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Why Does Vertigo Become Chronic After Neuropathia Vestibularis

Bibliographic Data

ID19305167
AuthorsFrank Godemann, Christiane Koffroth, Peter Neu (0000-0002-6616-6594), Isabella Heuser (0000-0001-7075-1158)
Year2004
Volume66
Issue5
Pages783-787
Publication date2004-09-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenuePsychosomatic Medicine (JOURNAL)
Journal identifiersISSN: 0033-3174 • E-ISSN: 1534-7796
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/01.psy.0000140004.06247.c9
PMID15385707
OpenAlexW2156263204
LanguageEN
Citations received1
References cited21

Objective: Vertigo is one of the most frequent complaints in general medical practice and is often linked to psychiatric disorders. A longitudinal study of 67 patients with an acute vestibular disorder was undertaken to clarify if, after experiencing acute vestibular vertigo, certain patients have a higher likelihood of developing chronic, debilitating dizziness despite no evidence of a damaged peripheral vestibular system. Method: The severity of dizziness was determined in 67 patients with vestibular neuronitis, 6 months after their release from hospital, using the Vertigo Symptom Scale from Yardley et al. The intensity of anxiety directly after vertigo was experienced, body-related cognitions, illness coping, personality structure, and the recovery of the organ of equilibrium were recorded in order to explain the severity of vertigo that occurred after 6 months. The function of the organ of equilibrium was assessed by using a caloric test. Results: Over a period of 6 months, 13 of the 67 patients (19.4%) reported continuing dizziness after neuropathia vestibularis. Eleven of the 13 patients showed high scores on a scale for measuring vertigo-related symptoms, which can be interpreted as being equivalent to anxiety. The variables of gender, catastrophic thoughts and a dependent personality accounted for 35% of why vertigo became chronic. Conclusion: Neuropathia vestibularis represents a risk factor for the development of chronic vertigo. Chronic vertigo after neuropathia vestibularis appears to be equivalent to anxiety and is partly conditional on catastrophic thoughts at the beginning. DIPS = Diagnostic Interview of Psychiatric Diagnoses; VSS = Vertigo Severity Scale; SA = somatic anxiety; VS = vertigo severity; STAI = State Trait Anxiety Inventory; ACQ = Agoraphobic Cognitions Questionnaire; BSQ = Body Sensations Questionnaire; PSSI = Personality Disorder and Type Inventory; FKV = Freiburg Coping Illness Questionnaire; MSP = mean slow phases; OE = organs of equilibrium

Anxiety · Audiology · Psychiatry · Vertigo · Vestibular system · Balance, Gait, and Falls Prevention · Medicine · Psychology · Surgery · Tactile and Sensory Interactions · Vestibular and auditory disorders

  • Assessment of depression, anxiety, stress, and sleep in the vertigo patients

    Open Access•Kumar M Siva, C P Anbarasi et al.•International Journal of Health…•2022

  • Psychogenic vertigo within an anxiety frame of reference

    Open Access•Per‐Åke Magnusson, Alf Nilsson et al.•British Journal of Medical…•1977

  • Prediction of handicap and emotional distress in patients with recurrent vertigo

    Open Access•Liz Yardley, Lucy Yardley•Social Science & Medicine•1994

Unique citing works1
Citations per year0.25
Citation span2022 - 2022 (1)
Citation velocityhistorical
Highly citedNo

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