The characteristics of neuropsychological factors in patients with persistent postural-perceptual dizziness
10.3760/cma.j.issn.1674-6554.2019.09.015
- VernacularTitle: 持续性姿势-感知性头晕患者神经心理特征
- Author:
Junhua MEI
1
;
Guohua CHEN
;
Zhongwen ZHANG
;
Xiaofeng PAN
;
Songbin PAN
;
Minzhen LIU
;
Jinmei XU
Author Information
1. Department of Neurology, the First Hospital of Wuhan, Wuhan 430022, China
- Publication Type:Clinical Trail
- Keywords:
Persistent postural-perceptual dizziness;
Neuropsychological factors;
Personality characteristics;
Anxiety
- From:
Chinese Journal of Behavioral Medicine and Brain Science
2019;28(9):837-841
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the characteristics of neuropsychological factors in patients with persistent postural-perceptual dizziness(PPPD) and provide the basis for the psychosomatic comprehensive treatment.
Methods:Cartel Personality Test (16PF), Symptom Checklist 90 (SCL-90), HAMA, HDMD, SAS and SDS were used to evaluate personality and mental state in patients with PPPD(PPPD group, n=65) and control group(n=63). Dizziness handicap inventory(DHI) was used to evaluate the degree of vertigo.The correlation analysis was carried out between the DHI scores and 16-PF, SCL-90 factor scores.
Results:(1)16PF factor scores: the factor scores of assertiveness(8.50±1.84), excitability (6.59±1.73), boldness (7.46±1.78), sensitivity (7.25±1.79), doubtfulness (6.55±1.74), fantasy(6.20±1.60), anxiety(7.67±1.61) and tension(6.81±1.67)in PPPD group were higher than those in the control group, and the differences were statistically significant (all P<0.05). The gregariousness (4.38±1.65), intelligence (4.51±1.67), stability (3.51±1.75), independence (4.39±1.56) and self-discipline (4.70±1.82) factor scores in PPPD group were lower than those in the control group, and the differences were statistically significant (all P<0.05). (2)SCL-90 factor scores: the factor scores of somatization(1.62±0.40), anxiety (1.64±0.56), interpersonal sensitivity (1.79±0.42), terrifying(1.71±0.53), total points(150.77±21.60), total average score (1.62±0.51) in PPPD group were higher than those in control group (all P<0.05). There were no differences in obsessive-compulsive (1.50±0.55), depression (1.45±0.44), hostility (1.69±0.60), paranoia (1.76±0.53), somatization (1.42±0.49) and psychotic (1.29±0.35) between PPPD group and the control group (all P>0.05). (3)The factor scores of HAMA(9.08±1.77) and SAS(37.88±2.96)in patients with PPPD were higher than that in the control group, and the differences were statistically significant (all P<0.05). There was no significant difference in HAMD (6.19±2.82) and SDS (36.36±4.71) scores between PPPD group and control group (all P>0.05). (4)The DHI scores were positively correlated with assertiveness, sensitivity, tension and doubtfulness factors of 16PF.The DHI scores were positively correlated with somatization, interpersonal sensitivity, anxiety and terrifying factors of SCL-90.
Conclusion:Patients with persistent postural-perceptual dizziness suffer from personality changes, mental disorders and anxiety disorder.
