Panic, agoraphobia, and vestibular dysfunction
1996; American Psychiatric Association; Volume: 153; Issue: 4 Linguagem: Inglês
10.1176/ajp.153.4.503
ISSN1535-7228
AutoresRolf G. Jacob, J. M. Furman, John D. Durrant, S. Turner,
Tópico(s)Neural and Behavioral Psychology Studies
ResumoBack to table of contents Previous article Next article No AccessPanic, agoraphobia, and vestibular dysfunctionPublished Online:1 Apr 2006https://doi.org/10.1176/ajp.153.4.503AboutSectionsView articleAbstractPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack Citations ShareShare onFacebookTwitterLinked InEmail View articleAbstractOBJECTIVE: Otoneurological abnormalities have been reported in panic disorder. The purpose of this investigation was to determine the prevalence of such findings in panic disorder with and without agoraphobia and to discern whether vestibular dysfunction was associated with specific symptoms. METHOD: Clinical audiological and vestibular tests were administered to 30 patients with uncomplicated panic disorder (without agoraphobia or with only mild agoraphobia), 29 patients with panic disorder with moderate to severe agoraphobia, 27 patients with anxiety but no history of panic attacks, 13 patients with depressive disorders but no history of anxiety or panic attacks, and 45 normal comparison subjects. Evaluators were blind to subjects' diagnostic group. Quantitative measures of subjects' discomfort with space and motion and of the frequency of certain symptoms between and during panic attacks were obtained. Anxiety state levels were measured during the vestibular tests. RESULTS: Vestibular abnormalities were common in all the groups but most prevalent in the patients with panic disorder with moderate to severe agoraphobia. Vestibular dysfunction was associated with space and motion discomfort and with frequency of vestibular symptoms between, but not during, panic attacks. There were no major differences between the two panic groups in anxiety levels during vestibular testing. There were no significant differences between groups on the audiological component of the test battery. Exploratory data analysis indicated that the constellation of vestibular tests most specific for agoraphobia was one indicating compensated peripheral vestibular dysfunction. CONCLUSIONS: Subclinical vestibular dysfunction, as identified by clinical tests, may contribute to the phenomenology of panic disorder, particularly to the development of agoraphobia in panic disorder patients. Access content To read the fulltext, please use one of the options below to sign in or purchase access. 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FiguresReferencesCited byDetailsCited byMotor alterations in depression and anxiety disorders: A systematic review and meta-analysisJournal of Affective Disorders, Vol. 317Responses to balance challenges in persons with panic disorder: A pilot study of computerized static and dynamic balance measurements29 November 2021 | Brain and Behavior, Vol. 12, No. 1Persistent Postural-Perceptual Dizziness in Children and Adolescents4 June 2021 | Otology & Neurotology, Vol. 42, No. 8Balance and Dizziness Disorders in the Elderly: a Review12 March 2020 | Current Otorhinolaryngology Reports, Vol. 8, No. 2Vestibular Function in Children with Neurodevelopmental Disorders: A Systematic Review17 May 2019 | Journal of Autism and Developmental Disorders, Vol. 49, No. 8Vestibular function in panic disorder patients: a vestibular-evoked myogenic potentials and video head impulse test study28 March 2019 | European Archives of Oto-Rhino-Laryngology, Vol. 276, No. 6Frontiers in Neurology, Vol. 10JAMA, Vol. 320, No. 6Rheumatology International, Vol. 38, No. 5Research in Vestibular Science, Vol. 17, No. 1Clinical Practice Guideline: Benign Paroxysmal Positional Vertigo (Update)1 March 2017 | Otolaryngology–Head and Neck Surgery, Vol. 156, No. 3_supplJournal of Vestibular Research, Vol. 27, No. 4Dizziness and anxiety disorders in the elderly15 September 2016 | Terapevticheskii arkhiv, Vol. 88, No. 9, Vol. 137PLOS ONE, Vol. 11, No. 12Frontiers in Neurology, Vol. 7Clinical Rheumatology, Vol. 34, No. 6Neuroscience & Biobehavioral Reviews, Vol. 48Nordic Journal of Psychiatry, Vol. 69, No. 4Vestibulo‐Sympathetic Responses19 March 2014DizzinessAmerican Journal of Otolaryngology, Vol. 34, No. 2Hearing, Balance and Communication, Vol. 11, No. sup1L'Encéphale, Vol. 38, No. 3CONTINUUM: Lifelong Learning in Neurology, Vol. 18CONTINUUM: Lifelong Learning in Neurology, Vol. 18Brain and Development, Vol. 33, No. 2Gait & Posture, Vol. 33, No. 4Progress in Neuro-Psychopharmacology and Biological Psychiatry, Vol. 35, No. 6Headache-associated dizziness in a headache population: Prevalence and impact12 March 2010 | Cephalalgia, Vol. 30, No. 7, Vol. 9Psychological aspects of vestibular disordersThe Journal of Laryngology & Otology, Vol. 124, No. 3The Laryngoscope, Vol. 113, No. 10PLoS Computational Biology, Vol. 