Comparison of depression, anxiety, sleep quality and quality of life among benign paroxysmal positional vertigo with or without tinnitus
Abstract
Aim: Patients with benign paroxysmal positional vertigo (BPPV) may be accompanied by tinnitus, less frequently and mildly than vertigo secondary to other vestibular disorders. In this study, we aimed to separate patients with BPPV into two different groups, those with and without tinnitus, and to examine and compare depression, anxiety, disability, sleep quality, and quality of life in these patient groups.
Methods: This cross-sectional study included 20 BPPV patients without an acute attack who were referred from the emergency department to the neurology outpatient clinic between April 2022 and July 2022. Beck anxiety scale was used for anxiety, Beck depression inventory was used for depression, Pitsburg sleep quality scale was used for sleep quality, the dizziness handicap inventory (DHI) was used for disability caused by dizziness, and 36-Item Short Form Health Survey (SF-36) was used for quality of life.
Results: 20 BPPV patients were included in the study. While 12 of 20 patients (7 Female, 5 Male) were not accompanied by tinnitus, 8 (5F, 3M) were accompanied by tinnitus. No significant difference was detected between BPVV groups with and without tinnitus. A positive correlation was found between sleep quality and quality of life and its subparameters in BPPV patients. A direct relationship was observed between DHI and its subparameters, physical, functional, and emotional parameters, and quality of life.
Conclusion: No significant relationship was found between the presence or absence of tinnitus and depression, anxiety, sleep quality, disability, and quality of life in BPVV patients.
Keywords
References
- Parnes LS, Agrawal SK, Atlas J. Diagnosis and management of benign paroxysmal positional vertigo (BPPV). CMAJ. 2003;169(7):681-93.
- Baloh RW. Vertigo. Lancet. 1998;352(9143):1841-6.
- Argaet EC, Bradshaw AP, Welgampola MS. Benign positional vertigo, its diagnosis, treatment and mimics. Clin Neurophysiol Pract. 2019;4:97-111.
- Instrum RS, Parnes LS. Benign Paroxysmal Positional Vertigo. Adv Otorhinolaryngol. 2019;82:67-76.
- Barozzi S, Socci M, Ginocchio D, Filipponi E, Martinazzoli MG, Cesarani A. Benign paroxysmal positional vertigo and tinnitus. Int Tinnitus J. 2013;18(1):16-9.
- Zhu C, Li Y, Ju Y, Zhao X. Dizziness handicap and anxiety depression among patients with benign paroxysmal positional vertigo and vestibular migraine. Medicine (Baltimore). 2020;99(52):e23752.
- Brandt T, Dieterich M. ‘Excess anxiety’ and ‘less anxiety’: both depend on vestibular function. Curr Opin Neurol. 2020;33(1):136-41.
- Balaban CD, Jacob RG. Background and history of the interface between anxiety and vertigo. J Anxiety Disord. 2001;15(1-2):27-51.
- Sun J, Ma X, Yang Y, et al. Associations between cognition, anxiety, depression, and residual dizziness in elderly people with BPPV. Front Aging Neurosci. 2023;15:1208661.
- Handa PR, Kuhn AM, Cunha F, Schaffleln R, Ganança FF. Quality of life in patients with benign paroxysmal positional vertigo and/or Ménière’s disease. Braz J Otorhinolaryngol. 2005;71(6):776-82.
- Gámiz MJ, Lopez-Escamez JA. Health-related quality of life in patients over sixty years old with benign paroxysmal positional vertigo. Gerontology. 2004;50(2):82-6.
- Lopez-Escamez JA, Gamiz MJ, Fernandez-Perez A, Gomez-Fiñana M. Long-term outcome and health-related quality of life in benign paroxysmal positional vertigo. Eur Arch Otorhinolaryngol. 2005;262(6):507-11.
- Iranfar K, Azad S. Relationship between benign paroxysmal positional vertigo (BPPV) and sleep quality. Heliyon. 2022;8(1):e08717.
- Shigeno K, Ogita H, Funabiki K. Benign paroxysmal positional vertigo and head position during sleep. J Vestib Res. 2012;22(4):197-203.
- Staab JP, Ruckenstein MJ. Which comes first? Psychogenic dizziness versus otogenic anxiety. Laryngoscope. 2003;113(10):1714-8.
- Ferrari S, Monzani D, Baraldi S, et al. Vertigo “in the pink”: The impact of female gender on psychiatric-psychosomatic comorbidity in benign paroxysmal positional vertigo patients. Psychosomatics. 2014;55(3):280-8.
- Van Hoof L, Kleinjung T, Cardon E, Van Rompaey V, Peter N. The correlation between tinnitus-specific and quality of life questionnaires to assess the impact on the quality of life in tinnitus patients. Front Neurol. 2022;13:969978.
Tinnitusun eşlik ettiği ve etmediği benign paroksismal pozisyonel vertigo hastalarında depresyon anksiyete uyku ve yaşam kalitesi karşılaştırması
Abstract
Amaç: Benign paroksismal pozisyonel vertigo (BPPV) hastalarına diğer vestibüler bozukluklara sekonder olan vertigolardan daha seyrek ve ılımlı olarak tinnitus eşlik edebilmektedir. Bu çalışmada BPPV’li hastaları tinnitusun eşlik ettiği ve etmediği olmak üzere iki farklı grubu ayırarak, bu hasta gruplarında depresyon, anksiyete, engellilik, uyku kalitesi ve yaşam kalitesini incelemeyi ve birbirleriyle mukayese etmeyi amaçladık.
