Role of Emotional Distress in Prolongation of Dizziness: A Cross-Sectional Study
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Background and Objectives: Dizziness is a common condition in outpatient clinics. Comorbidconditions such as anxiety and/or depression often complicate a patient’s ability to copewith dizziness. The purpose of the present study was to explore the extent of psychiatric distressusing the Hospital Anxiety and Depression Scale (HADS) and to compare the resultswith the subjective severity of dizziness. Subjects and Methods: The cross-sectional studyincluded a total of 456 consecutive patients presenting with acute (n=327) and chronic(n=127) dizziness symptoms. The HADS was used to estimate emotional distress and comparebetween patients with acute and chronic dizziness symptoms. Also, we calculated correlationsbetween subjective dizziness handicap scores and emotional distress using the totaland subscale scores of the Dizziness Handicap Inventory (DHI), Disability Scale (DS), andHADS. Results: The HADS total and subscale scores were significantly increased in patientswith chronic dizziness (p<0.01) compared with those with acute symptoms. In patients withsymptoms of both acute and chronic dizziness, moderate correlations were evident betweenthe DHI and HADS total scores. When we compared DHI subscale scores with the HADSscores, the emotional DHI subscale scores correlated more highly with the HADS total scoresand the scores on the anxiety and depression subscales, than did the functional or physicalDHI subscale scores. Conclusions: Increased levels of distress measured using the HADSin patients with chronic symptoms suggest that emotional status of the patients may contributeto prolongation of dizziness symptoms from the acute phase.
Abstract
Background and Objectives: Dizziness is a common condition in outpatient clinics. Comorbidconditions such as anxiety and/or depression often complicate a patient’s ability to copewith dizziness. The purpose of the present study was to explore the extent of psychiatric distressusing the Hospital Anxiety and Depression Scale (HADS) and to compare the resultswith the subjective severity of dizziness. Subjects and Methods: The cross-sectional studyincluded a total of 456 consecutive patients presenting with acute (n=327) and chronic(n=127) dizziness symptoms. The HADS was used to estimate emotional distress and comparebetween patients with acute and chronic dizziness symptoms. Also, we calculated correlationsbetween subjective dizziness handicap scores and emotional distress using the totaland subscale scores of the Dizziness Handicap Inventory (DHI), Disability Scale (DS), andHADS. Results: The HADS total and subscale scores were significantly increased in patientswith chronic dizziness (p<0.01) compared with those with acute symptoms. In patients withsymptoms of both acute and chronic dizziness, moderate correlations were evident betweenthe DHI and HADS total scores. When we compared DHI subscale scores with the HADSscores, the emotional DHI subscale scores correlated more highly with the HADS total scoresand the scores on the anxiety and depression subscales, than did the functional or physicalDHI subscale scores. Conclusions: Increased levels of distress measured using the HADSin patients with chronic symptoms suggest that emotional status of the patients may contributeto prolongation of dizziness symptoms from the acute phase.
참고문헌 (24)
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