BACKGROUND: Various individual factors have been described to influence postural performances related to vestibular schwannoma. However, psychological factors may also be involved in postural variations.
OBJECTIVE: To identify relationships between postural performances, illness perceptions, coping, anxiety-depression and quality of life of patients with vestibular schwannoma.
METHODS: Twenty-six patients who were scheduled for a surgical removal of a vestibular schwannoma underwent posturography tests and were asked to complete psychological questionnaires three days prior to surgery.
The Sensory Organization Test, the Illness Perceptions Questionnaire-Revised, the Brief-COPE, the Hospital Anxiety Depression Scale and the World Health Organization Quality of Life instrument were used for assessments. Correlations between posturography and psychological questionnaires were calculated.
RESULTS: Balance disorders were associated with (i) impaired quality of life of patients, (ii) anxiety and depression affects, (iii) greater daily consequences, and with (iv) denial coping response.
CONCLUSIONS: Given the association between balance disorders and psychological factors, health practitioners should be attentive to the deterioration of both aforementioned issues.
BalabanC.D. and JacobR.G., Background and history of the interface between anxiety and vertigo, J Anxiety Disord15 (2001), 27–51.
2.
BaumannC., ErpeldingM.L., RégatS., CollinJ.F. and BriançonS., The WHOQOL-BREF questionnaire: French adult population norms for the physical health, psychological health and social relationship dimensions, Publique58 (2010), 33–9.
3.
BlackF.O., PaloskiW.H., Doxey-GaswayD.D. and ReschkeM.F., Vestibular plasticity following orbital spaceflight: Recovery from postflight postural instability, Acta Oto-Laryngol Suppl520 (1995), 450–454.
4.
BolmontB., GangloffP., VouriotA. and PerrinP.P., Mood states and anxiety influence abilities to maintain balance control in healthy human subjects, Neurosci Lett329 (2002), 96–100.
5.
BreivikC.N., NilsenR.M., MyrsethE., PedersenP.H., VarugheseJ.K., ChaudhryA.A. and Lund-JohansenM., Conservative management or gamma knife radiosurgery for vestibular schwannoma: Tumor growth, symptoms, and quality of life, Neurosurgery76 (2013), 48–56.
6.
BrookerJ., BurneyS., FletcherJ. and DallyM., A qualitative exploration of quality of life among individuals diagnosed with an acoustic neuroma, Br J Heal Psychol14 (2009), 563–578.
7.
BrookerJ., FletcherJ., DallyM.J., BriggsM.R.J.S., CousinsV.C., MalhamG.M., SmeeR.I., KennedyR.J. and BurneyS., Factors Associated with Anxiety and Depression in the Management of Acoustic Neuroma Patients, J Clin Neurosci19 (2012), 246–251.
8.
CarverC.S., PozoC., HarrisS.D., NoriegaV., ScheierM.F. and RobinsonD.S., How coping mediates the effect of optimism on distress: A study of women with early stage breast cancer, J Pers Soc Psychol65 (1993), 375–390.
9.
CarverC., WeintraubJ. and ScheierM., Assessing coping strategies: A theoretically based approach, J Pers Soc Psychol56 (1989), 267–283.
10.
CarverC.S., You want to measure coping but your protocol’s too long: Consider the Brief COPE, Int J Behav Med4 (1997), 92–100.
11.
CurtinF. and SchulzP., Multiple Correlations and Bonferroni’s Correction, Biological Psychiatry44 (1998), 775–777.
12.
The WHOQOL Group, Development of the World Health Organization WHOQOL-BREF quality of life assessment, Psychol Med28 (1998), 551–558.
13.
FolkmanS., LazarusR.S., GruenR.J. and DeLongisA., Appraisal, coping, health status, and psychological symptoms, J Pers Soc Psychol50 (1986), 571–579.
14.
FrenchD.P., CooperA. and WeinmanJ., Illness perceptions predict attendance at cardiac rehabilitation following acute myocardial infarction: A systematic review with meta-analysis, J Psychosom Res61 (2006), 757–767.
15.
