Prevalence of Psychological Disturbance and Balance System

Jong Yoon^*
*Correspondence: Jong Yoon, Department of Medicine, Sungkyunkwan University, Changwon, South Korea, Email:

Introduction

Neuro-otology is a subspecialty of neurology that deals with disorders of the ear and balance system, including vestibular disorders, hearing loss and tinnitus. While these conditions primarily affect the sensory organs of the ear, they can have a significant impact on a patient's mental and emotional wellbeing, leading to psychological disturbances such as anxiety, depression, and post-traumatic stress disorder. In this article, we will explore the prevalence of psychological disturbance in neuro-otology and its impact on patient care. Psychological disturbances are common in patients with neuro-otological disorders, with studies reporting prevalence rates ranging. The exact prevalence depends on several factors, including the type and severity of the condition, the patient's age and gender, and the presence of other medical or psychological comorbidities. Anxiety and depression are the most common psychological disturbances reported in patients with neuro-otological disorders. These conditions can be caused by the stress and uncertainty associated with a chronic illness, as well as the impact of symptoms such as dizziness, vertigo, and tinnitus on a patient's daily life [1].

Description

Patients may also experience particularly if they have had a traumatic event such as a fall or head injury that caused their neuro-otological symptoms. The presence of psychological disturbances in patients with neurootological disorders can have a significant impact on their overall quality of life and may affect their response to treatment. Patients with anxiety and depression may be less likely to adhere to treatment regimens or attend follow-up appointments, which can compromise the effectiveness of their care. Furthermore, the presence of psychological disturbances can make it difficult to accurately diagnose and manage neuro-otological disorders. For example, patients with anxiety may report symptoms such as dizziness and vertigo, even if they are not present, leading to a misdiagnosis of vestibular disorders. Similarly, patients with depression may be more likely to report symptoms such as hearing loss or tinnitus, even if they are not present, leading to unnecessary diagnostic testing and treatment [2].

Managing psychological disturbances in patients with neuro-otological disorders requires a multidisciplinary approach, involving the expertise of neurologists, audiologists, psychologists and other healthcare professionals. Treatment options may include pharmacotherapy, psychotherapy and supportive interventions such as mindfulness-based stress reduction and relaxation techniques. Antidepressants and anxiolytics are commonly used to manage psychological disturbances in patients with neuro-otological disorders. Selective serotonin reuptake inhibitors and serotonin-norepinephrine reuptake inhibitors are effective for treating anxiety and depression and have been shown to improve symptoms in patients with vestibular disorders. Benzodiazepines such as lorazepam and diazepam may also be used for short-term management of anxiety and panic attacks. Psychotherapy is another effective treatment option for managing psychological disturbances in patients with neuro-otological disorders. Cognitive-behavioral therapy is a particularly effective form of psychotherapy that focuses on changing negative thought patterns and behaviors that contribute to anxiety and depression. CBT has been shown to be effective for managing symptoms in patients with vestibular disorders, as well as tinnitus and hearing loss [3].

Supportive interventions such as mindfulness-based stress reduction and relaxation techniques can also be beneficial for patients with neuro-otological disorders. These interventions focus on reducing stress and improving coping strategies, which can help to alleviate symptoms of anxiety and depression. Yoga, meditation and biofeedback are also useful interventions that can help patients manage their symptoms and improve. Neuro-otology is a subspecialty of neurology that focuses on the diagnosis and treatment of disorders that affect the vestibular system, which is responsible for maintaining balance and spatial orientation. Patients with vestibular disorders often experience symptoms such as vertigo, dizziness and unsteadiness, which can have a significant impact on their quality of life. In addition to the physical symptoms associated with vestibular disorders, patients may also experience psychological disturbance, including anxiety and depression. In this article, we will explore the prevalence of psychological disturbance in neuro-otology and the factors that contribute to it. Psychological disturbance is a common problem in patients with vestibular disorders. Patients with vestibular disorders experience significant levels of anxiety or depression. The prevalence of psychological disturbance varies depending on the type of vestibular disorder, with higher rates reported in patients with chronic or recurring vestibular symptoms [4].

