Correlations between postural control and psychological factors in vestibular schwannoma patients

J Vestib Res. 2016 Nov 3;26(4):387-394. doi: 10.3233/VES-160588.

Abstract

Background: Various individual factors have been described to influence postural performances related to vestibular schwannoma. However, psychological factors may also be involved in postural variations.

Objective: To identify relationships between postural performances, illness perceptions, coping, anxiety-depression and quality of life of patients with vestibular schwannoma.

Methods: Twenty-six patients who were scheduled for a surgical removal of a vestibular schwannoma underwent posturography tests and were asked to complete psychological questionnaires three days prior to surgery.The Sensory Organization Test, the Illness Perceptions Questionnaire-Revised, the Brief-COPE, the Hospital Anxiety Depression Scale and the World Health Organization Quality of Life instrument were used for assessments. Correlations between posturography and psychological questionnaires were calculated.

Results: Balance disorders were associated with (i) impaired quality of life of patients, (ii) anxiety and depression affects, (iii) greater daily consequences, and with (iv) denial coping response.

Conclusions: Given the association between balance disorders and psychological factors, health practitioners should be attentive to the deterioration of both aforementioned issues.

Keywords: Vestibular schwannoma; anxiety-depression; coping; illness perceptions; postural performances; quality of life.

MeSH terms

  • Adaptation, Psychological
  • Adult
  • Anxiety / psychology
  • Denial, Psychological
  • Depression / psychology
  • Female
  • Humans
  • Male
  • Middle Aged
  • Neuroma, Acoustic / physiopathology*
  • Neuroma, Acoustic / psychology*
  • Postural Balance*
  • Psychomotor Performance
  • Quality of Life
  • Self Concept
  • Surveys and Questionnaires
  • Vestibular Function Tests