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Relationship between sleep quality and dizziness

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  • Sung Kyun Kim
  • Ji Hoon Kim
  • Seung Sik Jeon
  • Seok Min Hong

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.

Suggested Citation

  • Sung Kyun Kim & Ji Hoon Kim & Seung Sik Jeon & Seok Min Hong, 2018. "Relationship between sleep quality and dizziness," PLOS ONE, Public Library of Science, vol. 13(3), pages 1-10, March.
    • Handle: RePEc:plo:pone00:0192705
    DOI: 10.1371/journal.pone.0192705
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    1. Tristan Martin & Sébastien Moussay & Ingo Bulla & Jan Bulla & Michel Toupet & Olivier Etard & Pierre Denise & Damien Davenne & Antoine Coquerel & Gaëlle Quarck, 2016. "Exploration of Circadian Rhythms in Patients with Bilateral Vestibular Loss," PLOS ONE, Public Library of Science, vol. 11(6), pages 1-20, June.
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