Avoidance Behavior in Patients with Chronic Dizziness: A Prospective Observational Study
Avoidance behavior in adults with chronic dizziness is common. Here, we analyzed factors that are associated with avoidance behavior in a sample of adults with chronic dizziness and/or vertigo. Therefore, 595 patients with chronic vertigo and dizziness who had been subjected to our 5-day multimodal...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-12-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/11/24/7473 |
| _version_ | 1797457051835695104 |
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| author | Tino Prell Hubertus Axer |
| author_facet | Tino Prell Hubertus Axer |
| author_sort | Tino Prell |
| collection | DOAJ |
| description | Avoidance behavior in adults with chronic dizziness is common. Here, we analyzed factors that are associated with avoidance behavior in a sample of adults with chronic dizziness and/or vertigo. Therefore, 595 patients with chronic vertigo and dizziness who had been subjected to our 5-day multimodal treatment program in a tertiary care outpatient clinic for vertigo and dizziness were prospectively investigated. Both general and dizziness/vertigo-specific data were collected at baseline (<i>n =</i> 595) and at 6-month follow-up (<i>n =</i> 262). Avoidance behavior was measured using the Mobility Inventory for Agoraphobia (MI). The Hospital Anxiety and Depression Scale was used to estimate anxiety (HADS-A) and depression (HADS-D). At baseline, higher MI (higher level of avoidance) was associated with female gender, higher HADS-D, higher HADS-A, and of a higher age. HADS-D provoked the strongest effect on public places, while gender had the strongest effect on open spaces. The majority (79%) reported improvement of MI and 21% reported that MI had worsened or remained stable at follow-up. In the Generalized Estimating Equations, female gender, higher HADS-A, higher HADS-D, and of a higher age predicted higher MI at follow-up. In particular, older female persons with depressive and anxiety symptoms have a high risk for avoidance behavior related to dizziness. |
| first_indexed | 2024-03-09T16:15:38Z |
| format | Article |
| id | doaj.art-397f5f854e484c9fb2dd7eaf3088c147 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-09T16:15:38Z |
| publishDate | 2022-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-397f5f854e484c9fb2dd7eaf3088c1472023-11-24T15:46:12ZengMDPI AGJournal of Clinical Medicine2077-03832022-12-011124747310.3390/jcm11247473Avoidance Behavior in Patients with Chronic Dizziness: A Prospective Observational StudyTino Prell0Hubertus Axer1Department of Geriatrics, Halle University Hospital, 06120 Halle, GermanyDepartment of Neurology, Jena University Hospital, Friedrich Schiller University, 07747 Jena, GermanyAvoidance behavior in adults with chronic dizziness is common. Here, we analyzed factors that are associated with avoidance behavior in a sample of adults with chronic dizziness and/or vertigo. Therefore, 595 patients with chronic vertigo and dizziness who had been subjected to our 5-day multimodal treatment program in a tertiary care outpatient clinic for vertigo and dizziness were prospectively investigated. Both general and dizziness/vertigo-specific data were collected at baseline (<i>n =</i> 595) and at 6-month follow-up (<i>n =</i> 262). Avoidance behavior was measured using the Mobility Inventory for Agoraphobia (MI). The Hospital Anxiety and Depression Scale was used to estimate anxiety (HADS-A) and depression (HADS-D). At baseline, higher MI (higher level of avoidance) was associated with female gender, higher HADS-D, higher HADS-A, and of a higher age. HADS-D provoked the strongest effect on public places, while gender had the strongest effect on open spaces. The majority (79%) reported improvement of MI and 21% reported that MI had worsened or remained stable at follow-up. In the Generalized Estimating Equations, female gender, higher HADS-A, higher HADS-D, and of a higher age predicted higher MI at follow-up. In particular, older female persons with depressive and anxiety symptoms have a high risk for avoidance behavior related to dizziness.https://www.mdpi.com/2077-0383/11/24/7473avoidance behaviorpredictorschronic dizzinessvertigo |
| spellingShingle | Tino Prell Hubertus Axer Avoidance Behavior in Patients with Chronic Dizziness: A Prospective Observational Study Journal of Clinical Medicine avoidance behavior predictors chronic dizziness vertigo |
| title | Avoidance Behavior in Patients with Chronic Dizziness: A Prospective Observational Study |
| title_full | Avoidance Behavior in Patients with Chronic Dizziness: A Prospective Observational Study |
| title_fullStr | Avoidance Behavior in Patients with Chronic Dizziness: A Prospective Observational Study |
| title_full_unstemmed | Avoidance Behavior in Patients with Chronic Dizziness: A Prospective Observational Study |
| title_short | Avoidance Behavior in Patients with Chronic Dizziness: A Prospective Observational Study |
| title_sort | avoidance behavior in patients with chronic dizziness a prospective observational study |
| topic | avoidance behavior predictors chronic dizziness vertigo |
| url | https://www.mdpi.com/2077-0383/11/24/7473 |
| work_keys_str_mv | AT tinoprell avoidancebehaviorinpatientswithchronicdizzinessaprospectiveobservationalstudy AT hubertusaxer avoidancebehaviorinpatientswithchronicdizzinessaprospectiveobservationalstudy |