{"id":13813,"date":"2025-07-14T12:04:54","date_gmt":"2025-07-14T10:04:54","guid":{"rendered":"https:\/\/ivrt.de\/?p=13813"},"modified":"2026-02-06T17:03:20","modified_gmt":"2026-02-06T16:03:20","slug":"psychische-begleiterkrankungen-bei-vestibulaeren-stoerungen-erhoehtes-risiko-fuer-angststoerungen-und-depressionen","status":"publish","type":"post","link":"https:\/\/ivrt.de\/en\/studien-evidenz\/psychische-begleiterkrankungen-bei-vestibulaeren-stoerungen-erhoehtes-risiko-fuer-angststoerungen-und-depressionen\/","title":{"rendered":"Psychiatric comorbidities in vestibular disorders \u2013 increased risk of anxiety disorders and depression"},"content":{"rendered":"<p><strong>For Healthcare Professionals:<\/strong><\/p>\n\n\n\n<p>Patients with vestibular disorders often report psychological comorbidities such as anxiety, inner restlessness, or depressive symptoms.<\/p>\n\n\n\n<p>But how frequent are these actually \u2013 and how strong is the association?<\/p>\n\n\n\n<p>A recent retrospective cohort study using the TriNetX database investigated the link between vestibular disorders and psychiatric comorbidity.<\/p>\n\n\n\n<p>\ud83d\udd17 <a href=\"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1002\/oto2.70139\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>Original study<\/strong><\/a><\/p>\n\n\n\n<p><strong>Study design &amp; methods:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Data source<strong>:<\/strong> TriNetX database (de-identified patient data)<\/li>\n\n\n\n<li>Sample<strong>:<\/strong>\n<ul class=\"wp-block-list\">\n<li>64,153 patients with vestibular diagnoses<\/li>\n\n\n\n<li>64,153 matched controls without vestibular diagnoses<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Matching<strong>:<\/strong> age, sex, comorbidities<\/li>\n\n\n\n<li>Follow-up period<strong>:<\/strong> 5 years after first diagnosis<\/li>\n<\/ul>\n\n\n\n<p><strong>Key results<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>In patients with vestibular disorders, risk was significantly increased:<\/li>\n\n\n\n<li>Depression<strong>:<\/strong> Relative Risk (RR) 1.37<\/li>\n\n\n\n<li>Anxiety disorder<strong>:<\/strong> RR 1.51<\/li>\n\n\n\n<li>Antidepressant prescription<strong>:<\/strong> RR 1.41<\/li>\n\n\n\n<li>These results clearly demonstrate that vestibular disorders are often accompanied by considerable psychological burden.<\/li>\n<\/ul>\n\n\n\n<p><strong>Conclusion for Practice<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Vestibular disorders such as <a href=\"https:\/\/ivrt.de\/en\/patientenedukation\/vestibulaere-migraene\/\" data-type=\"link\" data-id=\"https:\/\/ivrt.de\/patientenedukation\/vestibulaere-migraene\/\" target=\"_blank\" rel=\"noreferrer noopener\">Vestibular migraine<\/a> or <a href=\"https:\/\/ivrt.de\/en\/patientenedukation\/morbus-meniere\/\" data-type=\"link\" data-id=\"https:\/\/ivrt.de\/patientenedukation\/morbus-meniere\/\" target=\"_blank\" rel=\"noreferrer noopener\">Meniere's disease<\/a> increase the risk of anxiety and depression.<\/li>\n\n\n\n<li>Functional syndromes such as <a href=\"https:\/\/ivrt.de\/en\/patientenedukation\/persistierender-postural-perzeptiver-schwindel-pppd\/\" data-type=\"link\" data-id=\"https:\/\/ivrt.de\/patientenedukation\/persistierender-postural-perzeptiver-schwindel-pppd\/\" target=\"_blank\" rel=\"noreferrer noopener\">persistent postural-perceptual dizziness<\/a> (PPPD) often arise in the context of psychological stress\u2014or develop secondarily after vestibular disease.