{"id":13813,"date":"2025-07-14T12:04:54","date_gmt":"2025-07-14T10:04:54","guid":{"rendered":"https:\/\/ivrt.de\/?p=13813"},"modified":"2026-04-29T09:33:49","modified_gmt":"2026-04-29T07:33:49","slug":"vestibueler-bozukluklarda-psikolojik-eslik-eden-hastaliklar-anksiyete-bozukluklari-ve-depresyon-icin-artmis-risk","status":"publish","type":"post","link":"https:\/\/ivrt.de\/tr\/studien-evidenz\/psychische-begleiterkrankungen-bei-vestibulaeren-stoerungen-erhoehtes-risiko-fuer-angststoerungen-und-depressionen\/","title":{"rendered":"Vestib\u00fcler bozukluklarda psikolojik e\u015flik eden hastal\u0131klar \u2013 Anksiyete bozukluklar\u0131 ve depresyon i\u00e7in artm\u0131\u015f risk"},"content":{"rendered":"<p><strong>Uzman personel i\u00e7in:<\/strong><\/p>\n\n\n\n<p>Vestib\u00fcler bozukluklar\u0131 olan hastalar genellikle anksiyete, i\u00e7 huzursuzluk veya depresif ruh hali gibi e\u015flik eden psikolojik \u015fikayetler bildirirler.<\/p>\n\n\n\n<p>Ancak bunlar asl\u0131nda ne s\u0131kl\u0131kla meydana geliyor ve ili\u015fki ne kadar g\u00fc\u00e7l\u00fc?<\/p>\n\n\n\n<p>TriNetX veri taban\u0131na dayanan g\u00fcncel bir retrospektif kohort \u00e7al\u0131\u015fmas\u0131, vestib\u00fcler bozukluklar ile psikiyatrik komorbidite aras\u0131ndaki ili\u015fkiyi incelemi\u015ftir.<\/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>PubMed'deki Orijinal \u00c7al\u0131\u015fma<\/strong><\/a><\/p>\n\n\n\n<p><strong>\u00c7al\u0131\u015fma Tasar\u0131m\u0131 &amp; Metodoloji:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Veri kayna\u011f\u0131<strong>:<\/strong> TriNetX veritaban\u0131 (anonimle\u015ftirilmi\u015f hasta verileri)<\/li>\n\n\n\n<li>\u00d6rneklem<strong>:<\/strong>\n<ul class=\"wp-block-list\">\n<li>Vestib\u00fcler tan\u0131l\u0131 64.153 hasta<\/li>\n\n\n\n<li>vestibuler tan\u0131s\u0131 olmayan 64.153 e\u015fle\u015ftirilmi\u015f kontrol denekleri<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>E\u015fle\u015ftirme<strong>:<\/strong> Ya\u015f, cinsiyet, \u00f6nceden var olan hastal\u0131klar<\/li>\n\n\n\n<li>Veri toplama d\u00f6nemi<strong>:<\/strong> \u0130lk tan\u0131dan 5 y\u0131l sonra<\/li>\n<\/ul>\n\n\n\n<p><strong>Temel Bulgular<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Vestib\u00fcler hastalar\u0131nda artm\u0131\u015f risk:<\/li>\n\n\n\n<li>Depresyon<strong>:<\/strong> G\u00f6receli Risk (RR) 1,37<\/li>\n\n\n\n<li>Anksiyete bozuklu\u011fu<strong>:<\/strong> RR 1,51<\/li>\n\n\n\n<li>Antidepresan re\u00e7etesi<strong>:<\/strong> RR 1,41<\/li>\n\n\n\n<li>Bu sonu\u00e7lar a\u00e7\u0131k\u00e7a g\u00f6stermektedir ki vestib\u00fcler bozukluklar genellikle ek bir psikolojik y\u00fck ile birlikte g\u00f6r\u00fclmektedir.<\/li>\n<\/ul>\n\n\n\n<p><strong>Klinik uygulama i\u00e7in sonu\u00e7<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Gibi vestib\u00fcler hastal\u0131klar <a href=\"https:\/\/ivrt.de\/tr\/hasta-egitimi\/vestibueler-migren\/\" data-type=\"link\" data-id=\"https:\/\/ivrt.de\/patientenedukation\/vestibulaere-migraene\/\" target=\"_blank\" rel=\"noreferrer noopener\">vestib\u00fcler migren<\/a> veya <a href=\"https:\/\/ivrt.de\/tr\/hasta-egitimi\/meniere-hastaligi\/\" data-type=\"link\" data-id=\"https:\/\/ivrt.de\/patientenedukation\/morbus-meniere\/\" target=\"_blank\" rel=\"noreferrer noopener\">Meniere Hastal\u0131\u011f\u0131<\/a> kayg\u0131 ve depresyon riskini art\u0131r\u0131r.