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. 2018 Mar 7;13(3):e0192705.
doi: 10.1371/journal.pone.0192705. eCollection 2018.

Relationship between sleep quality and dizziness

Sung Kyun Kim  1 , Ji Hoon Kim  1 , Seung Sik Jeon  1 , Seok Min Hong  1
Affiliations

Relationship between sleep quality and dizziness

Sung Kyun Kim et al. PLoS One. .

Abstract

Objective: Poor sleep quality has a number of significant negative effects on daytime function. However, few studies have examined sleep quality in patients with dizziness. Here, we investigated the potential association between sleep quality and various types of dizziness.

Subjects and methods: We examined dizziness and sleep disturbance in 237 patients experiencing dizziness using Korean versions of the Pittsburgh Sleep Quality Index (PSQI), the Insomnia Severity Index (ISI), and Dizziness Handicap Inventory (DHI). All participants were classified as having benign paroxysmal positional vertigo (BPPV), Ménière's disease (MD), vestibular neuritis (VN), vestibular migraine (VM), psychogenic dizziness (PD), or Other.

Results: The mean PSQI and ISI scores were highest in the PD group. The rate of sleep disturbance was highest in the Other group when the cut-off score for each questionnaire was set differently, except ISI ≥ 15. The correlation between DHI and sleep disturbance indices was highest in the VM group. Multivariate regression showed that PSQI score and DHI-E score were significantly related to the PD and Other groups, while the Other group was significantly related to the ISI score.

Conclusion: The findings of this study strongly suggest that there are associations between sleep quality and some disease subtypes associated with dizziness. Therefore, it is important to consider sleep disturbance in patients with psychogenic dizziness, such as phobic postural vertigo and chronic subjective dizziness, or nonspecific dizziness.

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Conflict of interest statement

Competing Interests: The authors have declared that no competing interests exist.

Figures

Fig 1
Fig 1. The mean PSQI scores for each group.
The mean PSQI score of all subjects was 7.9 and was highest in the PD group (*p < 0.05, **p < 0.01).
Fig 2
Fig 2. The mean ISI scores for each group.
The mean ISI score of all subjects was 9.3 and was highest in the PD group, similar to PSQI. However, there were no significant differences between the groups.
See this image and copyright information in PMC

References

    1. Neuhauser HK, Radtke A, von Brevern M, Lezius F, Feldmann M, Lempert T. Burden of dizziness and vertigo in the community. Arch Intern Med. 2008;168(19):2118–24. doi: 10.1001/archinte.168.19.2118 - DOI - PubMed
    1. Staab JP. Chronic dizziness: the interface between psychiatry and neuro-otology. Curr Opin Neurol. 2006;19(1):41–8. - PubMed
    1. Buysse DJ, Angst J, Gamma A, Ajdacic V, Eich D, Rössler W. Prevalence, course, and comorbidity of insomnia and depression in young adults. Sleep. 2008;31:473–480. - PMC - PubMed
    1. Li Y, Vgontzas AN, Fernandez-Mendoza J, Bixler EO, Sun Y, Zhou J, et al. Insomnia with physiological hyperarousal is associated with hypertension. Hypertension. 2015;65:644–650. doi: 10.1161/HYPERTENSIONAHA.114.04604 - DOI - PubMed
    1. Verkasalo PK, Lillberg K, Stevens RG, Hublin C, Partinen M, Koskenvuo M, et al. Sleep duration and breast cancer: a prospective cohort study. Cancer Res. 2005;65:9595–9600. doi: 10.1158/0008-5472.CAN-05-2138 - DOI - PubMed