Psychological distress longitudinally mediates the effect of vertigo symptoms on vertigo-related handicap.

Probst, Thomas; Dinkel, Andreas; Schmid-Mühlbauer, Gabriele; Radziej, Katharina; Limburg, Karina; Pieh, Christoph; Lahmann, Claas

doi:10.1016/j.jpsychores.2016.11.013

2017

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Titel:: Psychological distress longitudinally mediates the effect of vertigo symptoms on vertigo-related handicap.
Dokumenttyp:: Journal Article; Research Support, Non-U.S. Gov't
Autor(en):: Probst, Thomas; Dinkel, Andreas; Schmid-Mühlbauer, Gabriele; Radziej, Katharina; Limburg, Karina; Pieh, Christoph; Lahmann, Claas
Abstract:: Vertigo symptoms can lead to more or less vertigo-related handicap. This longitudinal study investigated whether depression, anxiety, and/or somatization mediate the relationship between vertigo symptoms and vertigo-related handicap.N=111 patients with vertigo/dizziness provided complete data on the following measures: Vertigo symptoms at baseline, depression at 6-month follow-up, anxiety at 6-month follow-up, somatization at 6-month follow-up, and vertigo handicap at 12-month follow-up. Mediation analyses with bootstrapping were performed to investigate the mediating role of anxiety, depression, and somatization in the relationship between vertigo symptoms and vertigo-related handicap.When the mediating role of anxiety, depression, and somatization was evaluated separately from each other in single mediation models, the effect vertigo symptoms at baseline exerted on vertigo-related handicap at 12-month follow-up was significantly mediated by depression at 6-month follow-up (p<0.05), by anxiety at 6-month follow-up (p<0.05), as well as by somatization at 6-month follow-up (p<0.05). When statistically controlling for the other mediators in a multiple mediator model, only depression at 6-month follow-up mediated the effect of vertigo symptoms at baseline on vertigo-related handicap at 12-month follow-up (p<0.05).Psychological distress is an important mechanism in the process how vertigo symptoms lead to vertigo-related handicap.
Zeitschriftentitel:: J Psychosom Res
Jahr:: 2017
Band / Volume:: 93
Seitenangaben Beitrag:: 62-68
Sprache:: eng
Volltext / DOI:: doi:10.1016/j.jpsychores.2016.11.013
PubMed:: http://view.ncbi.nlm.nih.gov/pubmed/28107895
Print-ISSN:: 0022-3999
TUM Einrichtung:: Klinik und Poliklinik für Psychosomatische Medizin und Psychotherapie
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mediaTUM Gesamtbestand Einrichtungen Schools TUM School of Medicine and Health Departments Clinical Medicine Klinik und Poliklinik für Psychosomatische Medizin und Psychotherapie (Prof. Henningsen)2017