Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0012833 (dizziness)
 9,689 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Fear of falling may constitute an independent risk factor for disability, leading older people to unnecessarily restrict their activity. Sixty older adults with chronic dizziness and 66 healthy controls were studied to help clarify the interrelationships among demographic factors, psychological status, physical health, and fear of falling. Chronic dizziness was strongly associated with fear of falling; among dizzy patients, nearly half (47%) expressed fear of falling, in comparison with 3% of controls. In participants with dizziness, 3 factors predicted fear of falling: an activity of daily living score, the revised Symptom Checklist 90 Depression (Derogatis, 1983) score, and stability when standing with feet together. These results support the concept that fear of falling is multiply determined and that psychological factors play a major role in influencing the symptoms and responses in many older patients with dizziness.
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PMID:Predictors of fear of falling in dizzy and nondizzy elderly. 777 8

Research over the last 4 decades has revealed a great deal of information about psychiatric and functional causes, consequences, and comorbidity of vestibular syndromes. Primary care clinicians, neurologists, and otologists who are willing to set aside the 20th century notion of "psychogenic dizziness" and incorporate 21st century concepts about 5 behavioral entities into their practices will be rewarded for their efforts with a marked improvement in diagnostic acumen and therapeutic effectiveness. Panic attacks may cause or contribute to acute or episodic vestibular symptoms. Generalized anxiety and depression do the same for chronic vestibular symptoms. Fear of falling causes considerable functional impairment, particularly in the elderly. Persistent postural-perceptual dizziness, a newly defined functional vestibular disorder that was 145 years in the making, is the most common cause of chronic dizziness in neurotologic practice. These 5 disorders are the primary diagnoses in 8-10% of patients who consult neurologists or otologists for vestibular symptoms and may be present in up to 50% of patients with structural vestibular disorders. They affect the clinical course of other illnesses and outcomes of medical and surgical interventions. Fortunately, when recognized properly, they are among the most treatment responsive of all conditions that cause vestibular symptoms.
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PMID:Psychiatric Considerations in the Management of Dizzy Patients. 3094 9

The present study aimed to investigate the fear of falling and its associ-ated factors among patients with vestibular hypofunction. We conduct-ed a cross-sectional survey using structured questionnaires to evaluate fear of falling and activities of daily living among participants. Vestibular function was assessed via a rotary chair test. This study was conduct-ed from January through March 2018. The subjects were 167 individuals older than 20 years who agreed to participate in this study. Data were analyzed using SPSS ver. 22.0. The significant variables associated with fear of falling were gender (P=0.012), age (P<0.001), marital status (P=0.006), living alone (P=0.020), having a job (P<0.001), frequency of dizziness (P=0.007), use of antivertigo medication (P<0.001), and history of falling (P<0.001). Fear of falling showed statistically significant positive correlations with activities of daily living (r=0.82, P<0.001) and dizziness (r=0.61, P<0.001). In the multiple regression analysis, age, gender, history of falling, and severity of dizziness explained 53.4% of the variance in fear of falling. The results of this study demonstrate that thoroughly assessing predictors making an impact on fear of falling in the initial assessment and the level of fear of falling needs to be addressed early to prevent sedentary behavior.
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PMID:Fear of falling and associated factors among patients with peripheral vestibular hypofunction. 3250 1