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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:
author
organization
publishing date
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
Steinkopff
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
2007-12-12 15:40:12
date last changed
2017-07-09 04:29:37
@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},
  keyword      = {posture vestibular disorder,dizziness,anxiety},
  language     = {eng},
  number       = {9},
  pages        = {1189--1192},
  publisher    = {Steinkopff},
  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},
  volume       = {254},
  year         = {2007},
}