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Related Experiment Video

Updated: Jul 3, 2025

Computerized Dynamic Posturography for Postural Control Assessment in Patients with Intermittent Claudication
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Additional cognitive behavior therapy for persistent postural-perceptual dizziness: a meta-analysis.

Jialin Zang1, Mohan Zheng1, Hongyuan Chu2

  • 1Department of Neurology, Peking University Aerospace School of Clinical Medicine (Aerospace Center Hospital), Beijing, China.

Brazilian Journal of Otorhinolaryngology
|February 13, 2024
PubMed
Summary
This summary is machine-generated.

Adding Cognitive Behavior Therapy (CBT) to conventional treatments significantly improves outcomes for Persistent Postural-Perceptual Dizziness (PPPD) patients. This meta-analysis of RCTs confirms CBT

Keywords:
Cognitive behavioral therapyDizzinessDizziness handicap inventory

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Area of Science:

  • Neuroscience and Psychology
  • Clinical Medicine
  • Evidence-Based Practice

Background:

  • Persistent Postural-Perceptual Dizziness (PPPD) is a chronic condition affecting balance and quality of life.
  • Conventional therapies for PPPD have shown variable efficacy.
  • Cognitive Behavior Therapy (CBT) targets psychological factors contributing to dizziness symptoms.

Purpose of the Study:

  • To evaluate the effectiveness of adding Cognitive Behavior Therapy (CBT) to conventional therapy for Persistent Postural-Perceptual Dizziness (PPPD).
  • To compare outcomes of combined therapy versus conventional therapy alone in PPPD patients.
  • To synthesize evidence from randomized controlled trials (RCTs) on CBT for PPPD.

Main Methods:

  • Systematic review and meta-analysis of six relevant Randomized Controlled Trials (RCTs).
  • Searched major databases (PubMed, Embase, Web of Science, Cochrane Library, ClinicalTrials.gov) from January 2002 to November 2022.
  • Utilized Dizziness Handicap Inventory (DHI), Hamilton Anxiety Scale (HAMA), GAD-7, and Patient Health Questionnaire-9 (PHQ-9) for outcome assessment; risk of bias evaluated using Cochrane Collaboration tool.

Main Results:

  • Combined CBT and conventional therapy significantly improved DHI-Total scores (MD = -8.17, p < 0.00001) compared to conventional therapy alone.
  • Significant improvements were observed in anxiety (HAMA, GAD-7) and depression (PHQ-9) scores with the addition of CBT.
  • Subgroup analyses confirmed benefits of additional CBT across various conventional treatments, including Vestibular Rehabilitation Therapy (VRT) and Selective Serotonin Reuptake Inhibitors (SSRIs).

Conclusions:

  • Additional CBT offers significant benefits for PPPD patients when combined with conventional therapy.
  • The findings support the integration of CBT into standard PPPD treatment protocols.
  • Further RCTs are recommended to solidify evidence and guide clinical application of CBT for PPPD.