{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T00:13:19Z","timestamp":1790295199195,"version":"4.1.0"},"reference-count":35,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T00:00:00Z","timestamp":1783296000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T00:00:00Z","timestamp":1783296000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Vestibular Research"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Chronic dizziness is a multidimensional condition often influenced by psychological factors. Among these, personality traits such as neuroticism have been linked to heightened symptom perception and disability. However, few studies have systematically examined the relationship between neuroticism, functional burden, and diagnostic characteristics in a population with clinical dizziness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To investigate the relationship between perceived dizziness-related handicap and neuroticism as a personality trait among patients referred to a multidisciplinary dizziness and balance clinic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This observational study included 247 adult patients with persistent dizziness referred to a specialist clinic. Patients completed the Eysenck Personality Questionnaire (EPQ) and the Dizziness Handicap Inventory (DHI). Clinical data included diagnosis category, duration of symptoms, fall history, comorbidities, and consultation history. Statistical analyses included Spearman correlations, ANOVA, chi-square tests, cluster analysis, and multivariate linear regression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Neuroticism was significantly correlated with higher DHI scores (\u03c1 = 0.39,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001) and a greater number of healthcare consultations (\u03c1 = 0.19,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.003). It was not associated with duration of symptoms or fall history. A chi-square test indicated a significant association between the neuroticism category and diagnosis category (\u03c7\n                      <jats:sup>2<\/jats:sup>\n                      = 32.02,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.043), with higher neuroticism observed in functional and central disorders. Cluster analysis revealed three psychological-clinical subgroups varying in emotional burden, functional disability, and comorbidity profiles. In regression modelling, neuroticism was the only significant predictor of DHI score (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001), independent of diagnosis or symptom duration.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Personality domains, especially neuroticism, are strong predictors of perceived functional burden in patients with chronic dizziness. These findings underscore the importance of incorporating psychological assessment into the clinical evaluation to further facilitate tailored interventions for the management of dizziness. Personality profiling may help identify high-burden subgroups and guide individualized, multidisciplinary care strategies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/09574271261465715","type":"journal-article","created":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T10:20:51Z","timestamp":1783333251000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Neuroticism and functional burden in chronic dizziness: A clinical cross-sectional observational study using the Eysenck Model and Dizziness Handicap Inventory"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3618-6551","authenticated-orcid":false,"given":"Alida","family":"Naud\u00e9","sequence":"first","affiliation":[{"name":"Stellenbosch University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9577-4935","authenticated-orcid":false,"given":"Amisha","family":"Kanji","sequence":"additional","affiliation":[{"name":"University of the Witwatersrand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,6]]},"reference":[{"key":"e_1_3_7_2_2","doi-asserted-by":"publisher","DOI":"10.1212\/01.wnl.0000175987.59991.3d"},{"issue":"17","key":"e_1_3_7_3_2","first-page":"300","article-title":"Vestibular disorders","volume":"117","author":"Strupp M","year":"2020","unstructured":"Strupp M, Dlugaiczyk J, Ertl-Wagner BB, et al. Vestibular disorders. Dtsch Arztebl Int 2020; 117(17): 300\u2013310. https:\/\/doi.org\/10.3238\/arztebl.2020.0300","journal-title":"Dtsch Arztebl Int"},{"key":"e_1_3_7_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40266-021-00877-z"},{"key":"e_1_3_7_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/hex.13906"},{"key":"e_1_3_7_6_2","doi-asserted-by":"publisher","DOI":"10.1136\/practneurol-2017-001809"},{"key":"e_1_3_7_7_2","doi-asserted-by":"publisher","DOI":"10.7874\/jao.2017.00290"},{"key":"e_1_3_7_8_2","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1990.01870040046011"},{"key":"e_1_3_7_9_2","doi-asserted-by":"publisher","DOI":"10.3766\/jaaa.19.4.6"},{"key":"e_1_3_7_10_2","doi-asserted-by":"publisher","DOI":"10.1037\/a0015309"},{"issue":"4","key":"e_1_3_7_11_2","first-page":"954","article-title":"Neuroticism and maladaptive coping in patients with functional somatic syndromes","volume":"21","author":"Huber A","year":"2016","unstructured":"Huber A, Henrich G, Klug G. 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