<\/li>\n\n\n\n<li>Ayr\u0131ca, gibi fonksiyonel sendromlar da <a href=\"https:\/\/ivrt.de\/tr\/hasta-egitimi\/kalici-postural-perseptueel-bas-doenmesi-pppd\/\" data-type=\"link\" data-id=\"https:\/\/ivrt.de\/patientenedukation\/persistierender-postural-perzeptiver-schwindel-pppd\/\" target=\"_blank\" rel=\"noreferrer noopener\">Kal\u0131c\u0131 Post\u00fcral-Alg\u0131sal Bozukluk<\/a> (PPPD) s\u0131kl\u0131kla psikolojik stres ba\u011flam\u0131nda ortaya \u00e7\u0131kar veya vestib\u00fcler hastal\u0131klardan sonra ikincil olarak geli\u015fir.<\/li>\n\n\n\n<li>Yap\u0131land\u0131r\u0131lm\u0131\u015f disiplinler aras\u0131 <a href=\"https:\/\/ivrt.de\/tr\/hasta-egitimi\/denge-bozukluklari-ve-bas-doenmesi-semptomlari-icin-tanisal-testler\/\" data-type=\"link\" data-id=\"https:\/\/ivrt.de\/patientenedukation\/diagnostische-tests-fuer-gleichgewichtsstoerungen-und-schwindelsymptomatik\/\">Tan\u0131sal<\/a> ve terapi esast\u0131r.<\/li>\n<\/ul>\n\n\n\n<p><strong>\ud83d\udc49 Kapsaml\u0131 bir ileri e\u011fitime ilgi duyuyorsunuz: <a href=\"https:\/\/ivrt.de\/tr\/hasta-egitimi\/vestibueler-rehabilitasyon-tedavisi-ve-denge-egitimi\/\" data-type=\"post\" data-id=\"8932\">vestib\u00fcler rehabilitasyon tedavisi<\/a> ve PPPD hakk\u0131ndaki bilgini derinle\u015ftirmek mi istiyorsun?<\/strong><br>G\u00fcncel e\u011fitim tekliflerini \u015furada bulabilirsiniz: <strong><a href=\"https:\/\/ivrt.de\/tr\/saglik-personeli-icin\/hizmet-ici-egitim-arama\/\" data-type=\"link\" data-id=\"https:\/\/ivrt.de\/fuer-medizinisches-fachpersonal\/fortbildungssuche\/\">IVRT E\u011fitim Arama<\/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>Hastalar i\u00e7in \u2013 basit\u00e7e a\u00e7\u0131kland\u0131<\/strong><\/p>\n\n\n\n<p><strong>Ba\u015f d\u00f6nmesi psikolojiyi olumsuz etkileyebilir \u2013 ve tam tersi<\/strong><br><em>Ba\u015f d\u00f6nmesinde depresyon ve kayg\u0131 nadir de\u011fildir<\/em><\/p>\n\n\n\n<p>Ba\u015f d\u00f6nmesi sorunu ya\u015fayan bir\u00e7ok insan sadece fiziksel olarak g\u00fcvensiz hissetmekle kalm\u0131yor, ayn\u0131 zamanda i\u00e7sel olarak da y\u00fckleniyor.<\/p>\n\n\n\n<p>ABD'den yap\u0131lan b\u00fcy\u00fck bir ara\u015ft\u0131rma \u015funu g\u00f6steriyor:<\/p>\n\n\n\n<p>Ba\u015f d\u00f6nmesinden muzdarip olanlar, genel n\u00fcfusa k\u0131yasla daha s\u0131k depresyon veya kayg\u0131yla m\u00fccadele ederler.<\/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\">Orijinal \u00e7al\u0131\u015fmaya<\/a><\/p>\n\n\n\n<p><strong>Ne sonu\u00e7 \u00e7\u0131kt\u0131?<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Bilim insanlar\u0131, vestibul\u00e4r rahats\u0131zl\u0131klar\u0131 olan 64.000'den fazla ki\u015fiyi denge bozuklu\u011fu olmayan ayn\u0131 b\u00fcy\u00fckl\u00fckteki bir grup ile kar\u015f\u0131la\u015ft\u0131rd\u0131. Ara\u015ft\u0131rma sonucunda \u015fu g\u00f6r\u00fcld\u00fc:<\/li>\n\n\n\n<li>Depresyon ve anksiyete bozukluklar\u0131 ba\u015f d\u00f6nmesi hastalar\u0131nda \u00e7ok daha s\u0131k g\u00f6r\u00fclmektedir.<\/li>\n\n\n\n<li>Bu hastalara ruhsal s\u0131k\u0131nt\u0131lara y\u00f6nelik ila\u00e7lar da daha s\u0131k re\u00e7ete ediliyor.<\/li>\n<\/ul>\n\n\n\n<p><strong>Bu ne anlama geliyor?<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Denge sistemi, duygu, stres ve dikkatten sorumlu beyin b\u00f6lgeleriyle yak\u0131ndan ba\u011flant\u0131l\u0131d\u0131r.<\/li>\n\n\n\n<li>Uzun s\u00fcre ba\u015f d\u00f6nmesinden muzdarip olanlar, bir t\u00fcr korku-ba\u015f d\u00f6nmesi d\u00f6ng\u00fcs\u00fcne girebilirler.