Journal article
Effects of a program of cognitive-behavioural group therapy, vestibular rehabilitation, and psychoeducational explanations on patients with dizziness and no quantified balance deficit, compared to patients with dizziness and a quantified balance deficit.
- Schmid DA Dept. of Psychosomatic Medicine, University of Basel Hospital, Switzerland; Dept. of Psychosomatic Medicine, Canton Hospital St. Gallen, Switzerland.
- Allum JHJ Dept. of Psychosomatic Medicine, University of Basel Hospital, Switzerland; Dept. of ORL, University of Basel Hospital, Switzerland. Electronic address: john.allum@usb.ch.
- Sleptsova M Dept. of Psychosomatic Medicine, University of Basel Hospital, Switzerland.
- Gross S Dept. of Psychosomatic Medicine, University of Basel Hospital, Switzerland; Dept. Clinical Psychology and Psychotherapy, University of Basel Hospital, Switzerland.
- Gaab J Dept. Clinical Psychology and Psychotherapy, University of Basel Hospital, Switzerland.
- Welge-Lüssen A Dept. of ORL, University of Basel Hospital, Switzerland.
- Schaefert R Dept. of Psychosomatic Medicine, University of Basel Hospital, Switzerland.
- Langewitz W Dept. of Psychosomatic Medicine, University of Basel Hospital, Switzerland.
- 2018-01-16
Published in:
- Journal of psychosomatic research. - 2018
Dizziness
Group cognitive-behavioural therapy
Psychological measures
Vestibular rehabilitation, Psychoeducation, Balance deficits
Adult
Aged
Cognitive Behavioral Therapy
Combined Modality Therapy
Dizziness
Female
Gait
Humans
Male
Middle Aged
Physical Therapy Modalities
Postural Balance
Psychotherapy, Group
Retrospective Studies
Treatment Outcome
Vestibular Function Tests
English
BACKGROUND
We examined whether a program combining cognitive-behavioural therapy (CBT), vestibular rehabilitation (VR) and psychoeducation is equally effective in improving psychometric measures in patients with dizziness independent of a balance deficit. Measures of patients with dizziness only (DO) were compared to those of patients also having a quantified balance deficit (QBD).
METHODS
32 patients (23 female, 9 male) with persistent dizziness were analysed as 2 groups based on stance and gait balance control: those with QBD (pathological balance) or DO (normal balance). Dizziness Handicap Inventory (DHI) and Brief Symptom Inventory (BSI) questionnaires were used pre- and post-therapy to assess psychometric measures. Patients then received the same combination therapy in a group setting.
RESULTS
The QBD group mean age was 60.6, SD 8.3, and DO group mean age 44.8, SD 12.1, years. Pre-therapy, questionnaire scores were pathological but not different between groups. Balance improved significantly for the QBD group (p=0.003) but not for the DO group. DHI and BSI scores improved significantly in the DO group (0.001
CONCLUSIONS
A combination of CBT, VR, and psychoeducation improves psychological measures in DO patients but not significantly in QBD patients, despite their balance control improving to near normal. Possibly, greater focus on phobic anxiety during the group therapy program would have improved psychological measures of QBD patient.
We examined whether a program combining cognitive-behavioural therapy (CBT), vestibular rehabilitation (VR) and psychoeducation is equally effective in improving psychometric measures in patients with dizziness independent of a balance deficit. Measures of patients with dizziness only (DO) were compared to those of patients also having a quantified balance deficit (QBD).
METHODS
32 patients (23 female, 9 male) with persistent dizziness were analysed as 2 groups based on stance and gait balance control: those with QBD (pathological balance) or DO (normal balance). Dizziness Handicap Inventory (DHI) and Brief Symptom Inventory (BSI) questionnaires were used pre- and post-therapy to assess psychometric measures. Patients then received the same combination therapy in a group setting.
RESULTS
The QBD group mean age was 60.6, SD 8.3, and DO group mean age 44.8, SD 12.1, years. Pre-therapy, questionnaire scores were pathological but not different between groups. Balance improved significantly for the QBD group (p=0.003) but not for the DO group. DHI and BSI scores improved significantly in the DO group (0.001
CONCLUSIONS
A combination of CBT, VR, and psychoeducation improves psychological measures in DO patients but not significantly in QBD patients, despite their balance control improving to near normal. Possibly, greater focus on phobic anxiety during the group therapy program would have improved psychological measures of QBD patient.
- Language
-
- English
- Open access status
- closed
- Identifiers
-
- DOI 10.1016/j.jpsychores.2017.11.020
- PMID 29332630
- Persistent URL
- https://sonar.ch/global/documents/232241
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