Cognitive behavior therapy for chronic subjective dizziness: a randomized, controlled trial
Cognitive behavior therapy for chronic subjective dizziness: a randomized, controlled trial
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DOI：
10.1016/j.amjoto.2011.10.009
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发表时间：
2012-07-01
影响因子：
2.5
通讯作者：
Cremer, Phillip D.
中科院分区：
文献类型：
--
作者：
Edelman, Sarah;Mahoney, Alison E. J.;Cremer, Phillip D.
目的：本研究的目的是评估一个简短的认知行为疗法（CBT）干预的影响，对身体症状，疾病相关的残疾，和心理困扰的患者慢性主观dizzel.Materials和方法：41例慢性主观头晕患者提到的神经耳科诊所被随机分配到立即治疗或等待列表控制。临床心理学家每周进行三次基于惊恐障碍CBT模型的治疗，该模型适用于头晕患者。治疗包括心理教育、行为实验、暴露于恐惧刺激和注意力重新集中。结果采用头晕障碍量表和抑郁、焦虑和压力量表进行测量。本研究开发的进一步措施，头晕症状清单和安全行为清单被用来衡量身体症状和safety behaviours.Results：干预与显着减少残疾的头晕障碍清单，减少头晕和相关的身体症状的头晕症状清单，并减少回避和安全行为的安全行为清单所衡量的。前后效应大小范围为0.98至1.15。抑郁，焦虑和压力Scales.Conclusions：3届心理干预CBT模型的基础上，可以产生显着的改善头晕相关症状，残疾和功能障碍慢性主观头晕患者的心理结果没有变化。这表明，这种情况下的治疗可能是合理的简单和成本效益的大多数患者。(C)2012 Elsevier Inc. All rights reserved.
Purpose: The aim of this study was to evaluate the effects of a brief cognitive behavior therapy (CBT) intervention on the physical symptoms, illness-related disability, and psychologic distress of patients with chronic subjective dizziness.Materials and methods: Forty-one patients with chronic subjective dizziness referred by a neurootologic clinic were randomly assigned to immediate treatment or a wait-list control. Three weekly treatment sessions based on the CBT model of panic disorder, adapted for patients with dizziness, were administered by a clinical psychologist. Treatment included psychoeducation, behavioral experiments, exposure to feared stimuli, and attentional refocusing. Outcomes were measured on the Dizziness Handicap Inventory and the Depression, Anxiety and Stress Scales. Two further measures developed for this study; the Dizziness Symptoms Inventory and the Safety Behaviours Inventory were used to measure physical symptoms and safety behaviors.Results: The intervention was associated with significant reductions in disability on the Dizziness Handicap Inventory, reduced dizziness and related physical symptoms on the Dizziness Symptoms Inventory, and reduced avoidance and safety behaviors as measured by the Safety Behaviours Inventory. Pre- to posteffect sizes ranged from 0.98 to 1.15. There was no change in psychologic outcomes measured on the Depression, Anxiety and Stress Scales.Conclusions: A 3-session psychologic intervention based on the CBT model can produce significant improvements in dizziness-related symptoms, disability, and functional impairment among patients with chronic subjective dizziness. This suggests that treatment of this condition may be reasonably simple and cost-effective for most of the patients. (C) 2012 Elsevier Inc. All rights reserved.