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[Psychological evaluation in vertiginous patients].

K Inukai1, S Seki, K Kondo

  • 1Department of Otolaryngology, Niigata University School of Medicine.

Nihon Jibiinkoka Gakkai Kaiho
|February 20, 1999
PubMed
Summary

Psychological factors like anxiety significantly impact vertigo. The Self-Rating Anxiety Scale (SAS) is a quick, effective tool for screening psychological influences in vertigo patients.

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Area of Science:

  • Psychiatry and Neurology
  • Psychosomatic Medicine

Context:

  • Vertigo is a complex condition potentially influenced by psychological factors.
  • Previous research has explored the link between psychological distress and vertigo, but specific screening tools require further investigation.

Purpose:

  • To investigate the role of psychological factors in vertigo using four validated psychological tests.
  • To compare the utility of the Cornell Medical Index (CMI), Manifest Anxiety Scale (MAS), Self-Rating Depression Scale (SDS), and Self-Rating Anxiety Scale (SAS) in identifying psychological contributors to vertigo.

Summary:

  • A study of 111 vertigo patients and 81 controls found significantly higher abnormal scores in the CMI and SAS among vertiginous patients.
  • The Self-Rating Anxiety Scale (SAS) demonstrated higher abnormal rates in vertebrobasilar insufficiency (VBI) and Ménière's disease (MD) groups compared to controls.

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  • While MAS and SDS showed no significant differences, CMI and SAS proved most useful for determining psychological involvement in vertigo, with SAS being more time-efficient for screening.

    • Impact:

    • The findings highlight the significant role of psychological factors, particularly anxiety, in the onset and persistence of vertigo.
    • The Self-Rating Anxiety Scale (SAS) is recommended as a practical and efficient tool for screening psychological factors in clinical vertigo assessment.
    • Understanding these psychological links can lead to more comprehensive management strategies for vertigo patients.