Psychological profile and personal traits in patients with vestibular dysfunction

Year 2018, Volume: 43 Number: Supplement 1, 30 - 37, 29.12.2018

Saime Sağıroğlu , Fatma Özlem Orhan , Nur Yucel Ekici Adem Doğaner

https://doi.org/10.17826/cumj.389789

Cited By: 1

Abstract

Purpose: The aim of this study is to evaluate the psychological profile and personality traits of patients with vestibular dysfunction (VD).

Materials and Methods: A total of 452 participants, 225 patients with VD and 227 control subjects who had no complaints of VD, were included in the study. Otorhinolaryngologic examination and vestibular assessment were performed. The Dizziness Handicap Inventory (DHI) was completed by the patients to determine the handicap and the severity caused by dizziness. The psychological aspects of the patients were assessed using the Eysenck Personality Questionnaire-Revised Abbreviated form (EPQR-A), Type D personality scale (DS-14), and the Hospital Anxiety and Depression Scale (HADS).

Results: Of the 452 participants, 157 (69.8%) were female and 68 (30.2%) were male, while, of the control subjects, 133 (58.6%) were female and 94 (41.4%) were male. It was found that 81 (36%) patients and 42 (18.2%) control subjects had received psychiatric treatment. The EPQR-A neuroticism subscale and the anxiety and depression subscale of the HADS were statistically significantly higher in the patients. The negative emotions and social suppression subscales of the DS-14 were statistically significantly higher in the patients.

Conclusion: This study revealed that neurotic personality traits and type D personality were higher in patients with VD. Thus, we believe that the psychological profile and personality traits of patients complaining of vestibular diseases are important in diagnosis and treatment.

Keywords

Vestibular dysfunction, dizziness handicap inventory, anxiety, depression, neuroticism

Vestibüler disfonksiyonlu hastalarda psikolojik profil ve kişilik özellikleri

Abstract

Amaç: Bu çalışmada, vestibüler disfonksiyonlu hastaların, psikolojik profil ve kişilik özelliklerini değerlendirmeyi amaçlanmıştır.

Gereç ve Yöntem: Vestibüler disfonksiyon şikayeti olan 225 hasta ve vestibüler disfonksiyon şikayeti olmayan 227 kontrol olmak üzere toplam 452 kişi çalışmaya alındı. Otorinolaringolojik muayene ve vestibüler değerlendirme yapıldı. Baş dönmesinin yol açtığı özür ve şiddeti belirlemek için Dizziness Handicap İndeksi (DHI) formu hastalar tarafından dolduruldu. Hasta ve kontrol grubuna, Eysenck Personality Questionnaire-Revised Abbreviated (EPQR-A), Type D personality scale (DS-14) ve Hospital Anxiety Depression Scale (HADS) formları dolduruldu.

Bulgular: Hastaların 157’si (%69.8) kadın, 68’i (%30.2) erkek, kontrollerin 133’ü (%58.6) kadın, 94’ü (%41.4) erkek idi. Hasta ve kontrol grubunda ortalama yaş 39.72±14.08 ve 35.02±11.80 idi. Hastaların 81’inin (%36), kontrollerin 42’sinin (%18.4) psikiyatrik tedavi aldığı saptandı. EPQR-A, nevrotizm alt ölçeği, vertigolu hastalarda kontrol grubuna göre istatistiksel olarak anlamlı düzeyde daha yüksek bulundu. HADS’ın anksiyete ve depression alt ölçeği, vertigolu hastalarda kontrol grubuna göre daha yüksek ve istatistiksel olarak anlamlı bulundu. DS 14’ün, negative emotions and social suppression alt ölçekleri, vertigolu hastalarda kontrol grubuna göre daha yüksek ve istatistiksel olarak anlamlı olarak bulundu.

Sonuç: Bu çalışma, vestibüler disfonksiyonlu hastalarda "nevrotik" kişilik özelliklerinin ve Tip D kişiliğin daha yüksek oranda olduğunu gösterdi. Sonuç olarak, vestibüler hastalıklardan şikayet eden hastaların psikolojik profil ve kişilik özelliklerinin, tanı ve tedavide önemli olduğunu düşünmekteyiz.

