ArticleHealth and quality of life outcomes2015
Analysis of vestibular-balance symptoms according to symptom duration: dimensionality of the Vertigo Symptom Scale-short form.
Article in Health and quality of life outcomes, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 citations in OpenAlex.
- Association of Menière's disease with depression and anxiety: a systematic review and meta-analysis.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2025Pooled it
- The reliability and validity of the Swedish translation of the Vertigo Symptom Scale - short form in a cohort with acute vestibular syndrome.Annals of medicine · 2025Trial
- The Efficacy of the Half Somersault Maneuver in Comparison to the Epley Maneuver in Patients with Benign Paroxysmal Positional Vertigo.The journal of international advanced otology · 2021Trial
- Reliability and validity of a Central Kurdish version of the Dizziness Handicap Inventory.Scientific reports · 2019Trial
- Tolerability, pharmacokinetics, and pharmacodynamics of mirogabalin in healthy subjects: Results from phase 1 studies.Pharmacology research & perspectives · 2018Trial
- Investigation of Variations in Brain Activity Associated with Dizziness and Head Position Alterations During Gait.Healthcare (Basel, Switzerland) · 2026Article
- Gans repositioning maneuver in treating posterior canal benign paroxysmal positional vertigo: A systematic review.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026Review
- Management of Benign Paroxysmal Positional Vertigo with the TRV Chair.International archives of otorhinolaryngology · 2026Article
- Cross-cultural validation of the Dutch Vertigo Symptom Scale - Short Form: dimensionality, reliability and cultural differences in symptom reporting.Journal of patient-reported outcomes · 2026Article
- Acupuncture Therapy for Peripheral Vestibular Vertigo (with Suspected Ménière's Disease).Medical acupuncture · 2023Article
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- What Predicts Improvement of Dizziness after Multimodal and Interdisciplinary Day Care Treatment?Journal of clinical medicine · 2022Article
- Effects of a walking program in patients with chronic unilateral vestibular hypofunction.Journal of physical therapy science · 2022Article
- Multimodal treatment of persistent postural-perceptual dizziness.Brain and behavior · 2020Article
- Cross-cultural adaptation, reliability, and validity of the Vertigo symptom scale-short form in the central Kurdish dialect.Health and quality of life outcomes · 2019Article
- Post Stapedotomy Vestibular Deficit: Is COIndian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2018Article
- In Older Patients Treated for Dizziness and Vertigo in Multimodal Rehabilitation Somatic Deficits Prevail While Anxiety Plays a Minor Role Compared to Young and Middle Aged Patients.Frontiers in aging neuroscience · 2018Article
- Development of the Persian version of the Vertigo Symptom Scale: Validity and reliability.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2017Article
- Effects of flunarizine combined with ginkgo leaf extract and dipyridamole injection on hemorheology in elderly patients with vertigo.Pakistan journal of medical sciencesArticle
Corrections and comments
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Authors and funding
11 authors at 7 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDizziness or vertigo is associated with both vestibular-balance and psychological factors. A common assessment tool is the Vertigo Symptom Scale (VSS) -short form, which has two subscales: vestibular-balance and autonomic-anxiety. Despite frequent use, the factor structure of the VSS-short form has yet to be confirmed. Here, we clarified the factor structure of the VSS-short form, and assessed the validity and reliability of the Japanese version of this tool.
methodsWe conducted a cross-sectional, multicenter, psychometric evaluation of patients with non-central dizziness or vertigo persisting for longer than 1 month. Participants completed the VSS-short form, the Dizziness Handicap Inventory, and the Hospital Anxiety and Depression Scale. They also completed the VSS-short form a second time 1-3 days later. The questionnaire was translated into Japanese and cross-culturally adapted. We conducted a confirmatory factor analysis followed by an exploratory factor analysis. Convergent and discriminant validity, internal consistency, and test-retest reliability were evaluated.
resultsThe total sample and retest sample consisted of 159 and 79 participants, respectively. Model-fitting for a two-subscale structure in a confirmatory factor analysis was poor. An exploratory factor analysis produced a three-factor structure: long-duration vestibular-balance symptoms, short-duration vestibular-balance symptoms, and autonomic-anxiety symptoms. Regarding convergent and discriminant validity, all hypotheses were clearly supported. We obtained high Cronbach's α coefficients for the total score and subscales, ranging from 0.758 to 0.866. Total score and subscale interclass correlation coefficients for test-retest reliability were acceptable, ranging from 0.867 to 0.897.
conclusionsThe VSS-short form has a three-factor structure that was cross-culturally well-matched with previous data from the VSS-long version. Thus, it was suggested that vestibular-balance symptoms can be analyzed separately according to symptom duration, which may reflect pathophysiological factors. The VSS-short form can be used to evaluate vestibular-balance symptoms and autonomic-anxiety symptoms, as well as the duration of vestibular-balance symptoms. Further research using the VSS-short form should be required in other languages and populations.
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