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Depression in Ménière's disease: a systematic review and meta-analysis

Published online by Cambridge University Press:  17 April 2020

J J Patel ,
D A Levy ,
S A Nguyen ,
H G Rizk  and
T A Meyer
J J Patel*
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Medical University of South Carolina, Charleston, USA
D A Levy
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Medical University of South Carolina, Charleston, USA Frank H Netter MD School of Medicine at Quinnipiac University, North Haven, Connecticut, USA
S A Nguyen
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Medical University of South Carolina, Charleston, USA
H G Rizk
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Medical University of South Carolina, Charleston, USA
T A Meyer
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Medical University of South Carolina, Charleston, USA
*
Author for correspondence: Dr Jaimin J Patel, Department of Otolaryngology – Head and Neck Surgery, Medical University of South Carolina, 135 Rutledge Avenue, MSC 550, Charleston, SC29425, USA E-mail: [email protected]
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Abstract

Background

Ménière's disease is a debilitating chronic peripheral vestibular disorder associated with psychiatric co-morbidities, notably depression.

Methods

Database searches were performed to identify studies that assessed depression in Ménière's disease. Metrics used to diagnose depression were extracted, along with the prevalence of depression in each study.

Results

Fifteen studies from 8 different countries reported on 6587 patients. The weighted average age was 55.3 years (range, 21–88 years). Depression was measured by eight different scales, with Zung's Self-Rating Depression Scale used most often. A weighted proportion of 45.9 per cent of patients (confidence interval = 28.9–63.3) were depressed. Weighted averages (± standard deviations) of Beck's Depression Inventory and the Illness Behavior Questionnaire – Dysphoria were 8.5 ± 7.9 and 2.4 ± 1.7, respectively.

Conclusion

The prevalence of depression in patients with Ménière's disease is nearly 50 per cent. Treating otolaryngologists should have a low threshold to screen and refer appropriately. Identifying and treating depression should allow for improvement of overall quality of life in patients with Ménière's disease.

Keywords

Ménière's DiseaseDepressionMood DisordersVertigoTinnitusQuality Of Life
Type
Review Articles
Information
The Journal of Laryngology & Otology , Volume 134 , Issue 4 , April 2020 , pp. 293 - 301
Copyright
Copyright © JLO (1984) Limited, 2020

