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Depression in Ménière's disease: a systematic review and meta-analysis
J J Patel1, D A Levy1,2, S A Nguyen1
1Department of Otolaryngology - Head and Neck Surgery, Medical University of South Carolina, Charleston, USA.
Depression affects nearly half of patients with Ménière's disease, a chronic vestibular disorder. Early screening and treatment of depression can significantly improve patients' quality of life.
Area of Science:
- Otolaryngology
- Neurology
- Psychiatry
Background:
- Ménière's disease is a chronic peripheral vestibular disorder.
- It is frequently associated with psychiatric conditions, particularly depression.
Purpose of the Study:
- To assess the prevalence of depression in patients diagnosed with Ménière's disease.
- To review diagnostic metrics and depression rates across multiple studies.
Main Methods:
- Systematic database searches were conducted to identify relevant studies.
- Data on depression diagnostic scales and prevalence were extracted from selected literature.
Main Results:
- Fifteen studies encompassing 6587 patients from 8 countries were analyzed.
- The overall weighted prevalence of depression was 45.9%.
- Zung's Self-Rating Depression Scale was the most commonly used diagnostic tool.
Conclusions:
- Nearly 50% of Ménière's disease patients experience depression.
- Otolaryngologists should proactively screen for and refer patients with depression.
- Addressing depression is crucial for enhancing the quality of life in Ménière's disease patients.
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