Psychological assessment in patients with phobic postural vertigo / Avaliação psicológica em pacientes com vertigem postural fóbica
Arq. neuropsiquiatr
; 68(2): 224-227, Apr. 2010. tab
Article
in English
| LILACS
| ID: lil-545919
Responsible library:
BR1.1
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.RESUMO
A vertigem postural fóbica (VPF) é um diagnóstico freqüente e de tratamento difícil. OBJETIVO:
Investigar a presença de distúrbios psiquiátricos em pacientes com VPF; avaliar as condições psicológicas dos pacientes através do diagnóstico adaptativo.MÉTODO:
Foram avaliados 19 sujeitos e aplicados dois instrumentos de avaliação Questionário Primary Care Evaluation of Mental Disorders (PRIME-MD) e Escala Diagnóstica Adaptativa Operacionalizada (EDAO) e comparados os resultados de ambos os testes.RESULTADOS:
Quatorze pacientes apresentaram transtorno de humor e treze de ansiedade. Todos os pacientes foram avaliados com adaptação ineficaz. Houve correlação entre o resultado geral do PRIME e da EDAO (tau= -0,42, p=0,027). Ao se analisar de maneira separada, foi observada correlação entre os resultados da EDAO e os transtornos de ansiedade (tau= -0,45, p=0,018), não havendo correlação com os transtornos de humor (tau= -0,36, p=0,054).CONCLUSÃO:
Há prejuízo na qualidade adaptativa das pessoas que sofrem de VPF e este prejuízo está associado a transtornos psiquiátricos.
Full text:
Available
Collection:
International databases
Database:
LILACS
Main subject:
Anxiety Disorders
/
Phobic Disorders
/
Vertigo
/
Mood Disorders
/
Postural Balance
Type of study:
Etiology study
/
Qualitative research
Limits:
Adolescent
/
Adult
/
Aged
/
Female
/
Humans
/
Male
Language:
English
Journal:
Arq. neuropsiquiatr
Journal subject:
Neurology
/
Psychiatry
Year:
2010
Document type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
São Paulo University/BR