Additional cognitive behavior therapy for persistent postural-perceptual dizziness: a meta-analysis

Zang, Jialin; Zheng, Mohan; Chu, Hongyuan; Yang, Xu

doi:10.1016/j.bjorl.2024.101393

Cited by 2 publications

(4 citation statements)

References 25 publications

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“…PPPD often involves both physiological and psychological components. Coordinating vestibular rehabilitation with other therapeutic modalities, such as cognitive-behavioral therapy (CBT), poses challenges in ensuring a comprehensive and integrated approach [ 27 , 28 ]. In cases where PPPD coexists with other vestibular disorders or medical conditions, tailoring vestibular rehabilitation becomes more complex [ 27 , 28 ].…”

Section: Reviewmentioning

confidence: 99%

“…Coordinating vestibular rehabilitation with other therapeutic modalities, such as cognitive-behavioral therapy (CBT), poses challenges in ensuring a comprehensive and integrated approach [ 27 , 28 ]. In cases where PPPD coexists with other vestibular disorders or medical conditions, tailoring vestibular rehabilitation becomes more complex [ 27 , 28 ]. Addressing multiple contributing factors requires a nuanced and individualized treatment plan [ 27 , 28 ].…”

Section: Reviewmentioning

confidence: 99%

“…In cases where PPPD coexists with other vestibular disorders or medical conditions, tailoring vestibular rehabilitation becomes more complex [ 27 , 28 ]. Addressing multiple contributing factors requires a nuanced and individualized treatment plan [ 27 , 28 ]. Navigating these challenges underscores the importance of a personalized and multidisciplinary approach to PPPD treatment, where healthcare professionals collaborate to address the diverse aspects of this complex condition.…”

Section: Reviewmentioning

confidence: 99%

“…Navigating these challenges underscores the importance of a personalized and multidisciplinary approach to PPPD treatment, where healthcare professionals collaborate to address the diverse aspects of this complex condition. Integrating medications, CBT, and vestibular rehabilitation, with a focus on individual needs and tolerances, is crucial for optimizing outcomes [ 27 , 28 ]. A summary of PPPD challenges is seen in Figure 1 .…”

Section: Reviewmentioning

confidence: 99%

See 3 more Smart Citations

Persistent Challenges: A Comprehensive Review of Persistent Postural-Perceptual Dizziness, Controversies, and Clinical Complexities

Madrigal,

Herrón-Arango,

Bedoya

et al. 2024

Cureus

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Persistent postural-perceptual dizziness (PPPD) is a chronic and disabling disorder characterized by persistent dizziness, unsteadiness, and imbalance. It often arises without an identifiable cause and is exacerbated by upright posture, active or passive movement, and exposure to moving or complex visual stimuli. This complex pathophysiology and the psychological dimensions of its symptomatology pose a significant challenge to clinicians. PPPD presents diagnostic challenges and a lack of standardized treatment options, underscoring the need for multidisciplinary approaches encompassing pharmacotherapy, vestibular rehabilitation, and psychological interventions for effective management. Bridging the gaps in understanding PPPD requires collaborative efforts across disciplines, emphasizing integrated research approaches and patient support networks to enhance care and improve outcomes. This review explores the challenges, controversies, and clinical complexities of PPPD, highlighting the importance of a patientcentered approach.

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Section: Reviewmentioning

confidence: 99%

Section: Reviewmentioning

confidence: 99%

Section: Reviewmentioning

confidence: 99%

Section: Reviewmentioning

confidence: 99%

See 2 more Smart Citations

Persistent Challenges: A Comprehensive Review of Persistent Postural-Perceptual Dizziness, Controversies, and Clinical Complexities

Madrigal,

Herrón-Arango,

Bedoya

et al. 2024

Cureus

View full text Add to dashboard Cite

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Associations between affect and dizziness symptoms: Ecological Momentary Assessment study in functional dizziness

Hashimoto,

Takeuchi,

Tanobe

et al. 2024

Preprint

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An association between dizziness symptoms and psychological factors has been hypothesized, but evaluating this through questionnaires alone risks recall bias. We aimed to clarify this relationship using the EMA method to reduce bias. Participants comprised 30 patients (16 with persistent postural perceptual dizziness (PPPD), 14 with the others) aged 20–74 years with functional dizziness symptoms. Participants were sent survey forms at random times for 10 days, 890 hierarchical data were obtained. Survey forms were included the Subjective Dizziness Symptoms (SDS) evaluated as medical condition and the Positive and Negative Affect Schedule assessed as affects. Level 1 model revealed: Positive affect (PA) had a negative fixed effect on SDS in both groups, but the group-mean centering of PA was significant only in the others group. Level 2 model revealed: Negative affect (NA) had a significant fixed effect in both groups; however, the interaction between PA and NA was significant only in the others group. A simple slope analysis of the others group revealed that, in participants with higher NA, reduced momentary SDS was associated with higher PA. Functional dizziness symptoms were more severe when PA was low and NA high. Treatment for functional dizziness pathology could begin with PA.

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Additional cognitive behavior therapy for persistent postural-perceptual dizziness: a meta-analysis

Cited by 2 publications

References 25 publications

Persistent Challenges: A Comprehensive Review of Persistent Postural-Perceptual Dizziness, Controversies, and Clinical Complexities

Persistent Challenges: A Comprehensive Review of Persistent Postural-Perceptual Dizziness, Controversies, and Clinical Complexities

Associations between affect and dizziness symptoms: Ecological Momentary Assessment study in functional dizziness

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