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Logo of jnnpsycJournal of Neurology, Neurosurgery and PsychiatryCurrent TOCInstructions for authors
J Neurol Neurosurg Psychiatry. May 1992; 55(5): 383–387.
PMCID: PMC489080

Psychiatric morbidity in patients with peripheral vestibular disorder: a clinical and neuro-otological study.

Abstract

This study reports the psychiatric morbidity in 54 patients with objective evidence of peripheral vestibular disorder seen three to five years after their original referral. A third of the patients were free from vestibular symptoms at follow up and a further third had experienced some improvement. Two thirds of the patients had experienced psychiatric symptoms during this period, although only 50% were rated above the cut off point for significant psychiatric disturbance when interviewed. Panic disorder with or without agoraphobia and major depression were the commonest psychiatric diagnoses. Patients with classical "labyrinthine" symptoms had a more severe canal paresis than the rest, but the degree of the abnormalities in the neuro-otological tests was unrelated to outcome or to psychiatric morbidity. On the other hand, there was a significant correlation between the presence of vestibular symptoms and psychiatric morbidity, which in turn correlated with measures of anxiety, perceived stress and previous psychiatric illness.

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Selected References

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  • PRATT RT, McKENZIE W. Anxiety states following vestibular disorders. Lancet. 1958 Aug 16;2(7042):347–349. [PubMed]
  • Lilienfeld SO, Jacob RG, Furman JM. Vestibular dysfunction followed by panic disorder with agoraphobia. J Nerv Ment Dis. 1989 Nov;177(11):700–701. [PubMed]
  • Marks I. Space "phobia": a pseudo-agoraphobic syndrome. J Neurol Neurosurg Psychiatry. 1981 May;44(5):387–391. [PMC free article] [PubMed]
  • Page NG, Gresty MA. Motorist's vestibular disorientation syndrome. J Neurol Neurosurg Psychiatry. 1985 Aug;48(8):729–735. [PMC free article] [PubMed]
  • HALLPIKE CS, HARRISON MS, SLATER E. Abnormalities of the caloric test results in certain varieties of mental disorder. Acta Otolaryngol. 1951 Jun;39(2-3):151–159. [PubMed]
  • Dix MR, Hood JD. Vestibular habituation, its clinical significance and relationship to vestibular neuronitis. Laryngoscope. 1970 Feb;80(2):226–232. [PubMed]
  • Jacob RG, Møller MB, Turner SM, Wall C., 3rd Otoneurological examination in panic disorder and agoraphobia with panic attacks: a pilot study. Am J Psychiatry. 1985 Jun;142(6):715–720. [PubMed]
  • JONGKEES LB. Uber die Untersuchungsmethoden des Gleichgewichtsorgans. Fortschr Hals Nasen Ohrenheilkd. 1953;1:1–147. [PubMed]
  • Goldberg DP, Cooper B, Eastwood MR, Kedward HB, Shepherd M. A standardized psychiatric interview for use in community surveys. Br J Prev Soc Med. 1970 Feb;24(1):18–23. [PMC free article] [PubMed]
  • Jenkins R, Mann AH, Belsey E. The background, design and use of a short interview to assess social stress and support in research and clinical settings. Soc Sci Med E. 1981 Aug;15(3):195–203. [PubMed]
  • Marks IM, Mathews AM. Brief standard self-rating for phobic patients. Behav Res Ther. 1979;17(3):263–267. [PubMed]
  • Knight RG, Waal-Manning HJ, Spears GF. Some norms and reliability data for the State--Trait Anxiety Inventory and the Zung Self-Rating Depression scale. Br J Clin Psychol. 1983 Nov;22(Pt 4):245–249. [PubMed]
  • Hallam RS, Stephens SD. Vestibular disorder and emotional distress. J Psychosom Res. 1985;29(4):407–413. [PubMed]
  • Jacob RG. Panic disorder and the vestibular system. Psychiatr Clin North Am. 1988 Jun;11(2):361–374. [PubMed]

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