Dizziness and its effect on health-related quality of life (DRQOL)

Abstract

Dizziness significantly impairs health-related quality of life, yet its specific impact remains underexplored. Gaining insight into this relationship is essential for providing optimal care. Thus, this study aimed to explore the impact of dizziness-related quality of life (DRQOL) and develop a conceptual framework to inform patient-centered care. Participants with documented complaints of dizziness, vertigo, or unsteadiness were identified via medical record review. Those with severe medical illness or disability were excluded. 30 adults (12 males and 18 females), diagnosed with vestibular (n = 10), neurological (n = 10), or nonspecific-related dizziness (n = 10) were recruited. Semi-structured interviews were conducted using Zoom to examine the effects of dizziness on daily life. Interviews were transcribed, de-identified, and analyzed using thematic content analysis. Findings revealed that dizziness and imbalance affect multiple domains, including physical health (functioning, symptoms, and vision), social health (impact and support), cognitive health, and mental health (both positive and negative). These impacts were consistent across all diagnostic subgroups. Despite challenges, many participants reported adaptive responses, including coping strategies and resilience. The study highlights the broad and debilitating effects of dizziness, while also recognizing the role of positive outcomes.