Affiliations: [a]
University of Lorraine, University of Paris Descartes, Apemac EA 4360, Metz, France
| [b]
University of Lorraine, DevAH EA3450, Vandoeuvre Les Nancy, France
| [c]
Department of ENT, University Hospital of Nancy, Nancy, France
Correspondence:
[*]
Corresponding author: Laurence Ribeyre, Chru de Nancy – Hôpital Central, Service d’ORL et de CCF – Otologie, CO 60034, 54035 Nancy Cedex, France. Tel.: +33 383 85 20 32; Fax: +33 383 85 22 58; E-mail: l.ribeyre@chru-nancy.fr.
Abstract: BACKGROUND: Various individual factors have been described to influence postural performances related to vestibular schwannoma. However, psychological factors may also be involved in postural variations. OBJECTIVE: To identify relationships between postural performances, illness perceptions, coping, anxiety-depression and quality of life of patients with vestibular schwannoma. METHODS: Twenty-six patients who were scheduled for a surgical removal of a vestibular schwannoma underwent posturography tests and were asked to complete psychological questionnaires three days prior to surgery. The Sensory Organization Test, the Illness Perceptions Questionnaire-Revised, the Brief-COPE, the Hospital Anxiety Depression Scale and the World Health Organization Quality of Life instrument were used for assessments. Correlations between posturography and psychological questionnaires were calculated. RESULTS: Balance disorders were associated with (i) impaired quality of life of patients, (ii) anxiety and depression affects, (iii) greater daily consequences, and with (iv) denial coping response. CONCLUSIONS: Given the association between balance disorders and psychological factors, health practitioners should be attentive to the deterioration of both aforementioned issues.
Keywords: Vestibular schwannoma, postural performances, illness perceptions, coping, anxiety-depression, quality of life
