Kronik subjektif dizziness hastalar?nda anksiyete duyarl?l???, depresyon ve ki?ilik ?zelliklerinin de?erlendirilmesi

摘要

Ama?: Dizziness ve vertigo otolaringoloji, n?roloji ve psikiyatri kliniklerinde en s?k g?rülen semptomlar aras?ndad?r. Bu ?al??mada kronik subjektif dizziness hastalar?nda anksiyete duyarl?l???, depresyon ve ki?ilik ?zelliklerinin de?erlendirilmesi ama?lanm??t?r. Y?ntemler: Periferik vestibüler hastal?k hikayesi olmayan en az 3 ayd?r süren subjektif dizziness ?ikayeti olan 51 hasta ile 51 sa?l?kl? g?nüllü ?al??maya dahil edildi. Anksiyete Duyarl?l??? ?ndeksi-3 (ASI-3), Beck Anksiyete ?l?e?i (BAI), Beck Depresyon ?l?e?i (BDI) ve Eysenk Ki?ilik Envanteri (EPQ) psikiyatri uzman? taraf?ndan hasta ve kontrol grubuna uyguland?. Bulgular: Gruplar aras?nda anksiyete duyarl?l?k indeksi-3 ?l?e?inde anlaml? farkl?l?k bulunmad? (P=0.119). Hasta grubunda BAI de?erleri kontrol grubuna g?re istatiksel olarak anlaml? yüksekti (P0.001). BDI de?erleri hasta grubunda kontrol grubuna g?re daha yüksek olmas?na ra?men aradaki fark istatiksel olarak anlaml? de?ildi (P=0.052). Sonu?: Sonu? olarak anksiyete semptomu ve nevrotik ki?ilik ?zelliklerinin varl??? dizziness geli?imini ya da hastal???n seyrini k?tüle?tirebilir. N?rolojik ve otolojik problemi olmayan dizziness hastalar?n?n tedavisinde multidisipliner yakla??m hastal???n seyri ve hastalar?n ya?am kalitesi üzerine olumlu katk?lar sa?layacakt?r. Aim: Dizziness and vertigo are among the most common symptoms in otolaryngology, neurology and psychiatry clinics. In this study, it was aimed to evaluate anxiety sensitivity, depression and personality traits in patients who were followed up with chronic subjective dizziness. Methods: Fifty-one patients with dizziness complaints for at least 3 months and no history of peripheral vestibular disease were enrolled to the patient group, and 51 healthy controls were enrolled to the control group of this case-control study. Anxiety Sensitivity Index-3 (ASI-3), Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI) and Eysenck Personality Questionnaire (EPQ) scale forms were applied to the patient and control groups by a psychiatrist. Results: There was no statistically significant difference in ASI-3 between the groups (P=0.119). In the patient group, the BAI values were found higher than the control group (P0.001). While BDI values between the patient and control groups were similar, there was a trend for higher depression scores in the patients compared with the healthy individuals (P=0.052). Conclusion: As a result, the presence of anxiety symptoms and neurotic personality characteristics may worsen dizziness development or disease progression. In the treatment of dizziness patients without neurological and otologic problems, a multidisciplinary approach will provide positive contributions to the course of the disease and to the quality of life of the patients.