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  • 1.
    Mendel, Barbro
    et al.
    Karolinska Institute and Hospital.
    Bergenius, J
    Karolinska Institute and Hospital.
    Langius, A
    Karolinska Institute and Hospital.
    Dizziness symptom severity and impact on daily living as perceived by patients suffering from peripheral vestibular disorder1999In: Clinical Otolaryngology & Allied Sciences, ISSN 0307-7772, Vol. 24, no 4, p. 286-293Article in journal (Refereed)
    Abstract [en]

    The purpose of this study was to describe quality-of-life aspects in a group of patients (n = 99) suffering from peripheral vestibular disorder, using three different self-rated instruments, the Vertigo Symptom Scale (VSS), the Vertigo Handicap Questionnaire (VHQ) and the Sickness Impact Profile (SIP). The results showed that the type of dizziness that most influenced the quality-of-life aspects were: frequent short- or long-term dizziness, nausea, and the feeling that the ground was distant or as though the patient were walking on clouds. However, several of the impairments in daily life were neither related to the disease itself nor the demographic data. This verifies the necessity of investigating other factors such as personality and coping capacity. The results of this study also demonstrate the patients' need of psychosocial support. A comprehensive assessment and evaluation is important in order to identify each patient's needs.

  • 2.
    Mendel, Barbro
    et al.
    Karolinska Institute and Hospital.
    Bergenius, J
    Karolinska Institute and Hospital.
    Langius, A
    Karolinska Institute and Hospital.
    The sense of coherence: a tool for evaluating patients with peripheral vestibular disorders2001In: Clinical Otolaryngology & Allied Sciences, ISSN 0307-7772, Vol. 26, no 1, p. 19-24Article in journal (Refereed)
    Abstract [en]

    Peripheral vestibular disorders may result. in physical as well as psychosocial dysfunction. Such a situation demands a capacity to cope which lately has been discussed as an important factor in the health outcome. Antonovsky has described the concept of sense of coherence (SOC) as such a trait and has developed a questionnaire (the SOC Scale) to measure it. The aim of this study was to describe the patients' self-rated degree of SOC and to set this in relation to their perception of the self-rated quality of life. The results showed that patients with a strong SOC scored statistically less self-rated handicap, less emotional distress, less impact on working capacity and sleep and rest and less psychosocial dysfunction than those with weak SOC scores. It is suggested that the SOC Scale may serve as a tool to identify patients who are at risk of poorer quality of life and in need of supportive care.

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