2022
DOI: 10.1038/s41598-022-09513-1
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Effect of psychotherapy on recurrence of events and quality of life in patients with vasovagal syncope

Abstract: Emotional distress is related to recurrence of syncope compromising patient's quality of life (QoL). The aim of this study was to determine if weekly sessions of psychotherapy reduce recurrence of events and improve QoL by SF-36 among patients with refractory vasovagal syncope. A randomised controlled pilot trial including 10 patients with recurrent vasovagal syncope and positive tilt table test was conducted. Known cardiac disease and ongoing psychotherapeutic interventions were the main exclusion criteria. A… Show more

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Cited by 6 publications
(2 citation statements)
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“…Similar results were reported in the Irish Longitudinal Study of Aging (TILDA) [ 25 ], where the authors identified the fear of falling as a major contributor to quality of life and a significant predictor of syncopes, once again underlining the possible potential of psychotherapeutic interventions in the treatment of patients with recurrent syncope [ 25 ]. A small pilot trial from Brazil revealed an improvement in quality of life and a reduction in syncope recurrence in a randomized design, further emphasizing the meaningfulness of the approach [ 26 ]. In our trial, we assessed many different psychological factors and underlying psychometric concepts for the possible prediction of psychogenic factors leading to syncopes, and could identify an association in non-arrhythmic syncopes to psychological findings such as higher anxiety and depression.…”
Section: Discussionmentioning
confidence: 99%
“…Similar results were reported in the Irish Longitudinal Study of Aging (TILDA) [ 25 ], where the authors identified the fear of falling as a major contributor to quality of life and a significant predictor of syncopes, once again underlining the possible potential of psychotherapeutic interventions in the treatment of patients with recurrent syncope [ 25 ]. A small pilot trial from Brazil revealed an improvement in quality of life and a reduction in syncope recurrence in a randomized design, further emphasizing the meaningfulness of the approach [ 26 ]. In our trial, we assessed many different psychological factors and underlying psychometric concepts for the possible prediction of psychogenic factors leading to syncopes, and could identify an association in non-arrhythmic syncopes to psychological findings such as higher anxiety and depression.…”
Section: Discussionmentioning
confidence: 99%
“…There was a gap in the literature regarding the effect of psychotherapy on VVS patients, the only study we found was a recent RCT conducted by de Barros E Silva et al on a small number of patients (five in the intervention group, five in the control group) [ 18 ]. In this trial, they evaluated the effect of once-a-week psychotherapy sessions on five patients with VVS, who are already on the conventional treatment of VVS as indicated in the international guidelines but they still have recurrent episodes of syncope refractory to their treatment.…”
Section: Reviewmentioning
confidence: 99%