Research Article
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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References
- Akdal G. Vertigo ve Dengesizlik. Nöroloji e- Ders Kitabı. Edit: Öge AE, Baykan B, Bilgiç B. 2020.
- Holle D, Schulte-Steinberg B, Wurthmann S, Naegel S, Ayzenberg I, Diener HC, et al. Persistent Postural-Perceptual Dizziness: A Matter of Higher, Central Dysfunction? PLoS One. 2015; 10(11): e0142468.
- Staab JP, Eckhardt‐Henn A, Horii A, Jacob R, Strupp M, Brandt T, Bronstein A. Diagnostic criteria for persistent postural-perceptual dizziness (PPPD): Consensus document of the committee for the Classification of Vestibular Disorders of the Bárány Society. Journal of Vestibular Research. 2017; 27: 191-208.
- Jacobson G, Newman C. The development of the Dizziness Handicap Inventory. Arch Otolaryngol Head Neck Surg. 2017; 11(4):424-427.
- Jacobson GP, Newman CW, Hunter L, Balzer GK. Balance function test correlates of the dizziness handicap inventory. J Am Acad Audiol. 1991; 12:253-260.
- Whitney SL, Wrisley DM, Brown KE, Furman JM. Is perception of handicap related to functional performance in persons with vestibular dysfunction? Otol Neurotol. 2004; 25(2):139-143.
- Nada EH, Ibraheem OA, Hassaan MR. Vestibular rehabilitation therapy outcomes in patients with persistent postural-perceptual dizziness. Ann Otol Rhinol Laryngol. 2019; 128:323–329.
- Canbal M, Cebeci S, Duyan GÇ, Kurtaran H, Arslan İ. A Study of Reliability and Validity for the Turkish Version of Dizziness Handicap Inventory. TJFM&PC. 2016; 10(1):19-24.
- Hisli N. Beck Depresyon Envanterinin Üniversite Öğrencileri için Geçerliği, Güvenirliği. Psikoloji Dergisi. 1989; 7: (23): 3-13.
- Ulusoy M, Şahin N, Erkmen H. Turkish Version of the Beck Anxiety Inventory: Psychometric Properties. Journal Cognitive Psychotherapy. 1998; 12, 163-172.
- Headache Classification Committee of the International Headache Society (IHS). The International Classification of Headache Disorders, 3rd edition (beta version). Cephalalgia. 2013; 33(9):629-808.
- Knight B, Bermudez F, Shermetaro C. Persistent Postural-Perceptual Dizziness. StatPearls [Internet]. 2022.
- Habs M, Strobl R, Grill E, Dieterich M, Becker-Bense S. Primary or secondary chronic functional dizziness: Does it make a difference? A DizzyReg study in 356 patients. J. Neurol. 2020; 267:212–222.
- Waterston J, Chen L, Mahony K, Gencarelli J, Stuart G. Persistent Postural-Perceptual Dizziness: Precipitating Conditions, Co-morbidities and Treatment with Cognitive Behavioral Therapy. FrontNeurol. 2021; 12:795516.
- Bittar R.S.M, Lins E.M.D, Von S. Clinical characteristics of patients with persistent postural-perceptual dizziness. Braz. J. Otorhinolaryngol. 2015; 81(3): 276–282.
- Azzi JL, Khoury M, Séguin J, Rourke R, Hogan D, Tse D, et al. Characteristics of persistent postural perceptual dizziness patients in a multidisciplinary dizziness clinic. J Vestib Res. 2022; 32(3):285-293.
- Yagi C, Morita Y, Kitazawa M, Nonomura Y, Yamagishi T, Shinsuke Ohshima, et al. A validated questionnaire to assess the severity of persistent postural-perceptual dizziness (PPPD): The Niigata PPPD questionnaire (NPQ). Otol Neurotol. 2019;40: e747-e752.
- Teh CS, Mah MC, Rahmat K, Prepageran N. Neuroimaging Systematic Review in Persistent Postural-Perceptual Dizziness: The Elaborate Alterations in the Delicate Network to Remain Balanced. Otol Neurotol. 2022; 43(1):12-22.
- Yu Y-C, Xue H, Zhang Y-X. and Zhou J. Cognitive Behavior Therapy as Augmentation for Sertraline in Treating Patients with Persistent Postural-Perceptual Dizziness. Biomed Res Int. 2018; 2018:8518631.
- Sui Lin CT, Prepageran N. The impact of disease duration in persistent postural-perceptual dizziness (PPPD) on the quality of life, dizziness handicap and mental health. J Vestib Res. 2021; 32(4):373-380.