GauchardG.C., Parietti-WinklerC., LionA., SimonC. and PerrinP.P., Impact of pre-operative regular physical activity on balance control compensation after vestibular schwannoma surgery, Gait Posture37 (2013), 82–87.
16.
GauchardG.C., LionA., PerrinP.P. and Parietti-WinklerC., Influence of age on postural compensation after unilateral deafferentation due to vestibular schwannoma surgery, Laryngoscope122 (2012), 2285–2290.
17.
GaudenA., WeirP., HawthorneG. and KayeA., Systematic review of quality of life in the management of vestibular schwannoma, J Clin Neurosci18 (2011), 1573–1584.
18.
GlavassevichM., ThomasS. and GallowayS.C., Informational needs of patients who undergo of an acoustic neuroma, Axone (Dartmouth, NS)11 (1989), 17–9.
19.
GlavassevichM., ThomasS. and GallowayS.C., An educational program to improve quality of life for individuals with acoustic neuroma, J Neuroscience Nursing23 (1991), 231–234.
20.
GodefroyW.P., KapteinA.A., VogelJ.J. and van der MeyA.G.L., Conservative treatment of vestibular schwannoma: A follow-up study on clinical and quality-of-life outcome, Otol Neurotol30 (2009), 968–974.
21.
GouverisH.T. and MannW.J., Quality of life in sporadic vestibular schwannoma: A review, Orl J Oto-Rhino-Laryngol72 (2010), 69–74.
22.
GouverisH., AkkafaS., LippoldR. and MannW., Influence of nerve of origin and tumor size of vestibular schwannoma on dynamic posturography findings, Acta Otolaryngol126 (2006), 1281–1285.
23.
HaggerM.S. and OrbellS., A Meta-Analytic Review of the Common-Sense Model of Illness Representations, Psychol Heal18 (2003), 141–184.
24.
HainautJ.P., CailletG., LestienneF.G. and BolmontB., The role of trait anxiety on static balance performance in control and anxiogenic situations, Gait Posture33 (2011), 604–608.
25.
HioS., KitaharaT., UnoA., ImaiT., HoriiA. and InoharaH., Psychological condition in patients with an acoustic tumor, Acta Oto-Laryngologica133 (2013), 42–46.
26.
HumphrissR.L., BaguleyD.M., AxonP.R. and MoffatD.A., Preoperative audiovestibular handicap in patients with vestibular schwannoma, Skull Base Soc Al16 (2006), 193–199.
27.
KentalaE. and PyykköI., Clinical picture of vestibular schwannoma, Auris Nasus Larynx28 (2001), 15–22.
28.
LepineJ.P., GodchauM., BrunP. and
LempérièreT., [Evaluation of anxiety and depression among patients hospitalized on an internal medicine service], Ann Médico-Psychol143 (1985), 175–189.
29.
Moss-MorrisR., WeinmanJ., PetrieK.J., HorneR., CameronL.D. and BuickD., The revised illness perception questionnaire (IPQ-R), Psychol Heal17 (2002), 1–16.
30.
MullerL. and SpitzE., Evaluation multidimensionnelle du coping: Validation du Brief COPE sur une population française, L’Encéphale XXIX (2003), 507–518.
31.
MyrsethE., MøllerP.,
Wentzel-LarsenT.,
GoplenF. and Lund-JohansenM., Untreated vestibular schwannomas: Vertigo is a powerful predictor for health-related quality of life, Neurosurgery59 (2006), 67–76.
32.
MyrsethE., PedersenP.H., MøllerP. and
Lund-JohansenM., Treatment of vestibular schwannomas. Why, when and how?Acta Neurochir149 (2007), 647–660.
33.
NashnerL.M. and PetersJ.F., Dynamic posturography in the diagnosis and management of dizziness and balance disorders, Neurol Clin8 (1990), 331–349.
34.
OrbellS., WadaM., SaitohJ., SunagaN. and NagaiM., The effect of anxiety on postural control in humans depends on visual information processing, Neurosci Lett364 (2004), 37–39.
35.
