Psychological assessment in patients with phobic postural vertigo

Arq Neuropsiquiatr. 2010 Apr;68(2):224-7. doi: 10.1590/s0004-282x2010000200013.

Abstract

Phobic postural vertigo (PPV) is a frequent diagnosis which can be challenging to treat.

Objective: To investigate the presence of psychiatric disturbances in patients with PPV; to assess the psychological status of patients using adaptive diagnosis; to verify possible correlations between severity of psychiatric disturbance and adaptive efficacy.

Method: A total of nineteen subjects were assessed and two instruments applied: the Primary Care Evaluation of Mental Disorders Questionnaire (PRIME-MD) and the Adaptive Operationalized Diagnostic Scale (AODS), and results from both tests were compared.

Results: Fourteen patients presented with mood disorder and thirteen with anxiety. All patients presented compromised adaptive efficacy. Correlation was found between overall outcome on the PRIME and the AODS (tau= -0.42, p=0.027), Separate analysis revealed correlation between results of the AODS and anxiety disorders (tau= -0.45, p=0.018) but not with mood disorders (tau= -0.36, p=0.054).

Conclusion: Adaptive compromise was observed in individuals with PPV which was shown to be associated to psychiatric disorders.

MeSH terms

  • Adaptation, Physiological
  • Adolescent
  • Adult
  • Aged
  • Anxiety Disorders / etiology
  • Anxiety Disorders / psychology*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Mood Disorders / etiology
  • Mood Disorders / psychology*
  • Phobic Disorders / psychology*
  • Postural Balance*
  • Vertigo / complications
  • Vertigo / psychology*
  • Young Adult