- Ertuğrul S, Söylemez E, Gürel T. Determination of Predictors for Persistent Posturalperceptual Dizziness. KBB-Forum. 2019;18(3).
- Staab JP, Rohe DE, Eggers SD, Shepard NT. Anxious, introverted personality traits in patients with chronic subjective dizziness. J Psychosom Res. 2014; 76(1):80-83
- Yan Z, Cui L, Yu T, Liang H, Wang Y, Chen C. Analysis of the characteristics of persistent postural-perceptual dizziness: A clinical-based study in China. Int J Audiol. 2016; 56:33–37.
- Indovina I, Passamonti L, Mucci V, Chiarella G, Lacquaniti F, Staab JP. Brain Correlates of Persistent Postural-Perceptual Dizziness: A Review of Neuroimagings. J Clin Med. Studie. 2021;10(18): 4274.
- Staab JP, Ruckenstein MJ. Which comes first? Psychogenic dizziness versus otogenic anxiety. Laryngoscope. 2010; 113:1714–1718.
- Chiarella G, Petrolo C, Riccelli R, Giofrè L, Olivadese G, Gioacchini F, et al. Chronic subjective dizziness: Analysis of underlying personality factors. J Vestib Res. 2016; 26:403–408.
- Lempert T, Olesen J, Furman J, Waterston J, Seemungal B, Carey J, et al. Vestibular migraine: diagnostic criteria. Consensus document of the Barany Society and the International Headache Society. J Vestib Res. 2012; 22:167-172.
- Tropiano P, Lacerenza LM, Agostini G, Barboni A, Faralli M. Persistent postural perceptual dizziness following paroxysmal positional vertigo in migraine. Acta Otorhinolaryngol Ital. 2021; 41(3): 263–269.
- Sarna B, Risbud A, Lee A, Muhonen E, Abouzari M, Djalilian HR. Migraine Features in Patients with Persistent Postural-Perceptual Dizziness. Ann Otol Rhinol Laryngol. 2021; 130(12):1326-1331.
Year 2024,
Volume: 41 Issue: 1, 9 - 13, 29.03.2024
Abstract
Project Number
-
References
- Akdal G. Vertigo ve Dengesizlik. Nöroloji e- Ders Kitabı. Edit: Öge AE, Baykan B, Bilgiç B. 2020.
- Holle D, Schulte-Steinberg B, Wurthmann S, Naegel S, Ayzenberg I, Diener HC, et al. Persistent Postural-Perceptual Dizziness: A Matter of Higher, Central Dysfunction? PLoS One. 2015; 10(11): e0142468.
- Staab JP, Eckhardt‐Henn A, Horii A, Jacob R, Strupp M, Brandt T, Bronstein A. Diagnostic criteria for persistent postural-perceptual dizziness (PPPD): Consensus document of the committee for the Classification of Vestibular Disorders of the Bárány Society. Journal of Vestibular Research. 2017; 27: 191-208.
- Jacobson G, Newman C. The development of the Dizziness Handicap Inventory. Arch Otolaryngol Head Neck Surg. 2017; 11(4):424-427.
- Jacobson GP, Newman CW, Hunter L, Balzer GK. Balance function test correlates of the dizziness handicap inventory. J Am Acad Audiol. 1991; 12:253-260.
- Whitney SL, Wrisley DM, Brown KE, Furman JM. Is perception of handicap related to functional performance in persons with vestibular dysfunction? Otol Neurotol. 2004; 25(2):139-143.
- Nada EH, Ibraheem OA, Hassaan MR. Vestibular rehabilitation therapy outcomes in patients with persistent postural-perceptual dizziness. Ann Otol Rhinol Laryngol. 2019; 128:323–329.
- Canbal M, Cebeci S, Duyan GÇ, Kurtaran H, Arslan İ. A Study of Reliability and Validity for the Turkish Version of Dizziness Handicap Inventory. TJFM&PC. 2016; 10(1):19-24.
- Hisli N. Beck Depresyon Envanterinin Üniversite Öğrencileri için Geçerliği, Güvenirliği. Psikoloji Dergisi. 1989; 7: (23): 3-13.
- Ulusoy M, Şahin N, Erkmen H. Turkish Version of the Beck Anxiety Inventory: Psychometric Properties. Journal Cognitive Psychotherapy. 1998; 12, 163-172.
- Headache Classification Committee of the International Headache Society (IHS). The International Classification of Headache Disorders, 3rd edition (beta version). Cephalalgia. 2013; 33(9):629-808.
