Kronik subjektif dizziness hastalarında anksiyete duyarlılığı, depresyon ve kişilik özelliklerinin değerlendirilmesi

Öz

Amaç: Dizziness ve vertigo otolaringoloji, nöroloji ve psikiyatri kliniklerinde en sık görülen semptomlar arasındadır. Bu çalışmada kronik subjektif dizziness hastalarında anksiyete duyarlılığı, depresyon ve kişilik özelliklerinin değerlendirilmesi amaçlanmıştır.

Yöntemler: Periferik vestibüler hastalık hikayesi olmayan en az 3 aydır süren subjektif dizziness şikayeti olan 51 hasta ile 51 sağlıklı gönüllü çalışmaya dahil edildi. Anksiyete Duyarlılığı İndeksi-3 (ASI-3), Beck Anksiyete Ölçeği (BAI), Beck Depresyon Ölçeği (BDI) ve Eysenk Kişilik Envanteri (EPQ) psikiyatri uzmanı tarafından hasta ve kontrol grubuna uygulandı. 

Bulgular: Gruplar arasında anksiyete duyarlılık indeksi-3 ölçeğinde anlamlı farklılık bulunmadı (P=0.119). Hasta grubunda BAI değerleri kontrol grubuna göre istatiksel olarak anlamlı yüksekti (P<0.001). BDI değerleri hasta grubunda kontrol grubuna göre daha yüksek olmasına rağmen aradaki fark istatiksel olarak anlamlı değildi (P=0.052). 

Sonuç: Sonuç olarak anksiyete semptomu ve nevrotik kişilik özelliklerinin varlığı dizziness gelişimini ya da hastalığın seyrini kötüleştirebilir. Nörolojik ve otolojik problemi olmayan dizziness hastalarının tedavisinde multidisipliner yaklaşım hastalığın seyri ve hastaların yaşam kalitesi üzerine olumlu katkılar sağlayacaktır.

Anahtar Kelimeler

• Dizziness,Anksiyete duyarlılığı,Kişilik özellikleri,Depresyon

Evaluation of anxiety sensitivity, depression, and personality characteristics in chronic subjective dizziness patients

Abstract

Aim: Dizziness and vertigo are among the most common symptoms in otolaryngology, neurology and psychiatry clinics. In this study, it was aimed to evaluate anxiety sensitivity, depression and personality traits in patients who were followed up with chronic subjective dizziness.

Methods: Fifty-one patients with dizziness complaints for at least 3 months and no history of peripheral vestibular disease were enrolled to the patient group, and 51 healthy controls were enrolled to the control group of this case-control study. Anxiety Sensitivity Index-3 (ASI-3), Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI) and Eysenck Personality Questionnaire (EPQ) scale forms were applied to the patient and control groups by a psychiatrist.

Results: There was no statistically significant difference in ASI-3 between the groups (P=0.119). In the patient group, the BAI values were found higher than the control group (P<0.001). While BDI values between the patient and control groups were similar, there was a trend for higher depression scores in the patients compared with the healthy individuals (P=0.052). 

Conclusion: As a result, the presence of anxiety symptoms and neurotic personality characteristics may worsen dizziness development or disease progression. In the treatment of dizziness patients without neurological and otologic problems, a multidisciplinary approach will provide positive contributions to the course of the disease and to the quality of life of the patients.

Keywords

• Dizziness
• Anxiety sensitivity
• Personality traits
• Depression

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