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Footnotes

Dr J J Patel takes responsibility for the integrity of the content of the paper

References

American Academy of Otolaryngology – Head and Neck Foundation. Committee on Hearing and Equilibrium guidelines for the diagnosis and evaluation of therapy in Meniere's disease. Otolaryngol Head Neck Surg 1995;113:181–5CrossRefGoogle Scholar
Gurkov, R, Jerin, C, Flatz, W, Maxwell, R. Clinical manifestations of hydropic ear disease (Meniere's). Eur Arch Otorhinolaryngol 2019;276:27–40CrossRefGoogle Scholar
Foster, CA, Breeze, RE. Endolymphatic hydrops in Meniere's disease: cause, consequence, or epiphenomenon? Otol Neurotol 2013;34:1210–14CrossRefGoogle ScholarPubMed
Merchant, SN, Adams, JC, Nadol, JB Jr. Pathophysiology of Meniere's syndrome: are symptoms caused by endolymphatic hydrops? Otol Neurotol 2005;26:74–81CrossRefGoogle ScholarPubMed
Megerian, CA. Diameter of the cochlear nerve in endolymphatic hydrops: implications for the etiology of hearing loss in Meniere's disease. Laryngoscope 2005;115:1525–35CrossRefGoogle ScholarPubMed
James, AL, Thorp, MA. Meniere's disease. BMJ Clin Evid 2007;2007:0505Google ScholarPubMed
Sajjadi, H, Paparella, MM. Meniere's disease. Lancet 2008;372:406–14CrossRefGoogle ScholarPubMed
Lopez-Escamez, JA, Carey, J, Chung, WH, Goebel, JA, Magnusson, M, Mandala, M et al. Diagnostic criteria for Meniere's disease. J Vestib Res 2015;25:1–7CrossRefGoogle ScholarPubMed
Söderman, ACH, Bagger-Sjöbäck, D, Bergenius, J, Langius, A. Factors influencing quality of life in patients with Ménière's disease, identified by a multidimensional approach. Otol Neurotol 2002;23:941–8CrossRefGoogle ScholarPubMed
Arroll, M, Dancey, CP, Attree, EA, Smith, S, James, T. People with symptoms of Ménière's disease: the relationship between illness intrusiveness, illness uncertainty, dizziness handicap, and depression. Otol Neurotol 2012;33:816–23CrossRefGoogle ScholarPubMed
Anderson, JP, Harris, JP. Impact of Ménière's disease on quality of life. Otol Neurotol 2001;22:888–94CrossRefGoogle ScholarPubMed
Ray, J, Carr, SD, Popli, G, Gibson, WP. An epidemiological study to investigate the relationship between Meniere's disease and migraine. Clin Otolaryngol 2016;41:707–10CrossRefGoogle ScholarPubMed
Celestino, D, Rosini, E, Carucci, ML, Marconi, PL, Vercillo, E. Ménière's disease and anxiety disorders. Acta Otorhinolaryngol Ital 2003;23:421–7Google ScholarPubMed
Coker, NJ, Coker, RR, Jenkins, HA, Vincent, KR. Psychological profile of patients with Meniere's disease. Arch Otolaryngol Head Neck Surg 1989;115:1355–7CrossRefGoogle ScholarPubMed
Furukawa, M, Kitahara, T, Horii, A, Uno, A, Imai, T, Ohta, Y et al. Psychological condition in patients with intractable Meniere's disease. Acta Otolaryngol 2013;133:584–9CrossRefGoogle ScholarPubMed
Moher, D, Liberati, A, Tetzlaff, J, Altman, DG. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med 2009;6:e1000097CrossRefGoogle ScholarPubMed
Howick, J, Chalmers, I, Glasziou, P, Greenalgh, T, Heneghan, C, Liberati, A et al. Explanation of the 2011 Oxford Centre for Evidence-Based Medicine (OCEBM) Levels of Evidence (Background Document). Oxford: Oxford Centre for Evidence-Based Medicine, 2014Google Scholar
Higgins, JPT, Green, S, eds. Cochrane Handbook for Systematic Reviews of Interventions, Version 5.1.0 [updated March 2011]. London: Cochrane Collaboration, 2011Google Scholar
DerSimonian, R, Laird, N. Meta-analysis in clinical trials. Control Clin Trials 1986;7:177–88CrossRefGoogle ScholarPubMed
Freeman, MF, Tukey, JW. Transformations related to the angular and the square root. Ann Math Statist 1950;21:607–11CrossRefGoogle Scholar
Higgins, JP, Thompson, SG, Deeks, JJ, Altman, DG. Measuring inconsistency in meta-analyses. BMJ 2003;327:557–60CrossRefGoogle ScholarPubMed
Bruderer, SG, Bodmer, D, Stohler, NA, Jick, SS, Meier, CR. Population-based study on the epidemiology of Ménière's disease. Audiol Neurootol 2017;22:74–82CrossRefGoogle Scholar
Eckhardt-Henn, A, Best, C, Bense, S, Breuer, P, Diener, G, Tschan, R et al. Psychiatric comorbidity in different organic vertigo syndromes. J Neurol 2008;255:420–8CrossRefGoogle ScholarPubMed
Hong, SM, Lee, HJ, Lee, B, Park, SK, Hong, SK, Park, IS et al. Influence of vestibular disease on psychological distress: a multicenter study. Otolaryngol Head Neck Surg 2013;148:810–14CrossRefGoogle ScholarPubMed
