論文

査読有り 国際誌
2020年6月11日

Acceptance and commitment therapy combined with vestibular rehabilitation for persistent postural-perceptual dizziness: A pilot study.

American journal of otolaryngology
  • Junya Kuwabara
  • ,
  • Masaki Kondo
  • ,
  • Kayoko Kabaya
  • ,
  • Wakako Watanabe
  • ,
  • Nao Shiraishi
  • ,
  • Mie Sakai
  • ,
  • Yuko Toshishige
  • ,
  • Keiko Ino
  • ,
  • Meiho Nakayama
  • ,
  • Shinichi Iwasaki
  • ,
  • Tatsuo Akechi

41
6
開始ページ
102609
終了ページ
102609
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1016/j.amjoto.2020.102609

PURPOSE: This study investigated the feasibility of acceptance and commitment therapy for persistent postural-perceptual dizziness and preliminarily verified the long-term effectiveness of the therapy. MATERIALS AND METHODS: This study implemented the within-group pre-post comparison design. We enrolled 27 adult patients who met the criteria of persistent postural-perceptual dizziness. They underwent a treatment program including acceptance and commitment therapy combined with vestibular rehabilitation once a week for a total of six sessions. The primary outcome was changes in the Dizziness Handicap Inventory score 6 months posttreatment. RESULTS: All 27 patients completed the acceptance and commitment therapy + vestibular rehabilitation program, and 25 patients (92.6%) could be followed for 6 months posttreatment. For 27 participants, the scores from pretreatment to 6 months posttreatment significantly declined (P < .001), and the Dizziness Handicap Inventory effect size was 1.11 (95% confidence interval = 0.80-1.42). At 6 months posttreatment, 11 patients (40.7%) achieved remission (the score ≤ 14), 16 (59.3%) achieved treatment response (reduction in the score ≥ 18), and 20 (74.1%) achieved remission and/or treatment response. CONCLUSIONS: Acceptance and commitment therapy is feasible for persistent postural-perceptual dizziness and might have long-term effectiveness. However, a randomized controlled trial is warranted.

リンク情報
DOI
https://doi.org/10.1016/j.amjoto.2020.102609
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/32615473

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