Saime SAĞIROĞLU, Fatma Özlem ORHAN, Nur Yucel EKİCİ, Adem DOĞANER

Vestibüler disfonksiyonlu hastalarda psikolojik profil ve kişilik özellikleri

Amaç: Bu çalışmada, vestibüler disfonksiyonlu hastaların, psikolojik profil ve kişilik özelliklerini değerlendirmeyi amaçlanmıştır.Gereç ve Yöntem: Vestibüler disfonksiyon şikayeti olan 225 hasta ve vestibüler disfonksiyon şikayeti olmayan 227 kontrol olmak üzere toplam 452 kişi çalışmaya alındı. Otorinolaringolojik muayene ve vestibüler değerlendirme yapıldı. Baş dönmesinin yol açtığı özür ve şiddeti belirlemek için Dizziness Handicap İndeksi (DHI) formu hastalar tarafından dolduruldu. Hasta ve kontrol grubuna, Eysenck Personality Questionnaire-Revised Abbreviated (EPQR-A), Type D personality scale (DS-14) ve Hospital Anxiety Depression Scale (HADS) formları dolduruldu.Bulgular: Hastaların 157’si (%69.8) kadın, 68’i (%30.2) erkek, kontrollerin 133’ü (%58.6) kadın, 94’ü (%41.4) erkek idi. Hasta ve kontrol grubunda ortalama yaş 39.72±14.08 ve 35.02±11.80 idi. Hastaların 81’inin (%36), kontrollerin 42’sinin (%18.4) psikiyatrik tedavi aldığı saptandı. EPQR-A, nevrotizm alt ölçeği, vertigolu hastalarda kontrol grubuna göre istatistiksel olarak anlamlı düzeyde daha yüksek bulundu. HADS’ın anksiyete ve depression alt ölçeği, vertigolu hastalarda kontrol grubuna göre daha yüksek ve istatistiksel olarak anlamlı bulundu. DS 14’ün, negative emotions and social suppression alt ölçekleri, vertigolu hastalarda kontrol grubuna göre daha yüksek ve istatistiksel olarak anlamlı olarak bulundu.Sonuç: Bu çalışma, vestibüler disfonksiyonlu hastalarda "nevrotik" kişilik özelliklerinin ve Tip D kişiliğin daha yüksek oranda olduğunu gösterdi. Sonuç olarak, vestibüler hastalıklardan şikayet eden hastaların psikolojik profil ve kişilik özelliklerinin, tanı ve tedavide önemli olduğunu düşünmekteyiz.

Anahtar Kelimeler:

Vestibüler disfonksiyon, dizziness handicap indeksi, anksiyete, depresyon, nevrotizm

Psychological profile and personal traits in patients with vestibular dysfunction

Purpose: The aim of this study is to evaluate the psychological profile and personality traits of patients with vestibular dysfunction (VD).Materials and Methods: A total of 452 participants, 225 patients with VD and 227 control subjects who had no complaints of VD, were included in the study. Otorhinolaryngologic examination and vestibular assessment were performed. The Dizziness Handicap Inventory (DHI) was completed by the patients to determine the handicap and the severity caused by dizziness. The psychological aspects of the patients were assessed using the Eysenck Personality Questionnaire-Revised Abbreviated form (EPQR-A), Type D personality scale (DS-14), and the Hospital Anxiety and Depression Scale (HADS).Results: Of the 452 participants, 157 (69.8%) were female and 68 (30.2%) were male, while, of the control subjects, 133 (58.6%) were female and 94 (41.4%) were male. It was found that 81 (36%) patients and 42 (18.2%) control subjects had received psychiatric treatment. The EPQR-A neuroticism subscale and the anxiety and depression subscale of the HADS were statistically significantly higher in the patients. The negative emotions and social suppression subscales of the DS-14 were statistically significantly higher in the patients.Conclusion: This study revealed that neurotic personality traits and type D personality were higher in patients with VD. Thus, we believe that the psychological profile and personality traits of patients complaining of vestibular diseases are important in diagnosis and treatment.

Keywords:

Vestibular dysfunction, dizziness handicap inventory, anxiety, depression, neuroticism,

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