksel anlamlılık düzeyi p0.05 olarak kabul edildi. Bulgular: BDI, BAI ve somatizasyon puanları açısından gruplar arasında anlamlı fark gözlenmedi p0.05. Ancak Grup Ite Dizziness Handicap Inventory DHI toplam ve duygusal alt ölçek puanları anlamlı şekilde daha yüksek bulundu p0.05. Ayrıca bu grupta DHI ile BDI ve BAI arasında pozitif korelasyon saptandı p0.05. Her iki grupta da vHIT sonuçları ile psikolojik değerlendirme ölçekleri arasında anlamlı bir ilişki bulunmadı. Sonuç: Vestibüler test sonuçları, depresyon, anksiyete ve somatizasyon düzeylerini doğrudan etkilememektedir. Bununla birlikte, DHI gibi subjektif ölçekler baş dönmesinin psikolojik etkilerini yansıtabilir ve bu ölçümler, klinik yönlendirme süreçlerinde yardımcı bir araç olarak değerlendirilebilir.

Makale detayları

Psychological Comparison of Adults with Dizziness: Depression, Anxiety, and Somatization in Typical vs. Abnormal Vestibular Test Results

Yazarlar:

Hanifi Korkmaz | Ahmet Kutluhan | Banu Müjdeci | Erkan Karataş

Yayıncı:

Aydin Adnan Menderes University

Ana Başlıklar:

Otorhinolaryngology | Psychiatry | Sensory Systems | Health Care Administration

Dergi:

Meandros Medical And Dental Journal Vol.26 Issue 2, pp.177-184

Belge Tipi:

Makale

Yayın Tarihi:

6/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001348319

pISSN:

2149-9063

Dizziness

Typical Vestibular results

Psychological affect

undiagnosed dizzinessBaş dönmesi

vestibüler sistem

vHIT

anksiyete

depresyon

somatizasyon

Sayı

Makale detayları

Yazarlar: Hanifi Korkmaz | Ahmet Kutluhan | Banu Müjdeci | Erkan Karataş

Yayıncı: Aydin Adnan Menderes University

Ana Başlıklar: Otorhinolaryngology | Psychiatry | Sensory Systems | Health Care Administration

Dergi: Meandros Medical And Dental Journal Vol.26 Issue 2, pp.177-184

Belge Tipi: Makale

Yayın Tarihi: 6/2025

Belge Dili: İngilizce

Document ID (Org No.): 2001348319

pISSN: 2149-9063

Sayı

Yazarlar:

Hanifi Korkmaz | Ahmet Kutluhan | Banu Müjdeci | Erkan Karataş

Yayıncı:

Aydin Adnan Menderes University

Ana Başlıklar:

Otorhinolaryngology | Psychiatry | Sensory Systems | Health Care Administration

Dergi:

Meandros Medical And Dental Journal Vol.26 Issue 2, pp.177-184

Belge Tipi:

Makale

Yayın Tarihi:

6/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001348319

pISSN:

2149-9063