<\/li>\n\n\n\n<li>Buna kar\u015f\u0131l\u0131k, psikolojik y\u00fckler dengeyi ve alg\u0131y\u0131 da de\u011fi\u015ftirebilir.<\/li>\n<\/ul>\n\n\n\n<p><strong>Biliyor muydun?<\/strong><\/p>\n\n\n\n<p>Kronik ba\u015f d\u00f6nmesinin belirli bir bi\u00e7imi \u015fu \u015fekilde adland\u0131r\u0131l\u0131r:\u201e<a href=\"https:\/\/ivrt.de\/tr\/hasta-egitimi\/kalici-postural-perseptueel-bas-doenmesi-pppd\/\" data-type=\"link\" data-id=\"https:\/\/ivrt.de\/patientenedukation\/persistierender-postural-perzeptiver-schwindel-pppd\/\" target=\"_blank\" rel=\"noreferrer noopener\">Kal\u0131c\u0131 post\u00fcral-alg\u0131sal bozukluk<\/a> (PPPD).<\/p>\n\n\n\n<p>Buna ra\u011fmen ba\u015f d\u00f6nmesi devam eder, her ne kadar orijinal neden \u2013\u00f6rne\u011fin bir <a href=\"https:\/\/ivrt.de\/tr\/hasta-egitimi\/iyi-huylu-paroksismal-pozisyonel-vertigo\/\" data-type=\"post\" data-id=\"5936\" target=\"_blank\" rel=\"noreferrer noopener\">Pozisyonel vertigo<\/a>, bir <a href=\"https:\/\/ivrt.de\/tr\/hasta-egitimi\/vestibueler-nevrit\/\" data-type=\"post\" data-id=\"7427\" target=\"_blank\" rel=\"noreferrer noopener\">Vestib\u00fcler N\u00f6rinit<\/a> veya \u015fundan kaynaklanan bir ba\u015f d\u00f6nmesi krizi <a href=\"https:\/\/ivrt.de\/tr\/hasta-egitimi\/meniere-hastaligi\/\" data-type=\"post\" data-id=\"7403\" target=\"_blank\" rel=\"noreferrer noopener\">Meni\u00e8re<\/a> veya <a href=\"https:\/\/ivrt.de\/tr\/hasta-egitimi\/vestibueler-migren\/\" data-type=\"post\" data-id=\"5313\" target=\"_blank\" rel=\"noreferrer noopener\">vestib\u00fcler migren<\/a> \u2013 \u00e7oktan ge\u00e7ti bile.<\/p>\n\n\n\n<p>\u00c7o\u011fu zaman korku, bunal\u0131m hissi veya g\u00f6rsel uyaranlar (\u00f6rn. al\u0131\u015fveri\u015f s\u0131ras\u0131nda) rol oynar.<\/p>\n\n\n\n<p><strong>Neler yapabilirsiniz<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Yaln\u0131z de\u011filsiniz \u2013 ve hedefe y\u00f6nelik yard\u0131m var!<\/li>\n\n\n\n<li>Uzman IVRT\u00ae Vestibular Terapistleri, fiziksel ve psikolojik etkile\u015fimleri bilirler ve g\u00fcnl\u00fck ya\u015fam\u0131n\u0131zda yeniden g\u00fcven kazanman\u0131za yard\u0131mc\u0131 olabilirler.<\/li>\n<\/ul>\n\n\n\n<p>\ud83c\udfaf <strong>\u00d6zel olarak e\u011fitilmi\u015f t\u00fcm IVRT\u00ae Ba\u015f D\u00f6nmesi ve Vestib\u00fcler Terapistleri<\/strong> bizim \u00fczerimizden bulun <strong><a href=\"https:\/\/ivrt.de\/tr\/etkilenenler-icin\/terapist-arama\/\" data-type=\"page\" data-id=\"101\" target=\"_blank\" rel=\"noreferrer noopener\">IVRT Terapist Arama<\/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":18003,"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":813,"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\/tr\/wp-json\/wp\/v2\/posts\/13813","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/users\/11"}],"replies":[{"embeddable":true,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/comments?post=13813"}],"version-history":[{"count":1,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/posts\/13813\/revisions"}],"predecessor-version":[{"id":17489,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/posts\/13813\/revisions\/17489"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/media\/18003"}],"wp:attachment":[{"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/media?parent=13813"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/categories?post=13813"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/tags?post=13813"}],"curies":[{"name":"Naber","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}