Personality and psychopathology in Ménière's disease
Acta otorrinolaringol. esp
; 72(6): 344-351, noviembre 2021. tab
Artigo
em Inglês
| IBECS
| ID: ibc-207625
Biblioteca responsável:
ES1.1
Localização: ES15.1 - BNCS
ABSTRACT
Introduction and Objectives:
Psychological factors in vertigo patients have been extensively studied but the role of anxiety and personality traits in the clinical course of Ménière's disease (MD) is unknown. The objectives of this study are to identify and characterize psychopathology in MD and to find risk factors for an increased rate and intensity of crisis and chronic symptoms.Materials and MethodsWe performed a transversal study in all patients diagnosed with definite MD in our department during a 5-year period. Sample subjects were interviewed in 3steps:
first, an otorhinolaryngologist collected information about clinical and pharmacological background of MD; second, a psychiatrist screened for mood, anxiety and personality disorders; in a third stage, the patient completed the DHI (Dizziness Handicap Inventory), STAI-Y (State Trait Anxiety Inventory), NEO-PI-R (Neo Personality Inventory Reviewed) and VAS (Visual Analogue Scale) for vertigo and dizziness. Statistical analysis was performed to search for risk factors for multiple and intense crisis and chronic symptoms.ResultsThirty-four patients completed all 3 phases of the study. A predominant dysfunctional personality trait was identified in 80% of patients (predominantly cluster C type), 35% were being treated with psychiatric medication and 34.4% had a considerable mood or anxiety disorder. All patients scored high (>7) in VAS during crisis. There was a statistically significant positive correlation between crisis rate and STAI, anxiety-subscale (N1) in NEO-PI-R, VAS and DHI scores (p<.044). Crises were more common in bilateral MD (p=.041). DHI scores were higher with higher STAI and N1 (p=.001). Disease duration and pure tone average were found to have a positive moderate correlation (p=.017). (AU)RESUMEN
Introducción y objetivos:
Se han estudiado ampliamente los factores psicológicos en los pacientes con vértigo, pero se desconoce el rol de los rasgos de ansiedad y personalidad en el curso clínico de la enfermedad de Ménière (EM). El objetivo de este estudio es identificar y caracterizar la psicopatología en la EM, y encontrar los factores de riesgo del incremento de la tasa de crisis, intensidad de la crisis y síntomas crónicos.Materiales y métodosRealizamos un estudio transversal en todos los pacientes diagnosticados de EM definida en nuestro departamento durante un periodo de 5 años. Se entrevistó a los sujetos de la muestra en 3 pasos en primer lugar un otorrinolaringólogo recabó información sobre los antecedentes clínicos y farmacológicos de EM; en segundo lugar, un psiquiatra determinó los trastornos emocionales, de ansiedad y personalidad y, en tercer lugar, el paciente completó las escalas Dizziness Handicap Inventory (DHI), State Trait Anxiety Inventory (STAI-Y), Neo Personality Inventory Reviewed (NEO-PI-R) y Escala analógica visual (EVA) en cuanto a vértigo y mareo. Se realizó un análisis estadístico para identificar los factores de riesgo de crisis múltiples e intensas y síntomas crónicos.ResultadosTreinta y cuatro pacientes completaron las 3 fases del estudio. Se identificó un rasgo predominante de personalidad disfuncional en el 80% de los pacientes (predominantemente el clúster tipo C), el 35% fue tratado con fármacos psiquiátricos, y el 34,4% tenía trastornos emocionales o de ansiedad notorios. Todos los pacientes tuvieron puntuaciones EVA altas (>7) durante la crisis. Existió una correlación positiva estadísticamente significativa entre la tasa de crisis y la subescala de ansiedad STAI (N1) en las escalas NEO-PI-R, EVA y DHI (p<0,044). (AU)
Texto completo:
Disponível
Coleções:
Bases de dados nacionais
/
Espanha
Base de dados:
IBECS
Assunto principal:
Ansiedade
/
Personalidade
/
Vertigem
/
Doença de Meniere
Limite:
Humanos
Idioma:
Inglês
Revista:
Acta otorrinolaringol. esp
Ano de publicação:
2021
Tipo de documento:
Artigo
Instituição/País de afiliação:
Hospital Garcia de Orta/Portugal
/
Hospital de Egas Moniz/Portugal