Keywords

Vestibüler disfonksiyon, dizziness handicap indeksi, anksiyete, depresyon, nevrotizm

References

• 24. Ishiyama A, Jacobson KM, Baloh RW. Migraine and benign positional vertigo. Ann Otol Rhinol Laryngol 2000;109:377–80.
• 6. Best C, Eckhardt-Henn A, Tschan R, Dieterich M. Psychiatric morbidity and comorbidity in different vestibular vertigo syndromes. Result of prospective longitudinal study over one year. J Neurol 2009;256:58–65.
• 25. Tusa RJ. Psychological problems and the dizzy patient. In: Herdman SJ, ed. Vestibular Rehabilitation, 3rd ed. F.A. Davis Company; 2007;214-26.
• 26. Bienvenu, OJ, Hettema JM, Neale MC, Prescott CA, Kendler KS. Low extraversion and high neuroticism as indices of genetic and environmental risk for social phobia, agoraphobia, and animal phobia. Am J Psychiatry 2007;164:1714–21.
• 20. Aydemir O, Guvenir T, Kuey L, Kultur S. Validity and reliability of Turkish version of hospital anxiety and depression scale. Turk Psikiyatri Derg 1997;84:280-7.
• 27. Evren C, Dalbudak E, Ozen S, Evren B. The relationship of social anxiety disorder symptoms with probable attention deficit hyperactivity disorder in Turkish university students; impact of negative affect and personality traits of neuroticism and extraversion. Psychiatry Res 2017;254:158-63.
• 29. Best C, Eckhardt-Henn A, Tschan R, Dieterich M. Psychiatric morbidity and comorbidity in different vestibular vertigo syndromes. Results of a prospective longitudinal study over one year. Journal of Neurology 2009;256:58–65.
• 30. Odman MO, Maire R L. Chronic subjective dizziness. Acta Oto-Laryngologica 2008;23:1-4.
• 2. Bisdorff A, Bosser G, Gueguen R, Perrin P. The epidemiology of vertigo, dizziness, and unsteadiness and its links to co-morbidities. Front Neurol 2013;4:29.
• 31. Garcia FV, Coelho MH, Figueira ML. Psychological manifestations of vertigo: a pilot prospective observational study in a Portuguese population. Int Tinnitus J 2003;9:42–7.
• 16. Karancı AN, Dirik G, Yorulmaz O. Reliability and Validity Studies of Turkish Translaon of Eysenck Personality Questionnaire Revised-Abbreviated. Turk Psikiyatri Derg 2007;18:1-7.
• 32. Kurre A, Straumann D, van Gool CJ, Gloor-Juzi T, Bastiaenen CH. Gender differences in patients with dizziness and unsteadiness regarding self-perceived disability, anxiety, depression, and its associations. BMC Ear Nose Throat Disord 2012;12:2–6.
• 33. Denollet J. DS14: standard assessment of negative affectivity, social inhibition, and Type D personality. Psychosom Med 2005;67:89–97.
• 28. Balaban CD, Thayer JF. Neurological bases for balance-anxiety links. J Anxiety Disord 2001;15:53-79.
• 34. Vilchinsky N, Yaakov M, Sigawi L, Leibowitz M, Reges O, Levit O, et al. Preliminary Evidence for the Construct and Concurrent Validity of the DS14 in Hebrew. Int J Behav Med 2012;19:234-40.
• 36. Bartels H, Middel B, Pedersen SS, Staal MJ, Albers FW. The distressed (type D) personality is independently associated with tinnitus: a case-control study. Psychosomatics 2010;51:29-38.
• 37. Barone S, Bacon SL, Campbell TS, Labrecque M, Ditto B, Lavoie KL. The association be¬tween anxiety sensitivity and atopy in adult asthmatics. J Be¬hav Med 2008;31:331-9.
• 12. Duracinsky M, Mosnier I, Bouccara D, Sterkers O, Chassany O. Working Group of the Société Française d’Oto-Rhino-Laryngologie (ORL). Literature review of questionnaires assessing vertigo and dizziness, and their impact on patients’ quality of life. Value Health 2007;10:273-84.
