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Anxiety characteristics in benign paroxysmal positional vertigo: first vs. recurrent episodes
Lotem Mann Ben Yehuda1,2, David Rachima2,3, Michal Katz-Leurer4
1Physical Therapy Department, Faculty of Medicine, School of Health Professions, Tel-Aviv University, Tel-Aviv, Israel.
Summary
Patients with recurrent Benign Paroxysmal Positional Vertigo (BPPV) experience higher trait anxiety than those with a first episode. Recurrent BPPV patients also show elevated state anxiety post-treatment, indicating a need for anxiety assessment.
Area of Science:
- Neurology
- Psychology
- Otolaryngology
Background:
- Benign Paroxysmal Positional Vertigo (BPPV) is a common vestibular disorder.
- Anxiety is a known comorbidity in vestibular disorders, but its specific impact on BPPV episodes is less understood.
Purpose of the Study:
- To compare state and trait anxiety levels in patients experiencing their first episode (FE) versus recurrent episodes (RE) of BPPV.
- To evaluate anxiety changes before and after vestibular physiotherapy.
- To investigate the prevalence of underlying health conditions in FE versus RE BPPV patients.
Main Methods:
- Fifty-five patients (aged 40-70) with confirmed BPPV were recruited.
- Participants were categorized into FE (n=24) and RE (n=31) groups.
- The State-Trait Anxiety Inventory (STAI) was administered before, immediately after, and one week after vestibular physiotherapy.
Main Results:
- Recurrent BPPV patients exhibited significantly higher trait anxiety at all measurement points compared to FE patients (p<0.05).
- State anxiety decreased post-treatment in both groups but remained higher in the RE group at follow-up (p=0.03).
- Hypothyroidism was more prevalent in the RE group (16%) than the FE group (0%) (p=0.04).
Conclusions:
- Patients with recurrent BPPV demonstrate heightened anxiety levels, particularly trait anxiety.
- Anxiety assessment and potential intervention are recommended for patients with recurrent BPPV.
- Underlying health conditions like hypothyroidism may be associated with recurrent BPPV episodes.
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