Clinico-psychological analysis of systematic (vestibular) and nonsystematic (psychogenic) vertigo, therapy optimization
Abstract
Objective: to study the clinical and psychoemotional characteristics in patients with systematic and nonsystematic vertigo and to optimize therapy.
Patients and methods. The clinical features were analyzed in 25 patients with systematic vertigo and 25 patients with psychogenic vertigo. Their psychoemotional sphere was studied using the Beck depression inventory, the Spielberger—Khanin personality- and situation-related anxiety inventory, and the vestibular inventory.
Results. There were statistically significant clinical differences and a higher degree of anxiety-depressive disorders in the patients with psychogenic vertigo. Drug therapy in combination with stabilometric platform exercises based on the biological feedback principle was stated to be effective in patients with different types of vertigo, in those with psychogenic dizziness in particular.
Patients and methods. The clinical features were analyzed in 25 patients with systematic vertigo and 25 patients with psychogenic vertigo. Their psychoemotional sphere was studied using the Beck depression inventory, the Spielberger—Khanin personality- and situation-related anxiety inventory, and the vestibular inventory.
Results. There were statistically significant clinical differences and a higher degree of anxiety-depressive disorders in the patients with psychogenic vertigo. Drug therapy in combination with stabilometric platform exercises based on the biological feedback principle was stated to be effective in patients with different types of vertigo, in those with psychogenic dizziness in particular.
About the Authors
E. M. Illarionova
Smolensk State Medical Academy
Russian Federation
Russian Federation
N. P. Gribova
Smolensk State Medical Academy
Russian Federation
Russian Federation
I. V. Otvagin
Smolensk State Medical Academy
Russian Federation
Russian Federation
References
1. <div><p>Бронштейн А., Лемперт Т. Головокружение. Пер. с англ. М: ГЭОТАР-Медиа 2010;216 с.</p><p>Брандт Т., Дитерих М., Штрупп М. Головокружение. Пер. с англ. М: Практика 2009; 200 с.</p><p>Лиленко С.В., Янов Ю.К., Ситников В.П. Расстройства равновесия. СПб: Агентство Медицинской Информации РИА-АМИ, 2005;128 с.</p><p>Новик А.А., Ионова Т.И. Руководство по исследованию качества жизни в медицине. СПб: Издательский дом Нева; М: ОЛМАПРЕСС Звездный мир, 2002;320 с.</p><p>Бабияк В.И., Янов Ю.К. Вестибулярная функциональная система. СПб: Гиппократ, 2007;432 с.</p><p>Baloh R.W., Honrubia V. Clinical Neurophysiology of the Vestibular System. New York: Oxford University Press, 2000;432 р.</p><p>Brandt T., Dieterich M. Vertigo and dizziness: common complains. Springer, 2004.</p><p>Вельтищев Д.Ю. Психопатологические аспекты головокружения. Журн неврол и психиатр 2010;10(7):69-72.</p><p>Парфенов В.А., Замерград М.В., Мельников О.А. Головокружение. М: ООО МИА, 2009;152 с.</p><p>Morris A.E., Lutman M.E., Yardley L. Measuring outcome from vestibular rehabilitation, part II: refinement and validation of a new self-report measure. Int J Audiol 2009;48(1):24-37.</p><p>Скворцов Д.В. Диагностика двигательной патологии инструментальными методами: анализ походки, стабилометрия. М.: Т.М. Андреева, 2007;640 с.</p><p>Ланг Т.А., Сесик М. Как описывать статистику в медицине. Аннотированное руководство для авторов, редакторов и рецензентов. Пер. с англ. под ред. В.П. Леонова. М: Практическая медицина, 2011;480 с.</p><p>Реброва О.Ю. Статистический анализ медицинских данных. М: Медиа сфера, 2003;312 с.</p></div><br />
Review
For citations:
Illarionova E.M., Gribova N.P., Otvagin I.V. Clinico-psychological analysis of systematic (vestibular) and nonsystematic (psychogenic) vertigo, therapy optimization. Neurology, Neuropsychiatry, Psychosomatics. 2011;3(4):41-45. (In Russ.) https://doi.org/10.14412/2074-2711-2011-345
Views: 683
Email this article 