A controlled trial of cognitive-behavior therapy combined with vestibular rehabilitation in the treatment of dizziness.
Dizziness is a common and often untreated symptom in the general population. The aim of this study was to investigate the effects of a combined cognitive-behavioral/vestibular rehabilitation (VR) program, using a randomized control design. A total of 29 participants were randomized to treatment consisting of psychoeducation, vestibular exercises, relaxation and cognitive interventions, or to serve as waiting list controls. Measures of dizziness-related handicap, dizziness-provoking movements, and daily diary registrations of dizziness symptoms at pre- and post-treatment showed statistically significant improvements in many domains, which translated to moderate effect sizes. These findings provide preliminary support for the combination of Cognitive-behavioral therapy (CBT) and VR methods in the treatment of dizziness.
Andersson
Gerhard
G
Department of Behavioural Sciences, Linköping University, SE-581 83 Linköping, Sweden. Gerhard.Andersson@ibv.liu.se
Asmundson
Gordon J G
GJ
Denev
Johanna
J
Nilsson
Johanna
J
Larsen
Hans Christian
HC
D000328:Adult; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D003131:Combined Modality Therapy; D004244:Dizziness / Q000209:etiology / Q000628:therapy*; D005081:Exercise Therapy / Q000379:methods*; D005260:Female; D019416:Head Movements; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D011569:Psychiatric Status Rating Scales; D016896:Treatment Outcome; D015837:Vestibular Diseases / Q000150:complications / Q000534:rehabilitation