title: Tailored care for somatoform vertigo/dizziness: study protocol for a randomised controlled trial evaluating integrative group psychotherapy.
abstract: Vertigo/dizziness (VD) ranks high in lifetime prevalence and clinical relevance. Nearly half of the complex VD disorders presenting at specialised units for vertigo or otoneurological disorders are not fully explained by an identifiable medical illness, but instead are related to anxiety, depressive, or somatoform disorders. Although there is some evidence that psychotherapy may be effective for these patients, therapeutic options remain unsatisfactory. This report describes the objectives, design and methods of a randomised, controlled clinical trial, evaluating the efficacy of manualised, multimodal group psychotherapy, based on integrative psychotherapy (IPT) and tailored to subgroups of mental disorders in medically unexplained VD. This psychotherapeutic approach will be compared to self-help groups (n = 172; n = 86 per study arm). Improvements with regard to handicap due to VD at 12 months follow-up will serve as primary outcome. Additionally, measures of generic quality of life, severity of vertigo, depression, anxiety, somatisation as well as Head Impulse Test and Computerized Static Posturography will be applied. We will also analyse the cost-effectiveness of this trial. The study aims to improve treatment of this therapeutically underserved population who are often severely impaired in their working and daily lives.
  
  
  BACKGROUND
  ClinicalTrials.gov Identifier: NCT02320851.
  
  
  METHODS
  This is an on-going study; recruitment for the study is about to start.
authors.affiliation: Department of Psychosomatic Medicine and Psychotherapy, Klinikum rechts der Isar, Technische Universität München, Langerstr. 3, 81675, Munich, Germany, lahmann@tum.de.
authors.forename: Claas
authors.initials: C
authors.lastname: Lahmann
authors.forename: P
authors.initials: P
authors.lastname: Henningsen
authors.forename: M
authors.initials: M
authors.lastname: Dieterich
authors.forename: K
authors.initials: K
authors.lastname: Radziej
authors.forename: G
authors.initials: G
authors.lastname: Schmid
mesh_terms: D000328:Adult; D001007:Anxiety / Q000150:complications / Q000628:therapy; D002985:Clinical Protocols; D003863:Depression / Q000150:complications / Q000628:therapy; D004244:Dizziness / Q000209:etiology / Q000628:therapy*; D006801:Humans; D017063:Outcome Assessment, Health Care / Q000379:methods*; D011615:Psychotherapy, Group / Q000379:methods*; D016032:Randomized Controlled Trials as Topic / Q000379:methods*; D012107:Research Design; D013001:Somatoform Disorders / Q000150:complications / Q000628:therapy*; D014717:Vertigo / Q000209:etiology / Q000628:therapy*