Evaluation of dizziness handicap and investigation of depression, anxiety disorder, migraine comorbidity in patients diagnosed with persistent postural-perceptual dizziness

Abstract

There is still limited information about how, and to what extent, patients with Persistent Postural-Perceptual Dizziness (PPPD) feel inadequate in their daily lives. This study aims to evaluate the physical, functional, and emotional disability related to dizziness in patients diagnosed with PPPD, and to investigate the frequency of anxiety disorder, depression, and migraine. The files of patients who were diagnosed PPPD in the neurology outpatient clinic at our hospital were retrospectively reviewed. The results of the Dizziness Handicap Inventory (DHI), Beck Depression Inventory (BDI), and Beck Anxiety Inventory (BAI), which were implemented for treatment planning, were evaluated. Headache complaints were examined for whether they were compatible with migraine. Of the 65 patients diagnosed with Persistent postural-perceptual dizziness, 89% were female, 11% were male, and the mean age was 39. The total mean score of the DHI was 55.3. 86.1% of the patients experienced moderate or severe dizziness handicap. Moderate or severe depression was identified in 50.8% of the patients, moderate or severe anxiety in 80.8%, and migraine comorbidity in 70.8% of the patients. The majority of the patients with PPPD were in the young-middle age group and female. It was concluded that dizziness, migraine, depression, and anxiety disorder highly adversely affected the health-related quality of life of the patients.

Keywords

• Persistent Postural-Perceptual Dizziness
• dizziness handicap
• depression
• anxiety disorder
• migraine

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