6, No. 2The impact of visual flow stimulation on anxiety, dizziness, and body sway in individuals with and without fear of heightsBehaviour Research and Therapy, Vol. 47, No. 4Depression and Anxiety, Vol. 26, No. 10Der Nervenarzt, Vol. 80, No. 8Behavioural Brain Research, Vol. 202, No. 2Neurologic Clinics, Vol. 27, No. 2Neuroscience Letters, Vol. 454, No. 3Research in Developmental Disabilities, Vol. 30, No. 3Annals of the New York Academy of Sciences, Vol. 1164, No. 1Clinical Practice Guideline: Benign Paroxysmal Positional Vertigo1 November 2008 | Otolaryngology–Head and Neck Surgery, Vol. 139, No. 5_supplJournal of Neurology, Vol. 255, No. 3Biological Cybernetics, Vol. 98, No. 4Behavioural Brain Research, Vol. 186, No. 1Audiological Medicine, Vol. 6, No. 3"Dark Nights of the Soul": Phenomenology and Neurocognition of Spiritual Suffering in Mysticism and Psychosis1 September 2007 | Review of General Psychology, Vol. 11, No. 3La realidad virtual muestra una alta sensibilidad a los conflictos multisensoriales en la agorafobia12 May 2020 | European psychiatry (Ed. Española), Vol. 14, No. 2Depression and Anxiety, Vol. 24, No. 8Brazilian Journal of Otorhinolaryngology, Vol. 73, No. 4L'Encéphale, Vol. 33, No. 5Journal of Anxiety Disorders, Vol. 21, No. 5Journal of Psychosomatic Research, Vol. 63, No. 2Psychiatry Research, Vol. 149, No. 1-3International Journal of Clinical Practice, Vol. 62, No. 1Reviews in the Neurosciences, Vol. 18, No. 3-4Revista Brasileira de Otorrinolaringologia, Vol. 73, No. 4High sensitivity to multisensory conflicts in agoraphobia exhibited by virtual reality16 April 2020 | European Psychiatry, Vol. 21, No. 7Antidepressants and dizziness9 January 2006 | Journal of Psychopharmacology, Vol. 20, No. 5Behaviour Research and Therapy, Vol. 44, No. 9Acta Oto-Laryngologica, Vol. 126, No. 9CONTINUUM: Lifelong Learning in Neurology, Vol. 12CONTINUUM: Lifelong Learning in Neurology, Vol. 12Acrophobia and Pathological Height Vertigo: Indications for Vestibular Physical Therapy?Physical Therapy, Vol. 85, No. 5The Journal of Comparative Neurology, Vol. 487, No. 2Current Psychiatry Reports, Vol. 7, No. 3Archives of Gerontology and Geriatrics, Vol. 40, No. 3European Neuropsychopharmacology, Vol. 15, No. 4Neurologic Clinics, Vol. 23, No. 3Neurologic Clinics, Vol. 23, No. 3CNS Spectrums, Vol. 10, No. S12Why Does Vertigo Become Chronic After Neuropathia Vestibularis?Psychosomatic Medicine, Vol. 66, No. 5Vertigo and Dizziness Related to Migraine: A Diagnostic Challenge26 June 2016 | Cephalalgia, Vol. 24, No. 2Journal of Psychosomatic Research, Vol. 57, No. 2Journal of Anxiety Disorders, Vol. 18, No. 3Brain Research Protocols, Vol. 13, No. 3Psychiatry Research, Vol. 118, No. 3Journal of Anxiety Disorders, Vol. 17, No. 4Current Opinion in Neurology, Vol. 16, No. 1Ausencia de dependencia visual en la integración multisensorial para la orientación espacial en sujetos con ansiedad como rasgo12 May 2020 | European psychiatry (Ed. Española), Vol. 9, No. 8Multisensory integration for spatial orientation in trait anxiety subjects: absence of visual dependence16 April 2020 | European Psychiatry, Vol. 17, No. 4Kyol Goeu('Wind Overload') Part II: Prevalence, Characteristics, and Mechanisms ofKyol Goeu and Near-Kyol GoeuEpisodes of Khmer Patients Attending a Psychiatric Clinic30 June 2016 | Transcultural Psychiatry, Vol. 38, No. 4Common effects of chronically administered antipanic drugs on brainstem GABAA receptor subunit gene expression9 July 2001 | Molecular Psychiatry, Vol. 6, No. 4General Hospital Psychiatry, Vol. 23, No. 6Journal of Anxiety Disorders, Vol. 15, No. 1-2Journal of Anxiety Disorders, Vol. 15, No. 1-2Journal of Anxiety Disorders, Vol. 15, No. 1-2Journal of Anxiety Disorders, Vol. 15, No. 1-2Journal of Anxiety Disorders, Vol. 15, No. 1-2Journal of Anxiety Disorders, Vol. 15, No. 1-2The Journal of Nervous and Mental Disease, Vol. 189, No. 5Current Opinion in Neurology, Vol. 14, No. 1Otology & Neurotology, Vol. 22, No. 3Biological Psychiatry, Vol. 47, No. 2Brain Research Bulletin, Vol. 53, No. 1Journal of Anxiety Disorders, Vol. 14, No. 6Scandinavian Journal of Behaviour Therapy, Vol. 29, No. 2The Laryngoscope, Vol. 110, No. 9Journal of Psychosomatic Research, Vol. 46, No. 1Current Opinion in Neurobiology, Vol. 9, No. 6Journal of Occupational & Environmental Medicine, Vol. 41, No. 6Autonomic reaction to vestibular damage17 May 2016 | Otolaryngology–Head and Neck Surgery, Vol. 119, No. 1Journal of Psychosomatic Research, Vol. 44, No. 1Acta Oto-Laryngologica, Vol. 118, No. 4Current Opinion in Neurology, Vol. 11, No. 1Journal of Anxiety Disorders, Vol. 11, No. 2Journal of Anxiety Disorders, Vol. 11, No. 3The Journal of Nervous &Mental Disease, Vol. 185, No. 6Psychosomatic Medicine, Vol. 59, No. 3 Volume 153Issue 4 April 1996Pages 503-512 Metrics PDF download History Published online 1 April 2006 Published in print 1 April 1996
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