Dizziness and anxiety disorders in the elderly


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Perhaps each dizzy patient feels anxiety. Varying emotional disorders are particularly common in elderly patients with dizziness. The causes of the frequent concurrence of dizziness and mental disorders (anxiety and depression) are diverse. Amongst these there are two chief conditions: 1) vestibular vertigo may cause anxiety to a greater extent than many other symptoms; 2) anxiety and depression are themselves frequently manifested by the sensations resembling vestibular ones that patients are inclined to call dizziness. On the contrary, anxiety may appear in some cases as the sensations resembling dizziness. Besides the latter, the patient may present a lot of complaints, which serves as a manifestation of psychoautonomic syndrome (the basis for which is anxiety and depression). At the same time, the term «phobic postural instability» is proposed to describe psychogenic disorders, in which dizziness becomes virtually the only chief complaint. The treatment of dizziness and anxiety disorders in the elderly encompasses a few areas: vestibular rehabilitation, drug therapy, and psychotherapy. The paper describes the possibilities of using anvifen as a pathogenetically sound treatment in patients with anxiety disorders, as anvifen is a GABA-ergic medication.

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O Kotova

M Zamergrad

参考

  1. Rosa TS, de Moraes A.B., Dos Santos Filha V.A. The institutionalized elderly: sociodemographic and clinical-functional profiles related to dizziness. Braz J Otorhinolaryngol. 2016;82(2):159-169. doi: 10.1016/j.bjorl.2014.12.014
  2. Moraes SA, Soares WJS, Rodrigues RAS, Fett WCR, Ferriolli E, Perracini MR. Tontura em idosos da comunidade: estudo de base populacional. Braz J Otorhinolaryngol. 2011;77:691-699.
  3. Lahmann C, Henningsen P, Brandt T., Strupp M, Jahn K, Dieterich M, Eckhardt-Henn A, Feuerecker R, Dinkel A, Schmid G. Psychiatric comorbidity and psychosocial impairment among patients with vertigo and dizziness. J Neurol Neurosurg Psychiatry. 2015;86(3):302-308. doi: 10.1136/jnnp-2014-307601
  4. Замерград М.В., Парфенов В.А., Яхно Н.Н., Мельников О.А., Морозова С.В. Диагностика системного головокружения в амбулаторной практике. Неврологический журнал. 2014;19(2):23-29. doi: 10.18821/1560-9545-2014-19-2-23-29
  5. Замерград М.В. Возрастные аспекты головокружений. Неврологический журнал. 2014;19(3):21-28.
  6. Peluso ÉT, Quintana MI, Ganança FF. Anxiety and depressive disorders in elderly with chronic dizziness of vestibular origin. Braz J Otorhinolaryngol. 2016;82(2):209-214. doi: 10.1016/j.bjorl.2015.04.015
  7. Yuan Q, Yu L, Shi D, Ke X, Zhang H. Anxiety and depression among patients with different types of vestibular peripheral vertigo. Medicine (Baltimore). 2015;94(5):e453. doi: 10.1097/MD.0000000000000453
  8. Ballester M, Liard P, Vibert D, Hausler R. Menière’s disease in the elderly. Otol Neurotol. 2002;23(1):73-78. doi: 10.1097/00129492-200201000-00017
  9. Крюков А.И., Федорова О.К., Антонян Р.Г., Шеремет А.С. Клинические аспекты болезни Меньера. М.: Медицина; 2006.
  10. Shin JE, Kim CH, Park HJ. Vestibular abnormality in patients with Meniere’s disease and migrainous vertigo. Acta Otolaryngol. 2013; 33(2):154-158. doi: 10.3109/00016489.2012.727469
  11. Levine J, Toder D, Geller V, Kraus M, Gauchman T, Puterman M, Grisaru N. Beneficial effects of caloric vestibular stimulation on denial of illness and manic delusions in schizoaffective disorder: a case report. Brain Stimul. 2012;5(3):267-273. doi: 10.1016/j.brs.2011.03.004
  12. Jacob RG, Redfern MS, Furman JM. Space and motion discomfort and abnormal balance control in patients with anxiety disorders. J Neurol Neurosurg Psychiatry. 2009;80(1):74-78. doi: 10.1136/jnnp.2007.136432
  13. Furman JM, Redfern MS, Jacob RG. Vestibulo-ocular function in anxiety disorders. J Vestib Res. 2006;16(4-5):209-215.
  14. Jacob RG, Furman JM, Durrant JD, Turner SM. Panic, agoraphobia, and vestibular dysfunction. Am J Psychiatry. 1996;153(4):503-512. doi: 10.1176/ajp.153.4.503
  15. Staab JP. Chronic subjective dizziness. Continuum (Minneap Minn). Neurootology. 2012;18(5):1118-1141. doi: 10.1212/01.CON.0000421622.56525.58