- Knight B, Bermudez F, Shermetaro C. Persistent Postural-Perceptual Dizziness. StatPearls [Internet]. 2022.
- Habs M, Strobl R, Grill E, Dieterich M, Becker-Bense S. Primary or secondary chronic functional dizziness: Does it make a difference? A DizzyReg study in 356 patients. J. Neurol. 2020; 267:212–222.
- Waterston J, Chen L, Mahony K, Gencarelli J, Stuart G. Persistent Postural-Perceptual Dizziness: Precipitating Conditions, Co-morbidities and Treatment with Cognitive Behavioral Therapy. FrontNeurol. 2021; 12:795516.
- Bittar R.S.M, Lins E.M.D, Von S. Clinical characteristics of patients with persistent postural-perceptual dizziness. Braz. J. Otorhinolaryngol. 2015; 81(3): 276–282.
- Azzi JL, Khoury M, Séguin J, Rourke R, Hogan D, Tse D, et al. Characteristics of persistent postural perceptual dizziness patients in a multidisciplinary dizziness clinic. J Vestib Res. 2022; 32(3):285-293.
- Yagi C, Morita Y, Kitazawa M, Nonomura Y, Yamagishi T, Shinsuke Ohshima, et al. A validated questionnaire to assess the severity of persistent postural-perceptual dizziness (PPPD): The Niigata PPPD questionnaire (NPQ). Otol Neurotol. 2019;40: e747-e752.
- Teh CS, Mah MC, Rahmat K, Prepageran N. Neuroimaging Systematic Review in Persistent Postural-Perceptual Dizziness: The Elaborate Alterations in the Delicate Network to Remain Balanced. Otol Neurotol. 2022; 43(1):12-22.
- Yu Y-C, Xue H, Zhang Y-X. and Zhou J. Cognitive Behavior Therapy as Augmentation for Sertraline in Treating Patients with Persistent Postural-Perceptual Dizziness. Biomed Res Int. 2018; 2018:8518631.
- Sui Lin CT, Prepageran N. The impact of disease duration in persistent postural-perceptual dizziness (PPPD) on the quality of life, dizziness handicap and mental health. J Vestib Res. 2021; 32(4):373-380.
- Ertuğrul S, Söylemez E, Gürel T. Determination of Predictors for Persistent Posturalperceptual Dizziness. KBB-Forum. 2019;18(3).
- Staab JP, Rohe DE, Eggers SD, Shepard NT. Anxious, introverted personality traits in patients with chronic subjective dizziness. J Psychosom Res. 2014; 76(1):80-83
- Yan Z, Cui L, Yu T, Liang H, Wang Y, Chen C. Analysis of the characteristics of persistent postural-perceptual dizziness: A clinical-based study in China. Int J Audiol. 2016; 56:33–37.
- Indovina I, Passamonti L, Mucci V, Chiarella G, Lacquaniti F, Staab JP. Brain Correlates of Persistent Postural-Perceptual Dizziness: A Review of Neuroimagings. J Clin Med. Studie. 2021;10(18): 4274.
- Staab JP, Ruckenstein MJ. Which comes first? Psychogenic dizziness versus otogenic anxiety. Laryngoscope. 2010; 113:1714–1718.
- Chiarella G, Petrolo C, Riccelli R, Giofrè L, Olivadese G, Gioacchini F, et al. Chronic subjective dizziness: Analysis of underlying personality factors. J Vestib Res. 2016; 26:403–408.
- Lempert T, Olesen J, Furman J, Waterston J, Seemungal B, Carey J, et al. Vestibular migraine: diagnostic criteria. Consensus document of the Barany Society and the International Headache Society. J Vestib Res. 2012; 22:167-172.
- Tropiano P, Lacerenza LM, Agostini G, Barboni A, Faralli M. Persistent postural perceptual dizziness following paroxysmal positional vertigo in migraine. Acta Otorhinolaryngol Ital. 2021; 41(3): 263–269.
- Sarna B, Risbud A, Lee A, Muhonen E, Abouzari M, Djalilian HR. Migraine Features in Patients with Persistent Postural-Perceptual Dizziness. Ann Otol Rhinol Laryngol. 2021; 130(12):1326-1331.
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Details
| Primary Language | English |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Research Article |
| Authors | |
| Project Number | - |
| Publication Date | March 29, 2024 |
| Submission Date | April 15, 2023 |
| Acceptance Date | December 5, 2023 |
| Published in Issue | Year 2024 Volume: 41 Issue: 1 |
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