What Predicts Improvement of Dizziness after Multimodal and Interdisciplinary Day Care Treatment?
Background: Vertigo and dizziness are common in community-dwelling people and can be treated in specialized multidisciplinary settings. To develop tailored interventions, however, we have to explore risk factors for favorable and unfavorable outcomes. Methods: We prospectively investigated patients...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-04-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/11/7/2005 |
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| author | Tino Prell Sigrid Finn Hannah M. Zipprich Hubertus Axer |
| author_facet | Tino Prell Sigrid Finn Hannah M. Zipprich Hubertus Axer |
| author_sort | Tino Prell |
| collection | DOAJ |
| description | Background: Vertigo and dizziness are common in community-dwelling people and can be treated in specialized multidisciplinary settings. To develop tailored interventions, however, we have to explore risk factors for favorable and unfavorable outcomes. Methods: We prospectively investigated patients with chronic vertigo and dizziness subjected to our 5-day multimodal and interdisciplinary day care treatment in the Center for Vertigo and Dizziness of Jena University Hospital, Germany. The Vertigo Severity Scale (VSS), the Body Sensations Questionnaire (BSQ), the Hospital Anxiety and Depression Scale (HADS), the Agoraphobic Cognitions Questionnaire (ACQ), the Mobility Inventory (MI), and the burden and intensity of dizziness (using a visual analogue scale) were assessed at baseline (<i>n</i> = 754) and after 6 months (<i>n</i> = 444). In addition, 14 Likert-scaled questions were used to quantify the change in personal attitude and behavior towards the complaints after 6 months. Results: Dizziness-related burden and intensity improved with a large effect size. The largest improvement was seen in the attitudes towards dizziness, the understanding of somatic causes, and the perceived ability to influence dizziness. However, the ability to work and to carry out professional activity was improved to a lesser extent. The overall improvement of dizziness was associated with the absence of a depressive mood, a short duration of vertigo, a lower VSS, a lower perceived intensity of vertigo, and distinct vertigo diagnoses, namely Meniere’s disease, vestibular migraine, vestibular neuritis, vestibular paroxysmia, and vestibular schwannoma. Worsening of dizziness/vertigo was associated with depressive symptoms, permanent vertigo, distinct vertigo diagnoses (central vertigo, multisensory deficit), and a higher perceived burden due to vertigo. Conclusion: The six-month outcome of patients with dizziness presented to a specialized outpatient clinic appears to be favorable. Nevertheless, people with the abovementioned risk factors at baseline have less benefit and probably need adapted and tailored vertigo interventions to improve long-term outcome. |
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| format | Article |
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| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-09T11:42:32Z |
| publishDate | 2022-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-6dd284d0a99c4544a109da346a1ccc9a2023-11-30T23:29:56ZengMDPI AGJournal of Clinical Medicine2077-03832022-04-01117200510.3390/jcm11072005What Predicts Improvement of Dizziness after Multimodal and Interdisciplinary Day Care Treatment?Tino Prell0Sigrid Finn1Hannah M. Zipprich2Hubertus Axer3Department of Geriatrics, Halle University Hospital, 06120 Halle, GermanyCenter for Vertigo and Dizziness, Jena University Hospital, Friedrich Schiller University, 07743 Jena, GermanyCenter for Healthy Ageing, Jena University Hospital, Friedrich Schiller University, 07743 Jena, GermanyDepartment of Neurology, Jena University Hospital, Friedrich Schiller University, 07743 Jena, GermanyBackground: Vertigo and dizziness are common in community-dwelling people and can be treated in specialized multidisciplinary settings. To develop tailored interventions, however, we have to explore risk factors for favorable and unfavorable outcomes. Methods: We prospectively investigated patients with chronic vertigo and dizziness subjected to our 5-day multimodal and interdisciplinary day care treatment in the Center for Vertigo and Dizziness of Jena University Hospital, Germany. The Vertigo Severity Scale (VSS), the Body Sensations Questionnaire (BSQ), the Hospital Anxiety and Depression Scale (HADS), the Agoraphobic Cognitions Questionnaire (ACQ), the Mobility Inventory (MI), and the burden and intensity of dizziness (using a visual analogue scale) were assessed at baseline (<i>n</i> = 754) and after 6 months (<i>n</i> = 444). In addition, 14 Likert-scaled questions were used to quantify the change in personal attitude and behavior towards the complaints after 6 months. Results: Dizziness-related burden and intensity improved with a large effect size. The largest improvement was seen in the attitudes towards dizziness, the understanding of somatic causes, and the perceived ability to influence dizziness. However, the ability to work and to carry out professional activity was improved to a lesser extent. The overall improvement of dizziness was associated with the absence of a depressive mood, a short duration of vertigo, a lower VSS, a lower perceived intensity of vertigo, and distinct vertigo diagnoses, namely Meniere’s disease, vestibular migraine, vestibular neuritis, vestibular paroxysmia, and vestibular schwannoma. Worsening of dizziness/vertigo was associated with depressive symptoms, permanent vertigo, distinct vertigo diagnoses (central vertigo, multisensory deficit), and a higher perceived burden due to vertigo. Conclusion: The six-month outcome of patients with dizziness presented to a specialized outpatient clinic appears to be favorable. Nevertheless, people with the abovementioned risk factors at baseline have less benefit and probably need adapted and tailored vertigo interventions to improve long-term outcome.https://www.mdpi.com/2077-0383/11/7/2005chronic dizzinessvertigopredictorsmultimodal therapy |
| spellingShingle | Tino Prell Sigrid Finn Hannah M. Zipprich Hubertus Axer What Predicts Improvement of Dizziness after Multimodal and Interdisciplinary Day Care Treatment? Journal of Clinical Medicine chronic dizziness vertigo predictors multimodal therapy |
| title | What Predicts Improvement of Dizziness after Multimodal and Interdisciplinary Day Care Treatment? |
| title_full | What Predicts Improvement of Dizziness after Multimodal and Interdisciplinary Day Care Treatment? |
| title_fullStr | What Predicts Improvement of Dizziness after Multimodal and Interdisciplinary Day Care Treatment? |
| title_full_unstemmed | What Predicts Improvement of Dizziness after Multimodal and Interdisciplinary Day Care Treatment? |
| title_short | What Predicts Improvement of Dizziness after Multimodal and Interdisciplinary Day Care Treatment? |
| title_sort | what predicts improvement of dizziness after multimodal and interdisciplinary day care treatment |
| topic | chronic dizziness vertigo predictors multimodal therapy |
| url | https://www.mdpi.com/2077-0383/11/7/2005 |
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