Yöntemler: Bu kesitsel çalışmaya Nisan 2022 ve Temmuz 2022 tarihleri arasında acil servisten nöroloji polikliniğine yönlendirilen akut atakta olmayan 20 BPPV hastası dâhil edilmiştir. Anksiyete için Beck Anksiyete Ölçeği, depresyon için Beck depresyon envanteri, uyku kalitesi için Pitsburg uyku kalite ölçeği, baş dönmesinin oluşturduğu engellilik için Baş Dönmesi Engellilik Anketi (Dizziness Handicap Invontery: DHI), yaşam kalitesi için SF-36 (36-Item Short Form Health Survey) kullanılmıştır.
Bulgular: Bu çalışmaya katılan toplam 20 hastanın 12’sine (7 Kadın, 5 Erkek) tinnitus eşlik etmiyorken 8’ine (5K, 3E) tinnitus eşlik etmekteydi. Tinnitus eşlik eden ve etmeyen BPVV grupları arasında anlamlı fark saptanmadı. Uyku kalitesinin BPPV hastalarında yaşam kalitesi ve alt parametreleri üzerinde pozitif korelasyonu saptandı. DHI ve alt parametreleri olan fiziksel, fonksiyonel ve emosyonel parametreler ve hayat kalitesi arasında doğrudan ilişki izlendi.
Sonuç: BPVV hastalarında tinnitusun eşlik edip etmemesi ile depresyon, anksiyete, uyku kalitesi, engellilik ve yaşam kalitesi üzerinde anlamlı bir ilişki bulunmamıştır.
Keywords
Ethical Statement
Bu çalışma için Göztepe Prof Dr Süleyman Yalçın Şehir Hastanesi Etik Kurulu'ndan onay alınmıştır. Etik Kurul Numara: 2022/0141 Tarih: 16.03.2022
Supporting Institution
Yok
Thanks
Yok
References
- Parnes LS, Agrawal SK, Atlas J. Diagnosis and management of benign paroxysmal positional vertigo (BPPV). CMAJ. 2003;169(7):681-93.
- Baloh RW. Vertigo. Lancet. 1998;352(9143):1841-6.
- Argaet EC, Bradshaw AP, Welgampola MS. Benign positional vertigo, its diagnosis, treatment and mimics. Clin Neurophysiol Pract. 2019;4:97-111.
- Instrum RS, Parnes LS. Benign Paroxysmal Positional Vertigo. Adv Otorhinolaryngol. 2019;82:67-76.
- Barozzi S, Socci M, Ginocchio D, Filipponi E, Martinazzoli MG, Cesarani A. Benign paroxysmal positional vertigo and tinnitus. Int Tinnitus J. 2013;18(1):16-9.
- Zhu C, Li Y, Ju Y, Zhao X. Dizziness handicap and anxiety depression among patients with benign paroxysmal positional vertigo and vestibular migraine. Medicine (Baltimore). 2020;99(52):e23752.
- Brandt T, Dieterich M. ‘Excess anxiety’ and ‘less anxiety’: both depend on vestibular function. Curr Opin Neurol. 2020;33(1):136-41.
- Balaban CD, Jacob RG. Background and history of the interface between anxiety and vertigo. J Anxiety Disord. 2001;15(1-2):27-51.
- Sun J, Ma X, Yang Y, et al. Associations between cognition, anxiety, depression, and residual dizziness in elderly people with BPPV. Front Aging Neurosci. 2023;15:1208661.
- Handa PR, Kuhn AM, Cunha F, Schaffleln R, Ganança FF. Quality of life in patients with benign paroxysmal positional vertigo and/or Ménière’s disease. Braz J Otorhinolaryngol. 2005;71(6):776-82.
- Gámiz MJ, Lopez-Escamez JA. Health-related quality of life in patients over sixty years old with benign paroxysmal positional vertigo. Gerontology. 2004;50(2):82-6.
- Lopez-Escamez JA, Gamiz MJ, Fernandez-Perez A, Gomez-Fiñana M. Long-term outcome and health-related quality of life in benign paroxysmal positional vertigo. Eur Arch Otorhinolaryngol. 2005;262(6):507-11.
- Iranfar K, Azad S. Relationship between benign paroxysmal positional vertigo (BPPV) and sleep quality. Heliyon. 2022;8(1):e08717.
- Shigeno K, Ogita H, Funabiki K. Benign paroxysmal positional vertigo and head position during sleep. J Vestib Res. 2012;22(4):197-203.
- Staab JP, Ruckenstein MJ. Which comes first? Psychogenic dizziness versus otogenic anxiety. Laryngoscope. 2003;113(10):1714-8.
- Ferrari S, Monzani D, Baraldi S, et al. Vertigo “in the pink”: The impact of female gender on psychiatric-psychosomatic comorbidity in benign paroxysmal positional vertigo patients. Psychosomatics. 2014;55(3):280-8.
- Van Hoof L, Kleinjung T, Cardon E, Van Rompaey V, Peter N. The correlation between tinnitus-specific and quality of life questionnaires to assess the impact on the quality of life in tinnitus patients. Front Neurol. 2022;13:969978.
Details
| Primary Language | English |
|---|---|
| Subjects | Clinical Sciences (Other) |
| Journal Section | ORIGINAL ARTICLE |
| Authors | |
| Publication Date | January 27, 2024 |
| Submission Date | October 27, 2023 |
| Acceptance Date | December 5, 2023 |
| Published in Issue | Year 2024 Volume: 29 Issue: 1 |
This Journal licensed under a CC BY-NC (Creative Commons Attribution-NonCommercial 4.0) International License.