Evidence map›Paper›PMID 32306170›Full record

ArticleJournal of neurology2020

Visually-induced dizziness is associated with sensitivity and avoidance across all senses.

Georgina Powell, Hannah Derry-Sumner, Katherine Shelton, Simon Rushton, Craig Hedge, Deepak Rajenderkumar, Petroc Sumner

Open access · hybridAbstract read
In one paragraph

Article in Journal of neurology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
1.3field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 27 citations in OpenAlex.

  1. Article
  2. Sensory hyperacusis as a predictor of anxiety in adolescence.Journal of child psychology and psychiatry, and allied disciplines · 2026
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  17. The Portuguese version of the visual vertigo analog scale.Brazilian journal of otorhinolaryngology
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Georgina PowellSchool of Psychology, Cardiff University, Tower building, Park Place, Cardiff, UK. powellg7@cardiff.ac.uk.
Hannah Derry-SumnerDepartment of Audiovestibular Medicine, University Hospital of Wales, Cardiff, UK.
Katherine SheltonSchool of Psychology, Cardiff University, Tower building, Park Place, Cardiff, UK.
Simon RushtonSchool of Psychology, Cardiff University, Tower building, Park Place, Cardiff, UK.
Craig HedgeSchool of Psychology, Cardiff University, Tower building, Park Place, Cardiff, UK.
Deepak RajenderkumarDepartment of Audiovestibular Medicine, University Hospital of Wales, Cardiff, UK.
Petroc SumnerSchool of Psychology, Cardiff University, Tower building, Park Place, Cardiff, UK.
Cardiff University · GBUniversity Hospital of Wales · GB

Funding

Cardiff University 097824/Z/11/ZWellcome TrustWellcome Trust 104943/Z/14/Z
6 · The paper itself

Abstract

backgroundPersistent postural perceptual dizziness (PPPD) is a common chronic condition presenting in neurology and neuro-otology clinics. Symptoms lie on a spectrum in the general population. The cause is unknown and thought to involve interactions between visual and vestibular systems, but symptoms also correlate with anxiety and migraine.

objectiveTo test whether PDDD symptoms are associated with reported differences in other senses (touch, hearing, smell and taste); to investigate possible mediation via anxiety or migraine; to discover the proportion of variance accountable to these non-vestibular factors.

methodsWe measured self-report multisensory sensitivity, anxiety, visual difficulties, visual discomfort and migraine in patients with PPPD (N = 29) and a large general population cohort (N > 1100). We used structural equation modelling to examine relationships between the factors using a step-wise approach.

resultsWe found increased self-reported over-sensitivity in sensory domains beyond vision and balance in both patients with PPPD and non-clinical participants with more PPPD symptoms. SEM analysis revealed that anxiety partly, but not wholly, mediated this relationship. Adding visual difficulties and visual discomfort to the model allowed it to explain 50% of PPPD symptom variance. Most of the path coefficients and mediation effects in our model were unchanged between participants with and without migraine.

conclusionsOur findings support the idea that PPPD is a complex neurological condition that includes broad perceptual factors, and may suggest that some brains are predisposed to generalised cross-modal sensory-overload. This may give rise to vulnerability to severe PPPD should a vestibular insult occur.

Indexed as

Vestibular DiseasesVestibule, LabyrinthAnxietyDizzinessHumansPostural BalanceVertigoMigrainePersistent postural perceptual dizziness (PPPD)Sensory overloadVisually-induced dizzinessVisual stressVisual vertigo

Identifiers

PMID32306170
PMCPMC7359147
OpenAlexW3015676651

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.