chronic dizziness (persistent postural-perceptual dizziness)
Conditions
Interventions
Group program composed of vestibular rehabilitation and acceptance and commitment therapy: six weekly 2-hour sessions
Sponsors
Department of Psychiatry and Cognitive Behavioral Medicine, Nagoya City University Graduate School of Medical Sciences
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1) Outpatients with the chief complaint of chronic non-spinning vertigo, dizziness, or unsteadiness over three months, who has been consulting a neuro-otologist. 2) Fulfilling the diagnostic criteria for persistent postural-perceptual dizziness, with one or more of three exacerbation factors. 3) Sixteen or more of the total score of Dizziness Handicap Inventory.
Exclusion criteria
Exclusion criteria: 1) Vertigo or dizziness caused by central nervous or organic factors, assessed by a neuro-otologist. 2) Physical states disturbing cognitive behavioral therapy or vestibular rehabilitation. 3) need for hospitalization. 4) Obvious suicidal ideation or self-harm. 5) Previous history of schizophrenia or bipolar disorder. 6) Comorbid psychiatric disorders excluding anxiety disorders and somatic symptom and related disorders. 7) Receiving other structured psychotherapies (except supportive counseling). 8) Difficult of a routine visit. 9) During pregnancy or planning for pregnancy during the treatment period. 10) Other reasons inadequate for study participation.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Handicap due to dizziness (Dizziness Handicap Inventory) at 6 months after the treatment | — |
Secondary
| Measure | Time frame |
|---|---|
| Frequency of dizziness-related symptoms (Vertigo Symptom Scale-short form) Anxiety and depressive symptoms (Hospital Anxiety and Depression Scale) Somatic symptom (Somatic Symptom Scale-8) Health anxiety (Short Health Anxiety Inventory) Recovery process (Recovery Assessment Scale) Valued action (Valuing Questionnaire) Cognitive fusion (Cognitive Fusion Questionnaire) Quality of life (EQ-5D-5L) Alexithymia (Tronto Alexithymia Scale-20) Mindfulness (Mindfulness Attention Awareness Scale) Psychological flexibility (Acceptance and Action Questionnaire 2) Insomnia (Insomnia Severity Index) Clinical global impression Patient global impression | — |
Countries
Japan
Contacts
Public ContactMasaki Kondo
Nagoya City University Graduate School of Medical Sciences Department of Psychiatry and Cognitive Behavioral Medicine
Outcome results
None listed