caa a22 4500 445807334 CHVBK 20180317145200.0 cr unu---uuuuu 170323e20110101xx s 000 0 eng 10.1007/s00415-010-5697-y doi (NATIONALLICENCE)springer-10.1007/s00415-010-5697-y Patients' psychological well-being and resilient coping protect from secondary somatoform vertigo and dizziness (SVD) 1year after vestibular disease [Elektronische Daten] [Regine Tschan, Christoph Best, Manfred Beutel, Achim Knebel, Jörg Wiltink, Marianne Dieterich, Annegret Eckhardt-Henn] Secondary somatoform dizziness and vertigo (SVD) is an underdiagnosed and handicapping psychosomatic disorder, leading to extensive utilization of health care and maladaptive coping. Few long-term follow-up studies have focused on the assessment of risk factors and little is known about protective factors. The aim of this 1-year follow-up study was to identify neurootological patients at risk for the development of secondary SVD with respect to individual psychopathological disposition, subjective well-being and resilient coping. In a prospective interdisciplinary study, we assessed mental disorders in n =59 patients with peripheral and central vestibular disorders (n =15 benign paroxysmal positional vertigo, n =15 vestibular neuritis, n =8 Menière's disease, n =24 vestibular migraine) at baseline (T0) and 1year after admission (T1). Psychosomatic examinations included the structured clinical interview for DSM-IV, the Vertigo Symptom Scale (VSS), and a psychometric test battery measuring resilience (RS), sense of coherence (SOC), and satisfaction with life (SWLS). Subjective well-being significantly predicted the development of secondary SVD: Patients with higher scores of RS, SOC, and SWLS at T0 were less likely to acquire secondary SVD at T1. Lifetime mental disorders correlated with a reduced subjective well-being at T0. Patients with mental comorbidity at T0 were generally more at risk for developing secondary SVD at T1. Patients' dispositional psychopathology and subjective well-being play a major predictive role for the long-term prognosis of dizziness and vertigo. To prevent secondary SVD, patients should be screened for risk and preventive factors, and offered psychotherapeutic treatment in case of insufficient coping capacity. Springer-Verlag, 2010 Vertigo nationallicence Somatoform dizziness nationallicence Resilience nationallicence Sense of coherence nationallicence Quality of life nationallicence Coping nationallicence Tschan Regine Clinic of Psychosomatic Medicine and Psychotherapy, University Medical Center of the Johannes Gutenberg University Mainz, Untere Zahlbacher Str. 8, 55131, Mainz, Germany aut Best Christoph Department of Neurology, University Medical Center of the Johannes Gutenberg University, Mainz, Germany aut Beutel Manfred Clinic of Psychosomatic Medicine and Psychotherapy, University Medical Center of the Johannes Gutenberg University Mainz, Untere Zahlbacher Str. 8, 55131, Mainz, Germany aut Knebel Achim Clinic of Psychosomatic Medicine and Psychotherapy, University Medical Center of the Johannes Gutenberg University Mainz, Untere Zahlbacher Str. 8, 55131, Mainz, Germany aut Wiltink Jörg Clinic of Psychosomatic Medicine and Psychotherapy, University Medical Center of the Johannes Gutenberg University Mainz, Untere Zahlbacher Str. 8, 55131, Mainz, Germany aut Dieterich Marianne Department of Neurology, Ludwig-Maximilians-University, Munich, Germany aut Eckhardt-Henn Annegret Department of Psychosomatic Medicine, Bürgerhospital, Stuttgart, Germany aut Journal of Neurology Springer-Verlag 258/1(2011-01-01), 104-112 0340-5354 258:1<104 2011 258 415 https://doi.org/10.1007/s00415-010-5697-y text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00415-010-5697-y text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Tschan Regine Clinic of Psychosomatic Medicine and Psychotherapy, University Medical Center of the Johannes Gutenberg University Mainz, Untere Zahlbacher Str. 8, 55131, Mainz, Germany aut NATIONALLICENCE 700 1- Best Christoph Department of Neurology, University Medical Center of the Johannes Gutenberg University, Mainz, Germany aut NATIONALLICENCE 700 1- Beutel Manfred Clinic of Psychosomatic Medicine and Psychotherapy, University Medical Center of the Johannes Gutenberg University Mainz, Untere Zahlbacher Str. 8, 55131, Mainz, Germany aut NATIONALLICENCE 700 1- Knebel Achim Clinic of Psychosomatic Medicine and Psychotherapy, University Medical Center of the Johannes Gutenberg University Mainz, Untere Zahlbacher Str. 8, 55131, Mainz, Germany aut NATIONALLICENCE 700 1- Wiltink Jörg Clinic of Psychosomatic Medicine and Psychotherapy, University Medical Center of the Johannes Gutenberg University Mainz, Untere Zahlbacher Str. 8, 55131, Mainz, Germany aut NATIONALLICENCE 700 1- Dieterich Marianne Department of Neurology, Ludwig-Maximilians-University, Munich, Germany aut NATIONALLICENCE 700 1- Eckhardt-Henn Annegret Department of Psychosomatic Medicine, Bürgerhospital, Stuttgart, Germany aut NATIONALLICENCE 773 0- Journal of Neurology Springer-Verlag 258/1(2011-01-01), 104-112 0340-5354 258:1<104 2011 258 415 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer