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Updated: Aug 12, 2025

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Published on: August 4, 2022
Using interpretative phenomenological analysis to probe the lived experiences of persistent postural-perceptual
Ryan Gamble1, Petroc Sumner1, Kevin Wilson-Smith2
1School of Psychology, Cardiff University, Cardiff, UK.
Persistent Postural-Perceptual Dizziness (PPPD) significantly impacts daily life, leading to identity loss and poor well-being. Understanding patient experiences is crucial for better clinical support and research into this chronic neuro-vestibular condition.
Area of Science:
- Neuroscience
- Vestibular Science
- Psychology
Background:
- Persistent Postural-Perceptual Dizziness (PPPD) is a chronic neuro-vestibular disorder.
- Characterized by dizziness, vertigo, and imbalance, often triggered by visual-vestibular stimuli.
- Limited research exists on the lived experiences of individuals with PPPD.
Observation:
- This study explored the psycho-social functioning and sense-making processes of 6 individuals with PPPD.
- Semi-structured interviews were conducted, followed by a case-by-case Interpretive Phenomenological Analysis (IPA).
- Common themes included dismissal, identity loss, dissociative experiences, and psychological distress.
Findings:
- Participants experienced significant challenges related to "dismissal and non-belief" from others.
- A profound sense of "identity loss" was reported due to the chronic nature of PPPD.
- Poor psychological well-being and complex "processes of sense-making" were central to their lived experiences.
Implications:
- Findings offer crucial insights into the qualitative experiences of PPPD patients.
- Enhances clinician and researcher understanding of symptom perception and psycho-social impacts.
- Informs the development of more empathetic and effective patient care strategies for PPPD.
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