Articles Vol. 67 No. 7 26/07/2026

PREVALENCE OF DEPRESSION AND RELATED FACTORS AMONG OLDER PATIENTS WITH VESTIBULAR DISORDERS

Le Thi Thu Ha1,2,3,4, Vu Minh Hai1,3
1 Department of Psychiatry, Hanoi Medical University
2 Institute of Mental Health, Bach Mai Hospital
3 Bộ môn Tâm thần, Trường Đại học Y Hà Nội
4 Viện Sức khỏe Tâm thần, Bệnh viện Bạch Mai
DOI: 10.52163/yhc.v67i7.5892
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Keywords
Vestibular dysfunction, depression, HAM-D.
Abstract

Objectives: To determine the prevalence of depressive disorder and analyze associated factors among older adults with vestibular dysfunction who were hospitalized at Bach Mai Hospital.

Methods: A cross-sectional descriptive study was conducted on 84 patients aged 60 years and older diagnosed with vestibular dysfunction from August 2024 to March 2025. Depression was screened and assessed using the Hamilton Depression Rating Scale. Data were analyzed using SPSS version 25.0.

Results: The prevalence of depressive disorder among the patients was 29.8%, with severe depression accounting for the highest proportion (15.5%). Analysis of associated factors showed that several clinical characteristics were significantly associated with an increased risk of depression (p < 0.05), including a history of vestibular disorders (p = 0.009), the presence of tinnitus (p < 0.001), prolonged duration of dizziness symptoms (p < 0.001), and a frequency of three or more dizziness episodes per week (p < 0.001).

Conclusions: Depressive disorder represents a significant health burden among older patients with vestibular dysfunction and is closely associated with the severity of physical symptoms. Routine psychological assessment should be considered in the management of patients with vestibular disorders.

References
[1]
Pokhrel P.K et al. Vestibular disorders. Primary Care, 2025, 52 (1): 15-25. doi: 10.1016/j.pop.2024.09.004 Google Scholar
[2]
Thorman I.B, Schrack J.A, Schubert M.C. Epidemiology and comorbidities of vestibular disorders: preliminary findings of the AVOCADO study. Otol Neurotol, 2024, 45 (5): 572-9. doi: 10.1097/MAO.0000000000004185. Google Scholar
[3]
Bigelow R.T, Semenov Y.R, Du Lac S, Hoffman H.J, Agrawal Y. Vestibular vertigo and comorbid cognitive and psychiatric impairment: the 2008 National Health Interview Survey. J Neurol Neurosurg Psychiatry, 2016, 87 (4): 367-72. doi: 10.1136/jnnp-2015-310319 Google Scholar
[4]
Schousboe J.T, Vo T.N, Kats A.M, Langsetmo L, Diem S.J, Taylor B.C et al. Depressive symptoms and total healthcare costs: roles of functional limitations and multimorbidity. Journal of the American Geriatrics Society, 2019, 67 (8): 1596-603. doi: 10.1111/jgs.15881 Google Scholar
[5]
Peluso É.T.P, Quintana M.I, Ganança F.F. Anxiety and depressive disorders in elderly with chronic dizziness of vestibular origin. Brazilian Journal of Otorhinolaryngology, 2016, 82 (2): 209-14. doi: 10.1016/j.bjorl.2015.04.015 Google Scholar
[6]
Kim C.H.S, McCray L.R et al. Anxiety and depression in adults with vestibular disorders: a systematic review and meta-analysis. The Laryngoscope, 2026, 136 (2): 535-546. doi: 10.1002/lary.70055 Google Scholar
[7]
Gazzola J.M, Aratani M.C, Doná F, Macedo C, Fukujima M.M, Ganança M.M et al. Factors relating to depressive symptoms among elderly people with chronic vestibular dysfunction. Arq Neuropsiquiatr, 2009, 67 (2B): 416-22. doi: 10.1590/S0004-282X2009000300009 Google Scholar
[8]
Agrawal Y, Ward B.K, Minor L.B. Vestibular dysfunction: prevalence, impact and need for targeted treatment. Journal of Vestibular Research, 2013, 23 (3): 113-7. doi: 10.3233/VES-130498. Google Scholar
[9]
Molnár A, Mavrogeni P, Tamás L, Maihoub S. Correlation between tinnitus handicap and depression and anxiety scores. Ear Nose Throat J, 2025, 104 (8): NP565-71. doi: 10.1177/01455613221139211. Google Scholar
[10]
Im Y.H, Lee H.J, Jeon E.J. Adherence to customized vestibular rehabilitation therapy: influencing factors and clinical implications in vestibulopathy. Front Neurol, 2025, 16. doi: 10.3389/fneur.2025.1538989 Google Scholar