<\/li>\n\n\n\n<li>A structured, interdisciplinary <a href=\"https:\/\/ivrt.de\/en\/patientenedukation\/diagnostische-tests-fuer-gleichgewichtsstoerungen-und-schwindelsymptomatik\/\" data-type=\"link\" data-id=\"https:\/\/ivrt.de\/patientenedukation\/diagnostische-tests-fuer-gleichgewichtsstoerungen-und-schwindelsymptomatik\/\">Diagnostik<\/a> and therapeutic approach is essential.<\/li>\n<\/ul>\n\n\n\n<p><strong>\ud83d\udc49 Are you interested in a comprehensive further training in <a href=\"https:\/\/ivrt.de\/en\/patientenedukation\/vestibulaere-rehabilitationstherapie-und-gleichgewichtstraining\/\" data-type=\"post\" data-id=\"8932\">vestibular rehabilitation<\/a> and in deepening your knowledge of PPPD?<\/strong><br>Current further education opportunities can be found in the <strong><a href=\"https:\/\/ivrt.de\/en\/fuer-medizinisches-fachpersonal\/fortbildungssuche\/\" data-type=\"link\" data-id=\"https:\/\/ivrt.de\/fuer-medizinisches-fachpersonal\/fortbildungssuche\/\">IVRT Course search<\/a>.<\/strong><\/p>\n\n\n\n<p><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p><\/p>\n\n\n\n<p><strong>For Patients \u2013 Easy to Understand<\/strong><\/p>\n\n\n\n<p><strong>Dizziness can affect the mind \u2013 and the mind can affect dizziness.<\/strong><br><em>Depression and anxiety are common in people with dizziness.<\/em><\/p>\n\n\n\n<p>Many people with dizziness not only feel physically unsteady, but also mentally burdened.<\/p>\n\n\n\n<p>A large US study shows:<\/p>\n\n\n\n<p>People with dizziness are more likely to experience depression and anxiety than the general population.<\/p>\n\n\n\n<p>\ud83d\udcc4 <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/40550632\/\" data-type=\"link\" data-id=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/40421807\/\" target=\"_blank\" rel=\"noreferrer noopener\">Original study<\/a><\/p>\n\n\n\n<p><strong>What are the findings?<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Researchers compared over 64,000 people with vestibular disorders to an equally large group without balance problems. They found:<\/li>\n\n\n\n<li>Depression and anxiety were clearly more common in people with dizziness.<\/li>\n\n\n\n<li>Medications for psychological distress were prescribed more often in these patients.<\/li>\n<\/ul>\n\n\n\n<p><strong>What does this mean<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>The balance system is closely connected with brain areas responsible for emotions, stress, and attention.<\/li>\n\n\n\n<li>Long-term dizziness can trigger a \u201cdizziness\u2013anxiety cycle.\u201d<\/li>\n\n\n\n<li>Conversely, psychological stress can also change balance and perception.<\/li>\n<\/ul>\n\n\n\n<p><strong>Did you know?<\/strong><\/p>\n\n\n\n<p>There is a form of chronic dizziness called \"<a href=\"https:\/\/ivrt.de\/en\/patientenedukation\/persistierender-postural-perzeptiver-schwindel-pppd\/\" data-type=\"link\" data-id=\"https:\/\/ivrt.de\/patientenedukation\/persistierender-postural-perzeptiver-schwindel-pppd\/\" target=\"_blank\" rel=\"noreferrer noopener\">Persistent Postural-Perceptual Dizziness<\/a> (PPPD)\u201c.<\/p>\n\n\n\n<p>In PPPD, dizziness continues even though the original trigger \u2014 such as <a href=\"https:\/\/ivrt.de\/en\/patientenedukation\/gutartiger-paroxysmaler-lagerungsschwindel\/\" data-type=\"post\" data-id=\"5936\" target=\"_blank\" rel=\"noreferrer noopener\">positional vertigo<\/a>, a <a href=\"https:\/\/ivrt.de\/en\/patientenedukation\/neuritis-vestibularis\/\" data-type=\"post\" data-id=\"7427\" target=\"_blank\" rel=\"noreferrer noopener\">Vestibular neuritis<\/a> or a dizziness attack due to <a href=\"https:\/\/ivrt.de\/en\/patientenedukation\/morbus-meniere\/\" data-type=\"post\" data-id=\"7403\" target=\"_blank\" rel=\"noreferrer noopener\">Meni\u00e8re<\/a> or <a href=\"https:\/\/ivrt.de\/en\/patientenedukation\/vestibulaere-migraene\/\" data-type=\"post\" data-id=\"5313\" target=\"_blank\" rel=\"noreferrer noopener\">Vestibular migraine<\/a> \u2014 has resolved.