Alper CEYLAN, Selçuk ASLAN, Yusuf K. KEMALOĞLU, Nebil GÖKSU

Validity and reliability of the Turkish version of the vertigo handicap questionnaire (VHQ) in a group of patients with vertigo

Amaç: Vertigo Handikap Anketi (VHA) vertigonun sık görülen psikososyal ve algısal sonuçlarım değerlendirir. Bu araştırmada VHA'nun Türkçe uyarlamasının vertigo şikayeti ile başvuran ve çalışma desenini tamamlayan 32 hastada yapısal ve içsel tutarlılık, test tekrar test güvenilirliği, geçerliliği incelenmiştir. Yöntem: Vertigo şikayeti ile başvuran Kulak Burun Boğaz bölümü tarafından vertigo semptomları değerlendirilen 60 hasta araştırmaya alınmış, çalışmayı 32 hasta tamamlamıştır. Hastalar birbirinden 24 saat ara ile iki ayrı oturumda VHA 'yi yanıtlamıştır. Hastaların 24'û bayan, 8'i erkek, yaş ortalaması 41,4 (SD 10.4) bulundu. Tüm hastalara VHA, Vertigo Semptom Ölçeği (VSÖ), Hastane Anksiete ve Depresyon Ölçeği (HADÖ) ve Kısa Yeti Yitimi Ölçeği (KYÖ) uygulanmıştır. Bulgular: Hastaların tamsa! sınıflandırması: 13 hastada "Benign Paroksismal Pozisyonel Vertigo" (BPPV), 6 hastada klasik Meniere hastalığı semptomları bulunmaktadır. Kalan 13 hasta ise herhangi bir sınıflandırmaya tam olarak uymamaktadır. Test tekrar test güvenilirliği: VHA ortalama puanlan değerlendirildiğinde iki oturum arasında anlamlı bir farklılık bulunmamıştır (p>0.05). İki ayn ölçüm ortalama puanlan arasında yüksek pozitif korelasyon bulunmuştur (r=0.5, p=0.003). VHA yüksek iç tutarlılık düzeyine sahiptir (Cronbach alfa = 0.80). Ortalama VHA puanı 43.4±16 bulunmuştur. Test geçerliliği sınanması amacıyla sağlıklı kontrol grubuna da VHA uygulanmıştır. Bulgularımıza göre başdönmesi olanlar sağlıklı kontrol grubuna göre anlamlı olarak daha yüksek handikap puanlan almaktadır. KYÖ ile VHA ortalama puanlan arasında korelasyon incelenmiştir. Sonuçta yüksek bir korelasyon bulunmuştur (r=0.64, p

Vertigo Handikap Anketi'nin (VHA) Türkçe uyarlamasının geçerliliği ve güvenilirliği

Purpose: The Vertigo Handicap Questionnaire (VHQ) assesses common perceptions and the psychosocial consequences of vertigo, which include restriction of physical and social activities, and anxieties about vertigo and its effect on social relationships. The aim of this study was to determine the validity of the Turkish translation of the VHQ for Turkish vertiginous patients. The Turkish translation of the VHQ and Vertigo Symptom Scale (VSS) was administered to a Turkish sample of 32 veritigous patients and 30 healthy controls. Methods: Vertigo symptoms were evaluated with a structured interview. Neuro-otological function was assessed by otorhinolaryngological examination. The study group consisted of 32 patients with vertigo who completed the VHQ on 2 occasions with a 24-hour interval, and 30 healthy control subjects. There were 24 female and 8 male vertiginous patients with a mean age of 41.4. Otorhinolaryngological examination the VHQ, the VSS, the Hospital Anxiety and Depression Scale (HADS), and the Brief Disability Scale (BDQ) were applied to all patients. The VHQ was also applied to the control group. Results: The diagnostic classification of the patients was as follows: 13 patients had the classic symptoms of "benign paroxysmal positional vertigo" (BPPV), and 6 had symptoms of Meniere disease. The remaining patients did not fit any specific classification. Mean handicap score was 43.4±16. VHQ scores did not differ significantly between the 2 occasions (p>0.05). A high correlation and high test-retest reliability between the 2 different measures were seen (r=0.5, p=0.003). The VHQ had a high level of internal consistency and reliability (Cronbach's alpha = 0.80). VHQ scores were significantly higher in the patient group than in the control group (p