• 38. Furman JM, Jakob RG. Psychiatric dizziness. Neurology 1997;48;1161-8.
• 3. Teggi R, Manfrin M, Balzanelli C, Gatti O, Mura F, Quaglieri S, et al. Point prevalence of vertigo and dizziness in a sample of 2672 subjects and correlation with headaches. Acta Otorhinolaryngol Ital 2016;36:215–9.
• 4. Eagger S, Luxon LM, Davies RA, Coelho A, Ron MA. Psychiatric morbidity in patients with peripheral vestibular disorder: A clinical and neuro-otological study . J Neurol Neurosurg Psychiatry 1992;55:383-7.
• 35. Barnett MD, Ledoux T, Garcini LM, Baker J. Type D personali¬ty and chronic pain: construct and concurrent validity of the DS14. J Clin Psychol Med Settings 2009;16:194-9.
• 5. Eckhardt-Henn A, Breuer P, Thomalske C, Hoffmann S, Hopf H. Anxiety disorders and other psychiatric subgroups in patients complaining of dizziness. J Anx Disord 2003;17:369–88 .
• 7. McKenna L, Hallam R, Hinchcliffe R. The prevalence of psychological disturbance in neurootology outpatients. Clinical Otolaryngology 1991;16:452–56.
• 8. Creed F, Guthrie E. Psychological factors in the irritable bowel syndrome. Gut 1987;28:1307–18.9. Raphael KG, Janal MN, Nayak S, Schwartz JE, Gallagher RM. Psychiatric comorbidities in a community sample of women with fibromyalgia. Pain 2006;124:117–25.
• 1. Neuhauser HK. Epidemiology of vertigo. Curr Opin Neurol 2007;20:40–6.
• 10. Beutel ME, Wiltink J, Till Y, Wild PS, Münzel T, Ojeda FM, et al. Type D personality as a cardiovascular risk marker in the general population: results from the Gutenberg Health Study. Psychother Psychosom 2012;81:108–17.
• 13. Jacobson G, Newman C. The development of the Dizziness Handicap Inventory. Arch Otolaryngol Head Neck Surg 1990;11:424-7.
• 14. Canbal M, Cebeci S, Çamur Duyan GÇ, Kurtaran H, Arslan I. A Study of Reliability and Validity For the Turkish Version of Dizziness Handicap Inventory. TJFMPC. 2016;10:19-24.
• 15. Francis LJ, Brown LB, Philipchalk R. The development of an abbreviated form of the Revised Eysenck Personality Questionnaire (EPQR-A): Its use among students in England, Canada, the USA and Australia. Personal Individ Differ 1992;13:443-9.
• 17. Denollet J, Pedersen SS, Vrints CJ, Conraads VM. Usefulness of type D personality in predicting five year cardiac events above and beyond concurrent symptoms of stress in patients with coronary heart disease. Am J Cardiol 2006;197:970-3.
• 18. Alcelik A, Yildırım O, Canan F, Eroglu M, Aktas G, Savli H. Preliminary psychometric evaluation of the type d personality construct in Turkish hemodialysis patients. J Mood Dis. 2012;2:1-5.
• 11. Tanum L, Malt UF. Personality and physical symptoms in nonpsychiatric patients with functional gastrointestinal disorder. J Psychosom Res 2001;50:139–46.
• 19. Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand 1983;67:361-70.
• 21. Neuhauser H, Radtke A, Von Brevern M, Lezius F, Feldmann M, Lempert T. Burden of dizziness and vertigo in the community. Arch Intern Med 2008;168:2118.
• 22. Muelleman T, Shew M, Subbarayan R, Shum A, Sykes K, Staecker H, et al. Epidemiology of Dizzy Patient Population in a Neurotology Clinic and Predictors of Peripheral Etiology. Otol Neurotol 2017;38:870-5.
• 23. Langhagen T, Albers L, Heinen F, Straube A, Filippopulos F, Landgraf MN, et al. Period Prevalence of Dizziness and Vertigo in Adolescents . PLoS One 2015;10(9):e0136512.