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Published on: July 19, 2017
[Comparison of anxiety and depression state among patients with different type of benign paroxysmal positional
1Department of Otorhinolaryngology,General Hospital of Tianjin Medical University, Tianjin, 300052, China.
Abstract:
Objective:To investigate and analyze the state of anxiety and depression among patients with different type of benign paroxysmal positional vertigo(BPPV).Method:Patients with four types of BPPV were enrolled in our study,which named as posterior semicircular canals BPPV(PC-BPPV),anterior semicircular canals BPPV(AC-BPPV), horizontal semicircular canals BPPV(HC-BPPV), multiple canals BPPV(MC-BPPV).Thorough otological and neuro-otological examinations were performed on all cases,and their states of anxiety and depression were assessed by hospital anxiety and depression scale(HADS).Result:The incidence of anxiety and depression of all cases divided into four types BPPV (PC-BPP, AC-BPPV, HC-BPPV, MC-BPPV) were 36.45%, 22.78%, 28.57%, 63.16% respectively in our study .The differences among the four groups were statistically significant(P< 0.05).That were higher in these cases with PC-BPPV or MC-BPPV than those with AC-BPPV or HC-BPPV.The HADS aggregate scores of the pre-repositioning were statistically significant(P< 0.05). And the patients with PC-BPPV or MC-BPPV were higher than the other two groups.The HADS aggregate scores of the post-repositioning were statistically significant(P<0.05). And the cases with PC-BPPV or MC-BPPV were higher than the other two groups. The post-repositioning scores were compared with the pre-repositioning scores, and the difference was significant(P< 0.05).Conclusion:Among all cases with the four different types of BPPV,anxiety and depression psychological mood is more common in patients with PC-BPPV or MC-BPPV.Mood disorders affect the reset recovery after treatment,and reduce the therapeutic effect.We should pay more attention to psychological state of the patients with BPPV during treatment.And early psychological intervention can improve treatment effect.
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