One-year follow-up of cognitive behavioral therapy for phobic postural vertigo
Holmberg, Johan LU ; Karlberg, Mikael LU ; Harlacher, Uwe and Magnusson, Måns LU
(2007)
In Journal of Neurology
254(9).
p.1189-1192
- Abstract
- 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... (More)
- 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. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/655679
- author
- Holmberg, Johan
LU
; Karlberg, Mikael
LU
; Harlacher, Uwe
and Magnusson, Måns
LU
- organization
- publishing date
- 2007
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- posture vestibular disorder, dizziness, anxiety
- in
- Journal of Neurology
- volume
- 254
- issue
- 9
- pages
- 1189 - 1192
- publisher
- Springer
- external identifiers
-
- wos:000249893200005
- scopus:36148950121
- ISSN
- 1432-1459
- DOI
- 10.1007/s00415-007-0499-6
- language
- English
- LU publication?
- yes
- id
- 42f47db0-b197-4b83-8a94-e7123b1bca1a (old id 655679)
- alternative location
- http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=17676355&dopt=Abstract
- date added to LUP
- 2016-04-01 17:09:18
- date last changed
- 2022-03-22 23:44:33
@article{42f47db0-b197-4b83-8a94-e7123b1bca1a,
abstract = {{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.}},
author = {{Holmberg, Johan and Karlberg, Mikael and Harlacher, Uwe and Magnusson, Måns}},
issn = {{1432-1459}},
keywords = {{posture vestibular disorder; dizziness; anxiety}},
language = {{eng}},
number = {{9}},
pages = {{1189--1192}},
publisher = {{Springer}},
series = {{Journal of Neurology}},
title = {{One-year follow-up of cognitive behavioral therapy for phobic postural vertigo}},
url = {{http://dx.doi.org/10.1007/s00415-007-0499-6}},
doi = {{10.1007/s00415-007-0499-6}},
volume = {{254}},
year = {{2007}},
}