<\/p>\n\n\n\n<p>Factors such as anxiety, overstimulation, or visual environments (e.g., supermarkets) often play a role.<\/p>\n\n\n\n<p><strong>What you can do<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>You are not alone \u2014 and there is targeted help!<\/li>\n\n\n\n<li>Specially trained IVRT\u00ae vestibular therapists understand the interaction between body and mind and can help you regain safety and confidence in everyday life.<\/li>\n<\/ul>\n\n\n\n<p>\ud83c\udfaf <strong>Specially trained IVRT\u00ae dizziness and vestibular therapists<\/strong> can be found via our <strong><a href=\"https:\/\/ivrt.de\/en\/fuer-betroffene\/therapeutensuche\/\" data-type=\"page\" data-id=\"101\" target=\"_blank\" rel=\"noreferrer noopener\">IVRT therapist search<\/a><\/strong><\/p>\n\n\n\n<p><a id=\"_msocom_1\"><\/a><\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><\/p>","protected":false},"excerpt":{"rendered":"<p>F\u00fcr Fachpersonal: Patient:innen mit vestibul\u00e4ren St\u00f6rungen berichten h\u00e4ufig \u00fcber psychische Begleitbeschwerden wie Angst, innere Unruhe oder depressive Verstimmungen. Doch wie h\u00e4ufig treten diese tats\u00e4chlich auf \u2013 und wie stark ist der Zusammenhang? Eine aktuelle retrospektive Kohortenstudie auf Basis der TriNetX-Datenbank untersuchte den Zusammenhang zwischen vestibul\u00e4ren St\u00f6rungen und psychischer Komorbidit\u00e4t. \ud83d\udd17 Originalstudie auf PubMed Studiendesign &amp; [&hellip;]<\/p>\n","protected":false},"author":11,"featured_media":13814,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_surecart_dashboard_logo_width":"180px","_surecart_dashboard_show_logo":true,"_surecart_dashboard_navigation_orders":true,"_surecart_dashboard_navigation_invoices":true,"_surecart_dashboard_navigation_subscriptions":true,"_surecart_dashboard_navigation_downloads":true,"_surecart_dashboard_navigation_billing":true,"_surecart_dashboard_navigation_account":true,"_jf_save_progress":"","iawp_total_views":520,"footnotes":""},"categories":[215],"tags":[],"class_list":["post-13813","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-studien-evidenz"],"_links":{"self":[{"href":"https:\/\/ivrt.de\/en\/wp-json\/wp\/v2\/posts\/13813","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ivrt.de\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ivrt.de\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ivrt.de\/en\/wp-json\/wp\/v2\/users\/11"}],"replies":[{"embeddable":true,"href":"https:\/\/ivrt.de\/en\/wp-json\/wp\/v2\/comments?post=13813"}],"version-history":[{"count":1,"href":"https:\/\/ivrt.de\/en\/wp-json\/wp\/v2\/posts\/13813\/revisions"}],"predecessor-version":[{"id":17489,"href":"https:\/\/ivrt.de\/en\/wp-json\/wp\/v2\/posts\/13813\/revisions\/17489"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ivrt.de\/en\/wp-json\/wp\/v2\/media\/13814"}],"wp:attachment":[{"href":"https:\/\/ivrt.de\/en\/wp-json\/wp\/v2\/media?parent=13813"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ivrt.de\/en\/wp-json\/wp\/v2\/categories?post=13813"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ivrt.de\/en\/wp-json\/wp\/v2\/tags?post=13813"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}