Parietti-WinklerC., GauchardG.C., SimonC. and PerrinP.P., Sensorimotor postural rearrangement after unilateral vestibular deafferentation in patients with acoustic neuroma, Neurosci Res55 (2006), 171–181.
36.
Parietti-WinklerC., GauchardG.C., SimonC. and PerrinP.P., Long-term effects of vestibular compensation on balance control and sensory organisation after unilateral deafferentation due to vestibular schwannoma surgery, J Neurol Neurosurg Psychiatry81 (2010), 934–936.
37.
Parietti-WinklerC., GauchardG.C., SimonC. and PerrinP.P., Pre-operative vestibular pattern and balance compensation after vestibular schwannoma surgery, Neuroscience172 (2011), 285–292.
38.
Parietti-WinklerC., GauchardG.C., SimonC. and PerrinP.P., Visual sensorial preference delays balance control compensation after vestibular schwannoma surgery, J Neurol Neurosurg Psychiatry79 (2008), 1287–1294.
39.
PetrieK.J., JagoL.A. and DevcichD.A., The role of illness perceptions in patients with medical conditions, Curr Opin Psychiatry20 (2007), 163–167.
40.
PetrieK.J. and WeinmanJ., Why illness perceptions matter?Clin Med6 (2006), 536–539.
41.
PetrieK.J., WeinmanJ., SharpeN. and BuckleyJ., Role of patients’ view of their illness in predicting return to work and functioning after myocardial infarction: Longitudinal study, BMJ312 (1996), 1191–1194.
42.
RibeyreL., FrereJ., GauchardG., LionA., PerrinP., SpitzE. and Parietti-WinklerC., Preoperative Balance Control Compensation in Patients with a Vestibular Schwannoma: Does Tumor Size Matter?Clin Neurophysiology126 (2015), 787–793.
43.
SamanY., BamiouD.E., MurdinL., TsioulosK., DaviesR., DutiaM.B., ObholzerR. and GleesonM., Balance, Falls Risk, and Related Disability in Untreated Vestibular Schwannoma Patients, J Neurological Surg75 (2014), 332–338.
44.
SandooramD., HornigoldR., GrunfeldB., ThomasN., KitchenN.D. and GleesonM., The Effect of Observation versus Microsurgical Excision on Quality of Life in Unilateral Vestibular Schwannoma: A Prospective Study, Skull Base Soc Al20 (2010), 47–54.
45.
The World Health Organization Quality of Life Assessment (WHOQOL), Development and general psychometric properties, Soc Sci Med46 (1998), 1569–1585.
46.
VitucciJ.B., Importance of Local Support Groups for Acoustic Neuroma and Neurofibromatosis Patients, Otolaryngologic Clinics North Am45 (2012), 531–535.
47.
VogelJ.J., GodefroyW.P., van der MeyA.G.L.,
le CessieS. and KapteinA.A., Illness perceptions, coping, and quality of life in vestibular schwannoma patients at diagnosis, Otol Neurotol29 (2008), 839–845.
48.
WagnerJ.N., GlaserM., WowraB., MuacevicA., GoldbrunnerR., CnyrimC., TonnJ.C. and StruppM., Vestibular Function and Quality of Life in Vestibular Schwannoma: Does Size Matter?Frontiers in Neurology2 (2011), 551.
49.
WeinmanJ. and PetrieK.J., Illness perceptions: A new paradigm for psychosomatics?J Psychosom Res42 (1997), 113–116.
50.
YardleyL. and RedfernM.S., Psychological factors influencing recovery from balance disorders, J Anxiety Disord15 (2001), 107–119.
51.
YardleyL., BarkerF., MullerI., TurnerD., KirbyS., MulleeM., MorrisA. and LittleP., Clinical and cost effectiveness of booklet based vestibular rehabilitation for chronic dizziness in primary care: Single blind, parallel group, pragmatic, randomised controlled trial, BMJ344 (2012), e2237.
52.
ZigmondA.S. and SnaithR.P., The hospital anxiety and depression scale, Acta Psychiatr Scand67 (1983), 361–370.
