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- Document type:
- Journal Article; Research Support, Non-U.S. Gov't
- Author(s):
- Probst, Thomas; Dinkel, Andreas; Schmid-Mühlbauer, Gabriele; Radziej, Katharina; Limburg, Karina; Pieh, Christoph; Lahmann, Claas
- Title:
- Psychological distress longitudinally mediates the effect of vertigo symptoms on vertigo-related handicap.
- 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.
- Journal title abbreviation:
- J Psychosom Res
- Year:
- 2017
- Journal volume:
- 93
- Pages contribution:
- 62-68
- Language:
- eng
- Fulltext / DOI:
- doi:10.1016/j.jpsychores.2016.11.013
- Pubmed ID:
- http://view.ncbi.nlm.nih.gov/pubmed/28107895
- Print-ISSN:
- 0022-3999
- TUM Institution:
- Klinik und Poliklinik für Psychosomatische Medizin und Psychotherapie
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