Associations between cognition, anxiety, depression, and residual dizziness in elderly people with BPPV
ObjectiveTo investigate the associations between cognition, anxiety, depression, and residual dizziness after successful repositioning maneuvers in the elderly with benign paroxysmal positional vertigo (BPPV).MethodsWe enrolled 40 elderly patients with BPPV in our outpatient department. We used the...
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| Language: | English |
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Frontiers Media S.A.
2023-08-01
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| Series: | Frontiers in Aging Neuroscience |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fnagi.2023.1208661/full |
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| author | Jin Sun Jin Sun Jin Sun Xiaobao Ma Xiaobao Ma Xiaobao Ma Ying Yang Ying Yang Ying Yang Kuan He Kuan He Kuan He Wei Wang Wei Wang Wei Wang Jiali Shen Jiali Shen Jiali Shen Lu Wang Lu Wang Lu Wang Xiangping Chen Xiangping Chen Xiangping Chen Yulian Jin Yulian Jin Yulian Jin Jun Yang Jun Yang Jun Yang Jianyong Chen Jianyong Chen Jianyong Chen |
| author_facet | Jin Sun Jin Sun Jin Sun Xiaobao Ma Xiaobao Ma Xiaobao Ma Ying Yang Ying Yang Ying Yang Kuan He Kuan He Kuan He Wei Wang Wei Wang Wei Wang Jiali Shen Jiali Shen Jiali Shen Lu Wang Lu Wang Lu Wang Xiangping Chen Xiangping Chen Xiangping Chen Yulian Jin Yulian Jin Yulian Jin Jun Yang Jun Yang Jun Yang Jianyong Chen Jianyong Chen Jianyong Chen |
| author_sort | Jin Sun |
| collection | DOAJ |
| description | ObjectiveTo investigate the associations between cognition, anxiety, depression, and residual dizziness after successful repositioning maneuvers in the elderly with benign paroxysmal positional vertigo (BPPV).MethodsWe enrolled 40 elderly patients with BPPV in our outpatient department. We used the Dizziness Handicap Inventory (DHI), Visual Analog Scale (VAS), Patient Health Questionnaire-9 (PHQ-9), and Generalized Anxiety Disorder Questionnaire-7 (GAD-7) to assess the degree of dizziness, anxiety, and depression of participants before repositioning therapy, respectively. At the 1-week follow-up after BPPV treatment, each participant will be reassessed and divided into a group with residual dizziness (RD) and a group without residual dizziness (NRD) based on the follow-up DHI score. The Mini-Mental State Examination (MMSE) evaluated the cognitive function of the participants.ResultsThe age, gender, duration of BPPV, and involved semicircular canals in the two groups did not show a significant difference. The RD group scored significantly higher on the DHI (p = 0.006), GAD-7 (p < 0.001), and PHQ-9 (p = 0.002) before the repositioning treatment than the NRD group. The two groups had no significant difference in MMSE score (p = 0.381). Anxiety and depression scores before repositioning treatment significantly and positively correlated with follow-up DHI scores (r = 0.678 and 0.522, respectively), but the MMSE score did not significantly relate to it. The univariate linear regression showed that the DHI (p < 0.001), GAD-7 (p < 0.001), and PHQ-9 (p = 0.002) scores before treatment could predict residual dizziness. The multivariate linear regression showed that GAD-7 before treatment was the only significant predictor of residual dizziness (p < 0.001).ConclusionThe level of dizziness, anxiety, and depression before treatment can predict residual dizziness after successful repositioning maneuvers in the elderly with BPPV. Anxiety may be the strongest predictor of residual dizziness after successful repositioning treatment in elderly BPPV patients. |
| first_indexed | 2024-03-12T11:50:01Z |
| format | Article |
| id | doaj.art-cd0b30ef4c75485aa1cebaa848cbef4d |
| institution | Directory Open Access Journal |
| issn | 1663-4365 |
| language | English |
