Psychological factors associated with chronic dizziness in patients aged 60 and older.

Psychological factors associated with chronic dizziness in patients aged 60 and older. Research Abstract Details 

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Psychological factors associated with chronic dizziness in patients aged 60 and older. Abstract Text:

OBJECTIVE: To identify the prevalence and character of psychological disorders accompanying chronic dizziness in older patients. DESIGN: Case series of patients from a geriatric dizziness clinic, with comparison data from age- and sex-matched healthy community controls. Both cases and controls received screening psychological testing; all cases were evaluated by a clinical psychologist as part of the dizziness clinic evaluation. SETTING: Multidisciplinary Geriatric Dizziness Clinic. PARTICIPANTS: Fifty six consecutive patients with chronic dizziness, evaluated by a multidisciplinary Geriatric Dizziness Clinic, and 68 healthy volunteers whose age and sex distribution matched that of the dizziness clinic patients. MEASUREMENTS: Standardized questionnaire for medical, functional, and demographic data; the anxiety, depression, somatization, and phobic anxiety subscales of the Symptom/Checklist-90 (SCL-90-R); the Tinetti gait and motor screen; a physical therapy evaluation; selected laboratory tests; evaluation by a geriatrician; and a formal evaluation by a clinical psychologist, including a semistructured interview. Psychological diagnoses were assigned based on DSM-III-R criteria. MAIN RESULTS: Of these patients with chronic dizziness, 37.5 percent had a psychological diagnosis causing or contributing to their dizziness problem. Of these, only 3 were felt to have a primary psychological cause of their dizziness, and 18 had secondary psychological diagnoses. Anxiety disorders, depression, and adjustment reactions were the most common diagnoses. On multivariate analysis, factors predicting a psychological diagnosis were a positive response to hyperventilation testing, a high score on the SCL-90 anxiety subscale, and fatigue as a precipitant of dizziness. In addition, dizziness clinic patients scored significantly higher (P < 0.001) on all 4 subscales of the SCL-90 when compared with the healthy elderly, suggesting a greater degree of psychological distress among these elderly with chronic dizziness. CONCLUSIONS: Psychological disorders are rare as primary causes but are common as contributing or modulating factors in older persons with dizziness.

Psychological factors associated with chronic dizziness in patients aged 60 and older. Publishing Authors By Initials

For similar behavioral disciplines and activities: psychiatric status rating scales research abstracts see: behavioral disciplines and activities: psychiatric status rating scales research

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Psychological factors associated with chronic dizziness in patients aged 60 and older. Journal Published:

PUBLICATION TYPE: Research Support, U.S. Gov't,

Journal: Journal of the American Geriatrics Society

VOLUME: 42

Page Numbers: 847-52

Journal Abbreviation: J Am Geriatr Soc

ISSN: 0002-8614

DAY: 10

MONTH: Aug

YEAR: 1994

Psychological factors associated with chronic dizziness in patients aged 60 and older. Information

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LANGUAGE: eng

NlmUniqueID: 7503062

Psychological factors associated with chronic dizziness in patients aged 60 and older. Keywords Mesh Terms:

KEYWORDS: Psychiatric Status Rating Scales

MESH TERMS: complications

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Grant and Affiliation Information for Psychological factors associated with chronic dizziness in patients aged 60 and older.

AFFILIATION: Department of Family Medicine, School of Medicine, University of North Carolina at Chapel Hill 27514-7595.

Country: UNITED STATES

AGENCY: United States NIA

GRANT: AG09648

ACRONYM: AG

MEDLINETA: J Am Geriatr Soc

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