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Dizziness, Vertigo, and Mental Health Comorbidity in Gulf War Veterans.

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  • Additional Information
    • Affiliation:
      War Related Illness and Injury Study Center, New Jersey Health Care System, East Orange, NJ
      Division of Head and Neck Surgery and Communication Sciences, Department of Surgery, Duke University School of Medicine, Durham, NC
      Rutgers New Jersey Medical School, Newark, NJ
    • Subject Terms:
    • Subject Terms:
    • Abstract:
      Background: Gulf War Illness (GWI) is a chronic condition involving symptoms across multiple body systems. Previous research has implicated the vestibular system as a potential underlying factor in the symptoms experienced by veterans with GWI, due in part to exposure to potentially ototoxic chemicals and events. Purpose: To characterize the presence of vertigo and dizziness symptoms in a sample of veterans with GWI using validated self-report instruments, accounting for mental health comorbidities. Research Design: This is a case series, follow-up, prospective interview of clinical veterans; results presented are purely descriptive. Study Sample: Our sample of 50 veterans was a follow-up to a case series of clinical Gulf War veterans evaluated at the War Related Illness and Injury Study Center. Data Collection and Analysis: Veterans participated in a 70-min phone interview where the following questionnaires were administered: Vertigo Symptom Scale (VSS), Patient Health Questionnaire (depression scale), Patient Health Questionnaire (somatization scale), Beck Anxiety Inventory, Posttraumatic Stress Disorder (PTSD) Checklist, Defense and Veterans Brain Injury Center Traumatic Brain Injury Questionnaire, and GWI (Kansas) Questionnaire. We used descriptive (mean/median, standard deviation, interquartile range, and percentage) statistics to describe our sample and illuminate possible relationships between measures. Results: Our primary finding is a substantial report of vertigo symptoms in our sample, according to the VSS. Ninety percent of participants scored above the VSS threshold (>12), suggesting "severe dizziness." The most commonly endorsed symptom on the VSS was "headache or pressure in the head." Conclusions: We conclude that there is significant burden of vertigo symptoms in veterans with GWI, suggesting a need for objective tests of vestibular function in this population. Furthermore, the relationship between symptoms of vertigo and dizziness, vestibular function, and PTSD warrants further exploration using objective measures.
    • Journal Subset:
      Allied Health; Editorial Board Reviewed; Expert Peer Reviewed; Peer Reviewed; USA
    • Instrumentation:
      PTSD Checklist (PCL)
      Beck Anxiety Inventory (BAI)
      Patient Health Questionnaire (PHQ)
      Vertigo Symptom Scale (VSS)
      Defense and Veterans Brain Injury Center Traumatic Brain Injury Questionnaire
    • ISSN:
      1050-0545
    • MEDLINE Info:
      NLM UID: 9114646
    • Publication Date:
      20191011
    • Publication Date:
      20191011
    • Accession Number:
      10.3766/jaaa.17122
    • Accession Number:
      138957387
  • Citations
    • ABNT:
      FOX, A. et al. Dizziness, Vertigo, and Mental Health Comorbidity in Gulf War Veterans. Journal of the American Academy of Audiology, [s. l.], v. 30, n. 9, p. 764–771, 2019. DOI 10.3766/jaaa.17122. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ccm&AN=138957387. Acesso em: 27 set. 2020.
    • AMA:
      Fox A, Riska K, Chin-Lin Tseng, et al. Dizziness, Vertigo, and Mental Health Comorbidity in Gulf War Veterans. Journal of the American Academy of Audiology. 2019;30(9):764-771. doi:10.3766/jaaa.17122
    • APA:
      Fox, A., Riska, K., Chin-Lin Tseng, McCarron, K., Satcher, S., Osinubi, O., & Helmer, D. (2019). Dizziness, Vertigo, and Mental Health Comorbidity in Gulf War Veterans. Journal of the American Academy of Audiology, 30(9), 764–771. https://doi.org/10.3766/jaaa.17122
    • Chicago/Turabian: Author-Date:
      Fox, Apollonia, Kristal Riska, Chin-Lin Tseng, Kelly McCarron, Serena Satcher, Omowunmi Osinubi, and Drew Helmer. 2019. “Dizziness, Vertigo, and Mental Health Comorbidity in Gulf War Veterans.” Journal of the American Academy of Audiology 30 (9): 764–71. doi:10.3766/jaaa.17122.
    • Harvard:
      Fox, A. et al. (2019) ‘Dizziness, Vertigo, and Mental Health Comorbidity in Gulf War Veterans’, Journal of the American Academy of Audiology, 30(9), pp. 764–771. doi: 10.3766/jaaa.17122.
    • Harvard: Australian:
      Fox, A, Riska, K, Chin-Lin Tseng, McCarron, K, Satcher, S, Osinubi, O & Helmer, D 2019, ‘Dizziness, Vertigo, and Mental Health Comorbidity in Gulf War Veterans’, Journal of the American Academy of Audiology, vol. 30, no. 9, pp. 764–771, viewed 27 September 2020, .
    • MLA:
      Fox, Apollonia, et al. “Dizziness, Vertigo, and Mental Health Comorbidity in Gulf War Veterans.” Journal of the American Academy of Audiology, vol. 30, no. 9, Oct. 2019, pp. 764–771. EBSCOhost, doi:10.3766/jaaa.17122.
    • Chicago/Turabian: Humanities:
      Fox, Apollonia, Kristal Riska, Chin-Lin Tseng, Kelly McCarron, Serena Satcher, Omowunmi Osinubi, and Drew Helmer. “Dizziness, Vertigo, and Mental Health Comorbidity in Gulf War Veterans.” Journal of the American Academy of Audiology 30, no. 9 (October 2019): 764–71. doi:10.3766/jaaa.17122.
    • Vancouver/ICMJE:
      Fox A, Riska K, Chin-Lin Tseng, McCarron K, Satcher S, Osinubi O, et al. Dizziness, Vertigo, and Mental Health Comorbidity in Gulf War Veterans. Journal of the American Academy of Audiology [Internet]. 2019 Oct [cited 2020 Sep 27];30(9):764–71. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ccm&AN=138957387