Personality and psychopathology in Ménière's disease
| Autor: | Luís Castelhano, Pedro Escada, Pedro Cavilhas, Filipe Correia, Ana Beatriz Medeiros |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
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Personality Disorders 03 medical and health sciences 0302 clinical medicine medicine Personality Humans 030223 otorhinolaryngology Meniere Disease media_common business.industry General Medicine medicine.disease Personality disorders Anxiety Disorders Mood Otorhinolaryngology 030220 oncology & carcinogenesis Quality of Life Anxiety medicine.symptom Personality Assessment Inventory business State-Trait Anxiety Inventory Anxiety disorder Clinical psychology Psychopathology |
| Zdroj: | Acta Otorrinolaringologica (English Edition). 72:344-351 |
| ISSN: | 2173-5735 |
| Popis: | 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 Meniere'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 METHODS We performed a transversal study in all patients diagnosed with definite MD in our department during a 5-year period. Sample subjects were interviewed in 3 steps: 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. RESULTS Thirty-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 |
| Databáze: | OpenAIRE |
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