| last_indexed | 2024-03-12T11:50:01Z |
| publishDate | 2023-08-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Aging Neuroscience |
| spelling | doaj.art-cd0b30ef4c75485aa1cebaa848cbef4d2023-08-31T09:18:37ZengFrontiers Media S.A.Frontiers in Aging Neuroscience1663-43652023-08-011510.3389/fnagi.2023.12086611208661Associations between cognition, anxiety, depression, and residual dizziness in elderly people with BPPVJin Sun0Jin Sun1Jin Sun2Xiaobao Ma3Xiaobao Ma4Xiaobao Ma5Ying Yang6Ying Yang7Ying Yang8Kuan He9Kuan He10Kuan He11Wei Wang12Wei Wang13Wei Wang14Jiali Shen15Jiali Shen16Jiali Shen17Lu Wang18Lu Wang19Lu Wang20Xiangping Chen21Xiangping Chen22Xiangping Chen23Yulian Jin24Yulian Jin25Yulian Jin26Jun Yang27Jun Yang28Jun Yang29Jianyong Chen30Jianyong Chen31Jianyong Chen32Department of Otorhinolaryngology-Head and Neck Surgery, Xinhua Hospital Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaShanghai Jiao Tong University School of Medicine Ear Institute, Shanghai, ChinaShanghai Key Laboratory of Translational Medicine on Ear and Nose Diseases, Shanghai, ChinaDepartment of Otorhinolaryngology-Head and Neck Surgery, Xinhua Hospital Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaShanghai Jiao Tong University School of Medicine Ear Institute, Shanghai, ChinaShanghai Key Laboratory of Translational Medicine on Ear and Nose Diseases, Shanghai, ChinaDepartment of Otorhinolaryngology-Head and Neck Surgery, Xinhua Hospital Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaShanghai Jiao Tong University School of Medicine Ear Institute, Shanghai, ChinaShanghai Key Laboratory of Translational Medicine on Ear and Nose Diseases, Shanghai, ChinaDepartment of Otorhinolaryngology-Head and Neck Surgery, Xinhua Hospital Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaShanghai Jiao Tong University School of Medicine Ear Institute, Shanghai, ChinaShanghai Key Laboratory of Translational Medicine on Ear and Nose Diseases, Shanghai, ChinaDepartment of Otorhinolaryngology-Head and Neck Surgery, Xinhua Hospital Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaShanghai Jiao Tong University School of Medicine Ear Institute, Shanghai, ChinaShanghai Key Laboratory of Translational Medicine on Ear and Nose Diseases, Shanghai, ChinaDepartment of Otorhinolaryngology-Head and Neck Surgery, Xinhua Hospital Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaShanghai Jiao Tong University School of Medicine Ear Institute, Shanghai, ChinaShanghai Key Laboratory of Translational Medicine on Ear and Nose Diseases, Shanghai, ChinaDepartment of Otorhinolaryngology-Head and Neck Surgery, Xinhua Hospital Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaShanghai Jiao Tong University School of Medicine Ear Institute, Shanghai, ChinaShanghai Key Laboratory of Translational Medicine on Ear and Nose Diseases, Shanghai, ChinaDepartment of Otorhinolaryngology-Head and Neck Surgery, Xinhua Hospital Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaShanghai Jiao Tong University School of Medicine Ear Institute, Shanghai, ChinaShanghai Key Laboratory of Translational Medicine on Ear and Nose Diseases, Shanghai, ChinaDepartment of Otorhinolaryngology-Head and Neck Surgery, Xinhua Hospital Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaShanghai Jiao Tong University School of Medicine Ear Institute, Shanghai, ChinaShanghai Key Laboratory of Translational Medicine on Ear and Nose Diseases, Shanghai, ChinaDepartment of Otorhinolaryngology-Head and Neck Surgery, Xinhua Hospital Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaShanghai Jiao Tong University School of Medicine Ear Institute, Shanghai, ChinaShanghai Key Laboratory of Translational Medicine on Ear and Nose Diseases, Shanghai, ChinaDepartment of Otorhinolaryngology-Head and Neck Surgery, Xinhua Hospital Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaShanghai