Spouse perceptions of patient self-reported vertigo severity and dizziness
The present investigation was conducted in an effort to assess the level of congruence between patients and spouses for the patient's self-reported vertigo severity and dizziness handicap. Prospective study. Fifty consecutive patients, and their spouses, evaluated in our Balance Disorders Labor...
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Published in: | Otology & neurotology Vol. 33; no. 6; pp. 1034 - 1039 |
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Abstract | The present investigation was conducted in an effort to assess the level of congruence between patients and spouses for the patient's self-reported vertigo severity and dizziness handicap.
Prospective study.
Fifty consecutive patients, and their spouses, evaluated in our Balance Disorders Laboratory in the Division of Vestibular Sciences.
Dizziness Handicap Inventory (DHI), Spouse version of the DHI (DHI-SP), Vertigo Symptom Scale (VSS), Spouse version of the VSS (VSS-SP), and the Hospital Anxiety and Depression Scale (HADS).
The mean DHI and DHI-SP total scores were not statistically different from one another (t49 = 1.58, p = 0.16) and were strongly correlated (r = 0.79, p < 0.01). The VSS and VSS-SP scores were statistically different (t49 = 2.33, p = 0.02) but were still moderately correlated (r = 0.56, p < 0.01). Spouses tended to overestimate vertigo severity. We observed an increase in the frequency of occurrence of clinically significant anxiety and depression not only in patients but in spouses as well. Furthermore, anxious patients tended to be married to anxious spouses, and depressed patients tended to be married to depressed spouses. Finally, the mean DHI scores were significantly greater for patients with clinically significant anxiety and/or depression, but the presence of patient anxiety and/or depression did not affect spousal congruence.
The results attest to the congruence of patient and spouse perceptions of vertigo severity and dizziness handicap. |
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AbstractList | The present investigation was conducted in an effort to assess the level of congruence between patients and spouses for the patient's self-reported vertigo severity and dizziness handicap.
Prospective study.
Fifty consecutive patients, and their spouses, evaluated in our Balance Disorders Laboratory in the Division of Vestibular Sciences.
Dizziness Handicap Inventory (DHI), Spouse version of the DHI (DHI-SP), Vertigo Symptom Scale (VSS), Spouse version of the VSS (VSS-SP), and the Hospital Anxiety and Depression Scale (HADS).
The mean DHI and DHI-SP total scores were not statistically different from one another (t49 = 1.58, p = 0.16) and were strongly correlated (r = 0.79, p < 0.01). The VSS and VSS-SP scores were statistically different (t49 = 2.33, p = 0.02) but were still moderately correlated (r = 0.56, p < 0.01). Spouses tended to overestimate vertigo severity. We observed an increase in the frequency of occurrence of clinically significant anxiety and depression not only in patients but in spouses as well. Furthermore, anxious patients tended to be married to anxious spouses, and depressed patients tended to be married to depressed spouses. Finally, the mean DHI scores were significantly greater for patients with clinically significant anxiety and/or depression, but the presence of patient anxiety and/or depression did not affect spousal congruence.
The results attest to the congruence of patient and spouse perceptions of vertigo severity and dizziness handicap. OBJECTIVEThe present investigation was conducted in an effort to assess the level of congruence between patients and spouses for the patient's self-reported vertigo severity and dizziness handicap.STUDY DESIGNProspective study.PATIENTSFifty consecutive patients, and their spouses, evaluated in our Balance Disorders Laboratory in the Division of Vestibular Sciences.MAIN OUTCOME MEASURESDizziness Handicap Inventory (DHI), Spouse version of the DHI (DHI-SP), Vertigo Symptom Scale (VSS), Spouse version of the VSS (VSS-SP), and the Hospital Anxiety and Depression Scale (HADS).RESULTSThe mean DHI and DHI-SP total scores were not statistically different from one another (t49 = 1.58, p = 0.16) and were strongly correlated (r = 0.79, p < 0.01). The VSS and VSS-SP scores were statistically different (t49 = 2.33, p = 0.02) but were still moderately correlated (r = 0.56, p < 0.01). Spouses tended to overestimate vertigo severity. We observed an increase in the frequency of occurrence of clinically significant anxiety and depression not only in patients but in spouses as well. Furthermore, anxious patients tended to be married to anxious spouses, and depressed patients tended to be married to depressed spouses. Finally, the mean DHI scores were significantly greater for patients with clinically significant anxiety and/or depression, but the presence of patient anxiety and/or depression did not affect spousal congruence.CONCLUSIONThe results attest to the congruence of patient and spouse perceptions of vertigo severity and dizziness handicap. |
Author | Hale, Sue T McCaslin, Devin L Piker, Erin G Tran, Aline T Jacobson, Gary P |
Author_xml | – sequence: 1 givenname: Erin G surname: Piker fullname: Piker, Erin G organization: Division of Vestibular Sciences, Vanderbilt Bill Wilkerson Center for Otolaryngology and Communication Sciences, Vanderbilt University School of Medicine, Nashville, Tennessee, USA – sequence: 2 givenname: Gary P surname: Jacobson fullname: Jacobson, Gary P – sequence: 3 givenname: Aline T surname: Tran fullname: Tran, Aline T – sequence: 4 givenname: Devin L surname: McCaslin fullname: McCaslin, Devin L – sequence: 5 givenname: Sue T surname: Hale fullname: Hale, Sue T |
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Cites_doi | 10.1055/s-0042-1748013 10.1016/0277-9536(94)90100-7 10.1097/01.mao.0000185066.04834.4e 10.1136/jnnp.2005.072934 10.3109/14992020903311396 10.1016/j.jpain.2008.11.005 10.7326/0003-4819-117-11-898 10.1111/j.1526-4610.1995.hed3509534.x 10.1016/0304-3959(94)00173-C 10.1080/14992020802314905 10.1016/S0022-3999(00)00202-6 10.1348/014466501163904 10.1097/01.wco.0000198102.95294.1f 10.1023/A:1026433113262 10.3109/03005369209076649 10.1016/S0304-3959(03)00268-9 10.1016/0022-3999(92)90131-K 10.1136/jnnp.65.5.679 10.1001/archotol.126.7.881 10.1002/1097-0142(19920215)69:4<1074::AID-CNCR2820690440>3.0.CO;2-L 10.1001/archotol.1990.01870040046011 10.1016/0022-3999(85)90026-1 10.1016/j.pain.2004.01.036 10.1097/00019052-200102000-00007 10.1016/S0022-3999(96)00216-4 10.1080/00016480410023001 10.3766/jaaa.19.4.6 10.1016/S0887-6185(00)00040-2 10.1176/appi.psy.46.4.334 10.1111/j.1365-2273.1992.tb01833.x 10.1111/j.1600-0447.1983.tb09716.x |
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SubjectTerms | Anxiety - psychology Depression - psychology Disability Evaluation Dizziness - physiopathology Female Humans Male Marriage Middle Aged Psychometrics Spouses Surveys and Questionnaires Vertigo - physiopathology |
Title | Spouse perceptions of patient self-reported vertigo severity and dizziness |
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