Abstract: Objective To evaluate anxiety, depression, and disability in patients with vertigo and their underlying factors to provide a basis for clinical diagnosis and treatment of the four common types of vertigo. Methods Patients diagnosed with benign paroxysmal positional vertigo(BPPV), vestibular migraine(VM), Meniere's disease(MD), and vestibular neuritis(VN)were included in the study. Each patient's disease course, duration, relevant general information, and improvements in otological examination findings were evaluated. Anxiety, depression, and disability were also evaluated using the hospital anxiety and depression scale(HAD)and the dizziness disability scale(DHI). Results One hundred and twenty-one patients with vertigo were included; 47 had BPPV, 31 had VM, 29 had MD, and 14 had VN. The positive rates of anxiety and depression among patients with BPPV, VM, MD, and VN were 31.9%, 71.0%, 75.9%, and 42.9%, respectively. The proportions of mild, moderate, and severe cases of vertigo disability were: 58.9%, 19.8%, and 21.3%, respectively, for BPPV; 19.4%, 25.8%, and 54.8%, respectively, for VM; 6.9%, 24.1%, and 69.0% for, respectively, for MD; 38.6%, 21.4%, and 40.0%, respectively, for VN. There was a correlation between anxiety and depression scores(r=0.570, P<0.05)as well as DHI and HAD scores(r=0.804; P<0.05). Conclusion Anxiety and depression were manifested to varying degrees among the vertigo patients, but there was a correlation between them. VM and MD patients had a higher incidence of anxiety and depression, while VM, MD, and VN patients had more severe vertigo and disability than BPPV patients. Therefore, anxiety and depression should be considered during the diagnosis and treatment of vertigo, especially in patients with VM and MD, to facilitate diagnostic accuracy and effective treatment.

Key words: Vestibular vertigo, Anxiety, Depression, Degree of Dizzy disability