PDF

___

1. McKenna L, Hallam RS, HinchclifFe R. The prevalence of psychological disturbance in neuro-otology outpatients. Clin Otolaryngol 1991; 16: 452-6.
2. Goksu N, Bayazit YA, Abdulhalik A, Kemaloglu YK. Vestibular neurectomy with simultaneous endolymphatic subarachnoid shunt. Eur Arch Otorhinolaryngol 2002; 259: 243-46.
3. Goksu N, Bayazit Y, Beder L. Posterior fossa vestibular nerve section for the management of peripheral vertigo. Eur Arch Otorhinolaryngol 1999; 256: 230-32.
4. Jacob RG, Furman JMR, Clark DB, Durrant JD. Vestibular symptoms, panic and phobia: overlap and possible relationships. Ann Clin Psychiatry 1992; 4: 163- 174.
5. Yardley L. Prediction of handicap and emotional distress in patients with recurrent vertigo: symptoms, coping strategies, control beliefs and reciprocal causation. Soc Sci Med 1994; 39: 573-581.
6. Yardley L, Putman J. Quantitative analysis of factors contributing to handicap and distress in vertignous patients: A questionnaire study. Clin Otolaryngol 1992; 17: 231-236.
7. Yardley L, Masson E, Verschuur C, Haacke N, Luxon L. Symptoms, anxiety and handicap in dizzy patients: development of the vertigo symptom scale. J Psychosom Res 1992; 36 : 731-741.
8. Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983; 67: 361-70.
9. Devrimci-Ozgüven H, Koker S, Canat S. The validity and reliability of the hospital Anxiety and Depression Scale in a sample from Ankara. Psikiyatri Psikoloji Psikofarmakoloji Dergisi 1997 Cilt 5: 3 197-201.
10. Mykletun A, Stordal E, Dahl AA. The Hospital Anxiety and Depression Scale (HAD): Factor structure, item analyses, and internal consistency in a large population. Br J Psychiatry 2001; 179: 540-4.
11. Von Korff M, Ustun TB, Ormel J, Kaplan I, Simon GE. Self-report disability in an international primary care study of psychological illness. J Clin Epidemiol 1996; 49: 297-303.
12. Yardley L, Medina SMG, Jurado CS, Morales TP, Martinez RA, Villegas HE. Relationship between physical and psychosocial dysfunction in Mexican patients with vertigo: a cross-cultural validation of the vertigo symptom scale. J Psychosom Res 1999; 46: 63- 74.
13. Lilienfeld SO, Jacob RG, Furman JM. Vestibular dysfunction followed by panic disorder with agoraphobia. J Nerv Ment Dis 1989; 177: 700-701.
14. Eagger S, Luxon LM, Davies RA, Coelho A, Ron MA. Psychiatric morbidity in patients with peripheral vestibular disorder: a clinical and neuro-otological study. J Neurol Neurosurg Psychiatry 1992; 55: 383-387.
15. Mendel B, Bergenius J, Langius A. Dizziness symptom severity and impact on daily living as perceived by patients suffering from peripheral vestibular disorder. Clin Otolaryngol 1999, 24, 175-182.
16. Yardley L, Beech S, Weinman J. Influence of beliefs about the consequences of dizziness on handicap in people with dizziness, and the effect of therapy on beliefs. Journal of Psychosomatic Research 2001, 50; 1: 1-6.
17. Eckhardt-Henn A., Breuer P, Thomalske C, Hoffmann SO, Hopf HC. Anxiety disorders and other psychiatric subgroups in patients complaining of dizziness. Journal of Anxiety Disorders 2003, Article in Press.
18. Monzani D, Casolari L, Guidetti G, Rigatelli M. Psychological distress and disability in patients with vertigo. Journal of Psychosomatic Research 2001; 50: 319-323.