persistent postural-perceptual dizziness
Conditions
Interventions
Acceptance and commitment therapy combined with vestibular rehabilitation (6 weekly group therapy sessions of 120 minutes each)
Sponsors
Nagoya City Unversity
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1) Visiting a neuro-otologist with a chief complaint of dizziness, unsteadiness, or non-spinning vertigo. 2) Meets the diagnostic criteria for persistent postural-perceptual dizziness. 3) Total score of 16 or more on the Dizziness Handicap Inventory. 4) From 20 years old to 64 years old. 5) Written consent.
Exclusion criteria
Exclusion criteria: 1) Physical conditions that make it difficult to conduct psychotherapy or vestibular rehabilitation. 2) Psychiatric disorders other than DSM-5 anxiety disorders, somatic symptom disorder, or illness anxiety disorder diagnosed by a psychiatrist. 3) A history of DSM-5 schizophrenia or bipolar disorder diagnosed by a psychiatrist. 4) Suicidal ideation or self-injury determined by a psychiatrist. 5) SSRI or SNRI initiation or dose increase in the last month. 6) Receiving another cognitive behavioral therapy during the study period. 7) Receiving any otolaryngological treatment other than pharmacotherapy for vestibular diseases during the study period. 8) Difficulty in coming to our clinic during the study period. 9) Pregnant or planning to become pregnant. 10) Inadequate understanding of Japanese language. 11) Family members living with the researchers. 12) Contraindicated or unsuitable for MRI. 13) Abnormalities that are not suitable for analysis of MRI.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| MRI image Handicap due to dizziness (Dizziness Handicap Inventory) Frequency of vestibular symptoms (Vertigo Symptom Scale-short form) | — |
Secondary
| Measure | Time frame |
|---|---|
| Anxiety and Depressive symptoms (Hospital Anxiety and Depression Scale) Insomnia (Insomnia Severity Index) QOL (EuroQol-5 Dimensions-5 Level) Burden by somatic symptoms (Somatic Symptom Scale-8) Exacerbation factors of PPPD (Niigata PPPD Questionnaire) Health anxiety (Short Health Anxiety Inventory) Alexithymia (Tronto Alexithymia Scale-20) Mindfulness (Mindfulness Attention Awareness Scale) Interoceptive awareness (Multidimensional Assessment of Interoceptive Awareness) Recovery process (Recovery Assessment Scale) Psychological flexibility (Acceptance and Action Questionnaire-2) Valued action (Valuing Questionnaire) Cognitive fusion (Cognitive Fusion Questionnaire) Patient's global Impression of Change | — |
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