Phobic postural vertigo in Japan

Fumiyuki Goto, Haruna Yabe, Kimiko Nakai, Takanobu Kunihiro, Kaoru Ogawa

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Introduction: Dizziness and vertigo are symptoms of various psychiatric conditions like major depression, somatoform disorder, anxiety disorders, and so on. Phobic postural vertigo (PPV) was first reported by Brandt T et al. in 1994. PPV occurs chiefly in patients with an obsessive-compulsive or narcissistic personality. The diagnosis is based on six characteristics proposed by Brandt et al. The key for a correct diagnosis is spontaneous (sometimes stimulus-induced) postural vertigo and unsteadiness in maintaining an upright position and walking. Methods: The characteristics of patients with PPV were reviewed in 16 patients from June 2002 to November 2006 in our hospital. Some psychological evaluations were preformed by a self-rating questionnaire. MAS (Manifest Anxiety Scale) was used to evaluate the level of anxiety, and the Japanese version of MOCI (Maudsley's Obsessional Compulsive Inventory) was employed to evaluate the obsessive-compulsive personality. Results: We encountered 16 PPV patients. Fourteen were female and 2 were male. The average age was 55±15.5 years old. Many of the patients showed depression and a high level of anxiety. The average MOCI score was 10.8, and this indicated an obsessive-compulsive or narcissistic personality. Treatment involved drug therapy with SSRI (Selective serotonin reuptake inhibitors), antidepressants, anxiolytics like benzodiazepine (BZD), and psychotherapy including cognitive behavior therapy and autogenic training. Conclusion: The diagnosis of PPV was important to improve the prognosis. The key for a correct diagnosis is not anxiety but the subjective dizziness itself. An obsessional personality is often observed.

Original languageEnglish
Pages (from-to)123-129
Number of pages7
JournalEquilibrium Research
Volume66
Issue number3
DOIs
Publication statusPublished - 2007 Jun 1

Keywords

  • Cognitive behavior therapy
  • Maudsley obsessional compulsive inventory
  • Obsession
  • Phobic postural vertigo

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Clinical Neurology

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