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Treatment of phobic postural vertigo A controlled study of cognitive-behavioral therapy and self-controlled desensitization.

Holmberg, Johan LU ; Karlberg, Mikael LU ; Harlacher, U; Rivano-Fischer, M and Magnusson, Måns LU (2006) In Journal of Neurology 253(4). p.500-506
Abstract
In balance clinic practice, phobic postural vertigo is a term used to define a population with dizziness and avoidance behavior often as a consequence of a vestibular disorder. It has been described as the most common form of dizziness in middle aged patients in dizziness units. Anxiety disorders are common among patients with vestibular disorders. Cognitive-behavioral therapy is an effective treatment for anxiety disorders, and vestibular rehabilitation exercises are effective for vestibular disorders. This study compared the effect of additional cognitive-behavioral therapy for a population with phobic postural vertigo with the effect of self-administered vestibular rehabilitation exercises. 39 patients were recruited from a population... (More)
In balance clinic practice, phobic postural vertigo is a term used to define a population with dizziness and avoidance behavior often as a consequence of a vestibular disorder. It has been described as the most common form of dizziness in middle aged patients in dizziness units. Anxiety disorders are common among patients with vestibular disorders. Cognitive-behavioral therapy is an effective treatment for anxiety disorders, and vestibular rehabilitation exercises are effective for vestibular disorders. This study compared the effect of additional cognitive-behavioral therapy for a population with phobic postural vertigo with the effect of self-administered vestibular rehabilitation exercises. 39 patients were recruited from a population referred for otoneurological investigation. Treatment effects were evaluated with the Dizziness Handicap Inventory, Vertigo Symptom Scale, Vertigo Handicap Questionnaire, and Hospital Anxiety and Depression Scale. All patients had a self treatment intervention based on education about the condition and recommendation of self exposure by vestibular rehabilitation exercises. Every second patient included was offered additional cognitive behavioral therapy. Fifteen patients with self treatment and 16 patients with cognitive-behavioral treatment completed the study. There was significantly larger effect in the group who received cognitive behavioral therapy than in the self treatment group in Vertigo Handicap Questionnaire and the Hospital Anxiety and Depression scale and its subscales. Cognitive-behavioral therapy has an additional effect as treatment for a population with phobic postural vertigo. A multidisciplinary approach including medical treatment, cognitive-behavioral therapy and physiotherapy is suggested. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
vestibular disorders, dizziness, anxiety disorders, posture
in
Journal of Neurology
volume
253
issue
4
pages
500 - 506
publisher
Steinkopff
external identifiers
  • wos:000237354400014
  • scopus:33745639007
ISSN
1432-1459
DOI
10.1007/s00415-005-0050-6
language
English
LU publication?
yes
id
10c1a1ac-fae5-4c09-9c25-55437de9352e (old id 148590)
alternative location
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=16362533&dopt=Abstract
date added to LUP
2007-07-16 08:26:22
date last changed
2019-07-09 03:04:54
@article{10c1a1ac-fae5-4c09-9c25-55437de9352e,
  abstract     = {In balance clinic practice, phobic postural vertigo is a term used to define a population with dizziness and avoidance behavior often as a consequence of a vestibular disorder. It has been described as the most common form of dizziness in middle aged patients in dizziness units. Anxiety disorders are common among patients with vestibular disorders. Cognitive-behavioral therapy is an effective treatment for anxiety disorders, and vestibular rehabilitation exercises are effective for vestibular disorders. This study compared the effect of additional cognitive-behavioral therapy for a population with phobic postural vertigo with the effect of self-administered vestibular rehabilitation exercises. 39 patients were recruited from a population referred for otoneurological investigation. Treatment effects were evaluated with the Dizziness Handicap Inventory, Vertigo Symptom Scale, Vertigo Handicap Questionnaire, and Hospital Anxiety and Depression Scale. All patients had a self treatment intervention based on education about the condition and recommendation of self exposure by vestibular rehabilitation exercises. Every second patient included was offered additional cognitive behavioral therapy. Fifteen patients with self treatment and 16 patients with cognitive-behavioral treatment completed the study. There was significantly larger effect in the group who received cognitive behavioral therapy than in the self treatment group in Vertigo Handicap Questionnaire and the Hospital Anxiety and Depression scale and its subscales. Cognitive-behavioral therapy has an additional effect as treatment for a population with phobic postural vertigo. A multidisciplinary approach including medical treatment, cognitive-behavioral therapy and physiotherapy is suggested.},
  author       = {Holmberg, Johan and Karlberg, Mikael and Harlacher, U and Rivano-Fischer, M and Magnusson, Måns},
  issn         = {1432-1459},
  keyword      = {vestibular disorders,dizziness,anxiety disorders,posture},
  language     = {eng},
  number       = {4},
  pages        = {500--506},
  publisher    = {Steinkopff},
  series       = {Journal of Neurology},
  title        = {Treatment of phobic postural vertigo A controlled study of cognitive-behavioral therapy and self-controlled desensitization.},
  url          = {http://dx.doi.org/10.1007/s00415-005-0050-6},
  volume       = {253},
  year         = {2006},
}