Jiao Tong University School of Medicine Ear Institute, Shanghai, ChinaShanghai Key Laboratory of Translational Medicine on Ear and Nose Diseases, Shanghai, ChinaObjectiveTo investigate the associations between cognition, anxiety, depression, and residual dizziness after successful repositioning maneuvers in the elderly with benign paroxysmal positional vertigo (BPPV).MethodsWe enrolled 40 elderly patients with BPPV in our outpatient department. We used the Dizziness Handicap Inventory (DHI), Visual Analog Scale (VAS), Patient Health Questionnaire-9 (PHQ-9), and Generalized Anxiety Disorder Questionnaire-7 (GAD-7) to assess the degree of dizziness, anxiety, and depression of participants before repositioning therapy, respectively. At the 1-week follow-up after BPPV treatment, each participant will be reassessed and divided into a group with residual dizziness (RD) and a group without residual dizziness (NRD) based on the follow-up DHI score. The Mini-Mental State Examination (MMSE) evaluated the cognitive function of the participants.ResultsThe age, gender, duration of BPPV, and involved semicircular canals in the two groups did not show a significant difference. The RD group scored significantly higher on the DHI (p = 0.006), GAD-7 (p < 0.001), and PHQ-9 (p = 0.002) before the repositioning treatment than the NRD group. The two groups had no significant difference in MMSE score (p = 0.381). Anxiety and depression scores before repositioning treatment significantly and positively correlated with follow-up DHI scores (r = 0.678 and 0.522, respectively), but the MMSE score did not significantly relate to it. The univariate linear regression showed that the DHI (p < 0.001), GAD-7 (p < 0.001), and PHQ-9 (p = 0.002) scores before treatment could predict residual dizziness. The multivariate linear regression showed that GAD-7 before treatment was the only significant predictor of residual dizziness (p < 0.001).ConclusionThe level of dizziness, anxiety, and depression before treatment can predict residual dizziness after successful repositioning maneuvers in the elderly with BPPV. Anxiety may be the strongest predictor of residual dizziness after successful repositioning treatment in elderly BPPV patients.https://www.frontiersin.org/articles/10.3389/fnagi.2023.1208661/fullelderlyBPPVresidual dizzinessanxietydepressioncognition |
| spellingShingle | Jin Sun Jin Sun Jin Sun Xiaobao Ma Xiaobao Ma Xiaobao Ma Ying Yang Ying Yang Ying Yang Kuan He Kuan He Kuan He Wei Wang Wei Wang Wei Wang Jiali Shen Jiali Shen Jiali Shen Lu Wang Lu Wang Lu Wang Xiangping Chen Xiangping Chen Xiangping Chen Yulian Jin Yulian Jin Yulian Jin Jun Yang Jun Yang Jun Yang Jianyong Chen Jianyong Chen Jianyong Chen Associations between cognition, anxiety, depression, and residual dizziness in elderly people with BPPV Frontiers in Aging Neuroscience elderly BPPV residual dizziness anxiety depression cognition |
| title | Associations between cognition, anxiety, depression, and residual dizziness in elderly people with BPPV |
| title_full | Associations between cognition, anxiety, depression, and residual dizziness in elderly people with BPPV |
| title_fullStr | Associations between cognition, anxiety, depression, and residual dizziness in elderly people with BPPV |
| title_full_unstemmed | Associations between cognition, anxiety, depression, and residual dizziness in elderly people with BPPV |
| title_short | Associations between cognition, anxiety, depression, and residual dizziness in elderly people with BPPV |
| title_sort | associations between cognition anxiety depression and residual dizziness in elderly people with bppv |
| topic | elderly BPPV residual dizziness anxiety depression cognition |
| url | https://www.frontiersin.org/articles/10.3389/fnagi.2023.1208661/full |
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