Anxiety is a common psychological disturbance in patients with vestibular disorders. Patients with vestibular disorders often experience symptoms such as vertigo and dizziness, which can be frightening and disorienting. These symptoms can lead to increased levels of anxiety, particularly if the patient is concerned about falling or losing their balance. In addition, patients with vestibular disorders may avoid activities that trigger their symptoms, which can lead to social isolation and further exacerbate anxiety. Depression is another common psychological disturbance in patients with vestibular disorders. Patients with vestibular disorders may experience a loss of control over their symptoms, which can be frustrating and demoralizing. In addition, vestibular disorders can have a significant impact on a patient's quality of life, making it difficult for them to participate in activities they enjoy or maintain social relationships. These factors can contribute to feelings of sadness and hopelessness, which are characteristic of depression. Patients with more severe vestibular symptoms are more likely to experience psychological disturbance than those with milder symptoms. Symptoms such as vertigo and dizziness can be extremely distressing, particularly if they are chronic or recurring. The longer a patient has been experiencing vestibular symptoms, the greater the likelihood that they will experience psychological disturbance [5].

Conclusion

Chronic vestibular symptoms can have a significant impact on a patient's quality of life, leading to feelings of frustration, hopelessness and isolation. Older patients are more likely to experience psychological disturbance in response to vestibular symptoms than younger patients. Older patients may be more vulnerable to the effects of vestibular disorders due to age-related changes in the vestibular system and increased comorbidity. Patients with vestibular disorders often have other medical conditions, such as hypertension, diabetes, and cardiovascular disease, which can increase the risk of psychological disturbance. Patients with strong social support networks are less likely to experience psychological disturbance than those who are socially isolated. Social support can provide emotional and practical assistance, reducing the impact of vestibular symptoms on a patient's quality of life. The treatment of psychological disturbance in patients with vestibular disorders is an important aspect of neuro-otology. Effective treatment of psychological disturbance can improve a patient's quality of life and help them better manage their vestibular symptoms. Treatment options for psychological disturbance in neuro-otology.

Acknowledgement

None.

Conflict of Interest

None.

References

1. Wang, Nuohan, Jianjiang Ma, Wenfeng Pei and Man Wu, et al. "A genome-wide analysis of the Lysophosphatidate Acyltransferase (LPAAT) gene family in cotton: Organization, expression, sequence variation, and association with seed oil content and fiber quality."BMC Genom 18 (2017): 1-18.

Google Scholar, Crossref, Indexed at

2. Zhukovsky, Mikhail A., Angela Filograna, Alberto Luini and Daniela Corda, et al. "The structure and function of acylglycerophosphate acyltransferase 4/lysophosphatidic acid acyltransferase delta (AGPAT4/LPAATδ)."Front Cell Dev Biol7 (2019): 147.

Google Scholar, Crossref, Indexed at

3. Eto, Miki, Hideo Shindou and Takao Shimizu. "A novel Lysophosphatidic Acid Acyltransferase enzyme (LPAAT4) with a possible role for incorporating docosahexaenoic acid into brain glycerophospholipids."Biochem Biophys Res Commun443 (2014): 718-724.

Google Scholar, Crossref, Indexed at

4. Bradley, Ryan M. and Robin E. Duncan. "The lysophosphatidic acid acyltransferases (acylglycerophosphate acyltransferases) family: One reaction, five enzymes, many roles."Curr Opin Lipidol 29 (2018): 110-115.

Google Scholar, Crossref, Indexed at

5. Bradley, Ryan M., Emily B. Mardian, Phillip M. Marvyn and Maryam S. Vasefi, et al. "Data on acylglycerophosphate acyltransferase 4 (AGPAT4) during murine embryogenesis and in embryo-derived cultured primary neurons and glia."Data Br 6 (2016): 28-32.

Google Scholar, Crossref, Indexed at