Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2026, Vol. 40 ›› Issue (3): 62-67.doi: 10.6040/j.issn.1673-3770.0.2025.125

• Original Article • Previous Articles     Next Articles

Incidence and correlation of anxiety, depression, and sleep disorders in patients with different types of benign paroxysmal positional vertigo

LYU Dan1, LI Ruzhen2, LIU Mingqiu1, MENG Xinyu1, LI Junyi1   

  1. 1. Department of Otolaryngology, People's Hospital Affiliated to Shandong First Medical University, Jinan 271199, Shandong, China2. Department of Anesthesiology, People's Hospital Affiliated to Shandong First Medical University, Jinan 271199, Shandong, China
  • Published:2026-05-22

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Abstract: Objective To analyze and compare the incidence and severity of anxiety, depression, and sleep disorders among patients with different types of benign paroxysmal positional vertigo(BPPV), and to explore the correlations among these conditions. Methods A total of 230 patients diagnosed with BPPV were enrolled, including 45 with anterior semicircular canal BPPV(AC-BPPV), 55 with horizontal semicircular canal BPPV(HC-BPPV), 80 with posterior semicircular canal BPPV(PC-BPPV), and 50 with multiple semicircular canal BPPV(MC-BPPV). All participants completed the Self-Rating Anxiety Scale(SAS), Self-Rating Depression Scale(SDS), and Pittsburgh Sleep Quality Index(PSQI)questionnaires. The scores and positive rates of these scales were compared among the four groups, and correlation analyses were performed. Results The comparison of the incidence rates of anxiety, depression, and sleep disorders among the four groups yielded statistically significant differences(χ2=12.899, 11.464, 28.487, P<0.05). The MC-BPPV group exhibited a higher incidence rate of anxiety than both the AC-BPPV and HC-BPPV groups and a higher incidence rate of depression than the HC-BPPV group(P<0.05). Both the MC-BPPV and PC-BPPV groups had a significantly higher incidence rate of sleep disorders compared to the AC-BPPV and HC-BPPV groups(P<0.05). A comparison of SAS, SDS, and PSQI scores among the four groups also revealed statistically significant differences(F=7.081, 11.924, 12.309, P<0.05). The MC-BPPV and PC-BPPV groups had higher SAS, SDS, and PSQI scores than the AC-BPPV and HC-BPPV groups(P<0.05). Correlation analysis indicated a positive association between SAS scores and SDS scores(r=0.548), SAS scores and PSQI scores(r=0.509), and SDS scores and PSQI scores(r=0.550, P<0.05). Conclusion Patients with MC-BPPV are more susceptible to anxiety and depression, while those with MC-BPPV and PC-BPPV are more prone to sleep disorders, and experience more severe symptoms of anxiety, depression, and sleep disturbances. There is a significant positive correlation among anxiety, depression, and sleep disorders.

Key words: Benign paroxysmal positional vertigo, Anxiety, Depression, Sleep disorders, Incidence, Correlation

CLC Number: 

  • R764.3
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