One-year follow-up of cognitive behavioral therapy for phobic postural vertigo
| Autor: | Uwe Harlacher, Mikael Karlberg, Johan Holmberg, Måns Magnusson |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
Adult
Male medicine.medical_specialty Panic Disorder with Agoraphobia medicine.medical_treatment Posture Neuropsychological Tests Hospital Anxiety and Depression Scale Chronic subjective dizziness Vertigo Surveys and Questionnaires otorhinolaryngologic diseases medicine Humans music music.instrument biology Cognitive Behavioral Therapy Middle Aged medicine.disease biology.organism_classification Cognitive behavioral therapy Treatment Outcome Neurology Phobic Disorders Vestibular Diseases Cognitive therapy Physical therapy Anxiety Female Neurology (clinical) medicine.symptom Psychology Anxiety disorder Follow-Up Studies |
| Zdroj: | Journal of neurology. 254(9) |
| ISSN: | 0340-5354 |
| Popis: | Background Phobic postural vertigo is characterized by dizziness in standing and walking despite normal clinical balance tests. Patients sometimes exhibit anxiety reactions and avoidance behavior to specific stimuli. Different treatments are possible for PPV, including vestibular rehabilitation exercises, pharmacological treatment, and cognitive behavioral therapy. We recently reported significant benefits of cognitive behavioural therapy for patients with phobic postural vertigo. This study presents the results of a one-year follow-up of these patients. Methods Swedish translations of the following questionnaires were administered: (Dizziness Handicap Inventory, Vertigo Symptom Scale, Vertigo Handicap Questionnaire, and Hospital Anxiety and Depression Scale) were administered to 20 patients (9 men and 11 women; mean age 43 years, range 23-59 years) one year after completion of cognitive behavioral therapy. Results Test results were similar to those obtained before treatment, showing that no significant treatment effects remained. Conclusion Cognitive behavioral therapy has a limited long-term effect on phobic postural vertigo. This condition is more difficult to treat than panic disorder with agoraphobia. Vestibular rehabilitation exercises and pharmacological treatment might be the necessary components of treatment. |
| Databáze: | OpenAIRE |
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