The characteristic analysis of benign paroxysmal vertigo and vestibular migraine in children with anxiety and depression

Abstract

Objective:Benign paroxysmal vertigo （BPV） and vestibular migraine （VM） are the most common causes of recurrent vertigo in children. The objective of this article is Tto investigate the clinical characteristic of anxiety and depression in children with BPV and VM. Methods:Fifty-six patients diagnosed as BPV and VM with vertigo were collected.and diagnosed as BPV and VM. Twenty cases were BPV and 36 cases were VM. The 40 controls were selected from healthy children. The screen of Child Anxiety Related Emotional Disorders and Depression Self-rating Scale for Children were done for total of children. The patients were received vestibular function test. Using SPSS17.0 software for statistical analysis, compared the difference of state with anxiety and depression in patients and controls. To analyze the psychological differences between BPV and VM. Results:All patients were among 8-17 （mean 10） years old, including 24 boys and 32 girls. Thirty-nine cases were school age and 17 cases were puberty. Vestibular function test was abnormal in 24 cases. Psychological abnormalities There were 30 cases suffered from psychological abnormalities. There were 26 cases with anxiety and 18 cases with depression, which 14 cases with comorbidity of anxiety and depression. Compared with the control group （19.88±6.72）, the patients （24.75±15.71） showed statistically significant difference in anxiety （P<0.05）, but no significant difference in depression. There was no statistical difference between BPV and VM in anxiety and depression. The possible risk factors of the two diseases were detected. There was statistically significant difference with the anxiety in adolescent and school age patients of VM（P<0.05）. There was statistically significant difference with the anxiety in patients of BPV in gender （P<0.05）. Conclusion:Children with vertigo are associated with negative emotions of anxiety and depression. There is no difference in psychological state between the children of BPV and VM. But adolescent and female children are more likely to have anxiety. Therefore, children with vertigo should pay attention to their mental and psychological state.