Kanzaki, J, Goto, F. Psychiatric disorders in patients with dizziness and Ménière's disease. Acta Otolaryngol 2015;135:447–50CrossRefGoogle ScholarPubMed
Kitahara, T, Sakagami, M, Ito, T, Shiozaki, T, Kitano, K, Yamashita, A et al. Ménière's disease with unremitting floating sensation is associated with canal paresis, gravity-sensitive dysfunction, mental illness, and bilaterality. Auris Nasus Larynx 2019;46:186–92CrossRefGoogle ScholarPubMed
Savastano, M, Marioni, G, Aita, M. Psychological characteristics of patients with Ménière's disease compared with patients with vertigo, tinnitus, or hearing loss. Ear Nose Throat J 2007;86:148–56CrossRefGoogle ScholarPubMed
Savastano, M, Maron, MB, Mangialaio, M, Longhi, P, Rizzardo, R. Illness behaviour, personality traits, anxiety, and depression in patients with Meniere's disease. J Otolaryngol 1996;25:329–33Google ScholarPubMed
Storper, IS, Spitzer, JB, Scanlan, M. Use of glycopyrrolate in the treatment of Meniere's disease. Laryngoscope 1998;108:1442–5CrossRefGoogle ScholarPubMed
Yokota, Y, Kitahara, T, Sakagami, M, Ito, T, Kimura, T, Okayasu, T et al. Surgical results and psychological status in patients with intractable Ménière's disease. Auris Nasus Larynx 2016;43:287–91CrossRefGoogle ScholarPubMed
Yuan, Q, Yu, L, Shi, D, Ke, X, Zhang, H. Anxiety and depression among patients with different types of vestibular peripheral vertigo. Medicine (Baltimore) 2015;94:e453CrossRefGoogle ScholarPubMed
Lahmann, C, Henningsen, P, Brandt, T, Strupp, M, Jahn, K, Dieterich, M et al. Psychiatric comorbidity and psychosocial impairment among patients with vertigo and dizziness. J Neurol Neurosurg Psychiatry 2015;86:302–8CrossRefGoogle ScholarPubMed
Hasin, DS, Sarvet, AL, Meyers, JL, Saha, TD, Ruan, WJ, Stohl, M et al. Epidemiology of adult DSM-5 Major Depressive Disorder and its specifiers in the United States. JAMA Psychiatry 2018;75:336–46CrossRefGoogle ScholarPubMed
Hackett, ML, Yapa, C, Parag, V, Anderson, CS. Frequency of depression after stroke: a systematic review of observational studies. Stroke 2005;36:1330–40CrossRefGoogle ScholarPubMed
Thombs, BD, Bass, EB, Ford, DE, Stewart, KJ, Tsilidis, KK, Patel, U et al. Prevalence of depression in survivors of acute myocardial infarction. J Gen Intern Med 2006;21:30–8CrossRefGoogle ScholarPubMed
Ruo, B, Rumsfeld, JS, Hlatky, MA, Liu, H, Browner, WS, Whooley, MA. Depressive symptoms and health-related quality of life: the Heart and Soul Study. JAMA 2003;290:215–21CrossRefGoogle ScholarPubMed
Zung, WW. A self-rating depression scale. Arch Gen Psychiatry 1965;12:63–70CrossRefGoogle ScholarPubMed
Zung, WW. A rating instrument for anxiety disorders. Psychosomatics 1971;12:371–9CrossRefGoogle ScholarPubMed
Dunstan, DA, Scott, N. Assigning clinical significance and symptom severity using the Zung Scales: levels of misclassification arising from confusion between index and raw scores. Depress Res Treat 2018;2018:9250972Google ScholarPubMed
Zung, W, Fukuda, K, Kobayashi, S. Japanese Version of the SDS (Self-rating Depression Scale) [in Japanese]. Kyoto: Sankyobo, 1983Google Scholar
Shepard, NT, Telian, SA. Programmatic vestibular rehabilitation. Otolaryngol Head Neck Surg 1995;112:173–82CrossRefGoogle ScholarPubMed
Nevoux, J, Franco-Vidal, V, Bouccara, D, Parietti-Winkler, C, Uziel, A, Chays, A et al. Diagnostic and therapeutic strategy in Menière's disease. Guidelines of the French Otorhinolaryngology-Head and Neck Surgery Society (SFORL). Eur Ann Otorhinolaryngol Head Neck Dis 2017;134:441–4CrossRefGoogle Scholar
Beck's Depression Inventory. In: https://www.ismanet.org/doctoryourspirit/pdfs/Beck-Depression-Inventory-BDI.pdf [16 March 2020]Google Scholar
Beck, AT, Ward, CH, Mendelson, M, Mock, J, Erbaugh, J. An inventory for measuring depression. Arch Gen Psychiatry 1961;4:561–71CrossRefGoogle ScholarPubMed
Pilowsky, I, Spence, N. Manual for the Illness Behaviour Questionnaire. Adelaide: University of Adelaide, 1983Google Scholar
Friberg, U, Stahle, J, Svedberg, A. The natural course of Meniere's disease. Acta Otolaryngol Suppl 1984;406:72–7Google ScholarPubMed
Gelenberg, A, Freeman, M, Markowitz, J, Rosenbaum, J, Thase, M, Trivedi, M et al. APA Practice Guideline for the Treatment of Patients with Major Depressive Disorder, 3rd edn. Washington, DC: American Psychiatric Association, 2010Google Scholar