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Journal of Neurology

, 254:1189 | Cite as

One-year follow-up of cognitive behavioral therapy for phobic postural vertigo

  • Johan HolmbergEmail author
  • Mikael Karlberg
  • Uwe Harlacher
  • Måns Magnusson
ORIGINAL COMMNICATION

Abstract

Background

Phobic postural vertigo is characterized by dizziness in standing and walking despite normal clinical balance tests. Patients sometimes exhibit anxiety reactions and avoidance behavior to specific stimuli. Different treatments are possible for PPV, including vestibular rehabilitation exercises, pharmacological treatment, and cognitive behavioral therapy. We recently reported significant benefits of cognitive behavioural therapy for patients with phobic postural vertigo. This study presents the results of a one-year follow-up of these patients.

Methods

Swedish translations of the following questionnaires were administered: (Dizziness Handicap Inventory, Vertigo Symptom Scale, Vertigo Handicap Questionnaire, and Hospital Anxiety and Depression Scale) were administered to 20 patients (9 men and 11 women; mean age 43 years, range 23–59 years) one year after completion of cognitive behavioral therapy.

Results

Test results were similar to those obtained before treatment, showing that no significant treatment effects remained.

Conclusion

Cognitive behavioral therapy has a limited long-term effect on phobic postural vertigo. This condition is more difficult to treat than panic disorder with agoraphobia. Vestibular rehabilitation exercises and pharmacological treatment might be the necessary components of treatment.

Key words

dizziness anxiety posture vestibular disorder 

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Copyright information

© Steinkopff-Verlag 2007

Authors and Affiliations

  • Johan Holmberg
    • 1
    Email author
  • Mikael Karlberg
    • 1
  • Uwe Harlacher
    • 2
  • Måns Magnusson
    • 1
  1. 1.Dept. of Otorhinolaryngology, Head & Neck SurgeryLund University HospitalLundSweden
  2. 2.Lund-Orup Rehabilitation CentreLund University HospitalLundSweden

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