  16. Смулевич А.Б., Дубницкая Э.Б., Дробижев М.Ю., Бурлаков А.В., Макух Е.А., Горбушин А.Г. Депрессии и возможности их лечения в общемедицинской практике (предварительные результаты программы ПАРУС). Consilium Medicum «Психические расстройства в общей медицине». 2007;2(2):25-30.
  17. Котова О.В., Максимова Л.Н. Пациент с психовегетативным синдромом: помогает врач общей практики. Фарматека. 2012;19(252):36-41.
  18. Оганов Р.Г., Ольбинская Л.И., Смулевич А.Б. Дробижев М.Ю., Шальнова С.А., Погосова Г.В. Депрессии и расстройства депрессивного спектра в общемедицинской практике. результаты программы КОМПАС. Кардиология. 2004;1:48-54.
  19. Terluin B, van Marwijk HWJ, Adèr HJ, de Vet HCW, Penninx BWJH, Hermens MLM, van Boeijen CA, van Balkom AJLM, van der Klink JJL, Stalman WAB. The Four-Dimensional Symptom Questionnaire (4DSQ): a validation study of a multidimensional self-report questionnaire to assess distress, depression, anxiety and somatization. BMC Psychiatry. 2006;6:34. doi: 10.1186/1471-244X-6-34
  20. Смулевич А.Б., Яхно Н.Н., Терлуин Б., Рейхарт Д.В., Захарова Е.К., Андрющенко А.В., Парфенов В.А., Замерград М.В., Арнаутов В.С.,Романов Д.В. Четырехмерный опросник для оценки дистресса, депрессии, тревоги и соматизации (4 ДДТС) при вегетативных психосоматических расстройствах пограничного уровня. Журнал неврологии и психиатрии им. С.С. Корсакова. 2014;114(11):67-73.
  21. Brandt T, Dieterich M, Strupp M. Vertigo and dizziness: common complains. London: Springer; 2004.
  22. Bronstein AM, Gresty MA, Luxon LM, Ron MA, Rudge P, Yardley L. Phobic postural vertigo. Neurology. 1997;49(5):1480-1481. doi: 10.1212/wnl.49.5.1480
  23. Brandt T. Phobic postural vertigo. Neurology. 1996;46(6):1515-1519. doi: 10.1212/wnl.46.6.1515
  24. Pollak L, Klein C, Stryjer R, Kushnir M, Teitler J, Flechter S. Phobic postural vertigo: a new proposed entity. Isr Med Assoc J. 2003;5(10):720-723.
  25. Van Ombergen A, Van Rompaey V, Maes LK, Van de Heyning PH, Wuyts FL. Mal de debarquement syndrome: a systematic review. J Neurol. 2016;263(5):843-854. doi: 10.1007/s00415-015-7962-6
  26. Monzani D, Marchioni D, Bonetti S, Pellacani P, Casolari L, Rigatelli M, Presutti L. Anxiety affects vestibulospinal function of labyrinthine-defective patients during horizontal optokinetic stimulation. Acta Otorhinolaryngol Ital. 2004;24(3):117-124.
  27. Furman JM, Jacob RG. Psychiatric dizziness. Neurology. 1997;48:1161-1166. doi: 10.1212/wnl.48.5.1161
  28. Ricci NA, Aratani MC, Caovilla HH, Ganança FF. Effects of Vestibular Rehabilitation on Balance Control in Older People with Chronic Dizziness: A Randomized Clinical Trial. Am J Phys Med Rehabil. 2016;95(4):256-269. doi: 10.1097/PHM.0000000000000370
  29. Ribeiro KM, Freitas RV, Ferreira LM, Deshpande N, Guerra RO. Effects of balance Vestibular Rehabilitation Therapy in elderly with Benign Paroxysmal Positional Vertigo: a randomized controlled trial. Disabil Rehabil. 2016;24:1-9. doi: 10.1080/09638288.2016.1190870
  30. Hanlon JT, Wang X, Good CB, Rossi MI, Stone RA, Selma TP, Cunningham FE, Handler SM. Racial differences in medication use among older, long-stay veterans affairs nursing home care unit patients. Consult Pharm; 2009. doi: 10.4140/tcp.n.2009.050
  31. Gassmann KG, Rupprecht R. Dizziness in an older community dwelling population: a multifactorial syndrome. J Nutr Health Aging. 2009;13(3):278-282. doi: 10.1007/s12603-009-0073-2
  32. Пизова Н.В.. Утомляемость, астения и хроническая усталость. Что это такое? Consilium Medicum. 2012;14(2):46-49.
  33. Есин О.Р., Хайруллин И.Х., Есин Р.Г., Токарева Н. В. Головная боль напряжения: эффективность ГАМКергического препарата анвифен. Журнал неврологии и психиатрии им. С.С. Корсакова. 2016;116(2):58-61. doi: 10.17116/jnevro20161162158-61
  34. Mahoney AEJ, Edelman S, Cremer PD. Cognitive behavior therapy for chronic subjective dizziness: longer-term gains and predictors of disability. Am J Otolaryngol. 2013;34(2):115-120. doi: 10.1016/j.amjoto.2012.09.013
  35. Naber CM, Water-Schmeder O, Bohrer PS, Matonak K, Bernstein AL, Merchant MA. Interdisciplinary treatment for vestibular dysfunction: the effectiveness of mindfulness, cognitive-behavioral techniques, and vestibular rehabilitation. Otolaryngol Head Neck Surg. 2011;145(1):117-124. doi: 10.1177/0194599811399371

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