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

Probst, Thomas and Dinkel, Andreas and Schmid-Muehlbauer, Gabriele and Radziej, Katharina and Limburg, Karina and Pieh, Christoph and Lahmann, Claas (2017) Psychological distress longitudinally mediates the effect of vertigo symptoms on vertigo-related handicap. JOURNAL OF PSYCHOSOMATIC RESEARCH, 93. pp. 62-68. ISSN 0022-3999, 1879-1360

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Abstract

Objective: 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. Methods: 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. Results: 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 amultiple 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). Conclusion: Psychological distress is an important mechanism in the process how vertigo symptoms lead to vertigo -related handicap. (C) 2016 Elsevier Inc. All rights reserved.

Item Type: Article
Uncontrolled Keywords: PERIPHERAL VESTIBULAR DISORDER; CROSS-SECTIONAL ANALYSES; PRIMARY-CARE; SOMATOFORM DISORDERS; MENIERES-DISEASE; SOMATIC SYMPTOMS; DIZZINESS; ANXIETY; PEOPLE; MIGRAINE; Dizziness; Vertigo; Depression; Anxiety; Somatization
Divisions: Medicine > Abteilung für Psychosomatische Medizin
Psychology and Pedagogy > Institut für Psychologie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 14 Dec 2018 13:01
Last Modified: 19 Feb 2019 09:52
URI: https://pred.uni-regensburg.de/id/eprint/512

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