Acceptance and Commitment Therapy With Vestibular Rehabilitation for Chronic Dizziness

Nagoya City University

Status: Completed

Conditions: Chronic Dizziness

Treatments: Behavioral: ACT with VR; Behavioral: self-treatment VR; Other: clinical management

Study type: Interventional

Funder types: Other

Identifiers

NCT03029949

1

Details and patient eligibility

About

The purpose of this study is to examine the effectiveness of group acceptance and commitment therapy with vestibular rehabilitation for chronic dizziness, in comparison with self-treatment vestibular rehabilitation in addition to clinical management.

Full description

The purpose of this study is to examine whether group acceptance and commitment therapy combined with vestibular rehabilitation in addition to clinical management for patients with persistent postural-perceptual dizziness is more effective than treatment-as-usual(TAU), which is self-treatment vestibular rehabilitation in addition to clinical management.

Enrollment: 66 patients

Sex: All

Ages: 20 to 64 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Persistent postural-perceptual dizziness (diagnosed by the diagnostic guideline of ICD-11 beta version at Dec. 2016)
• Existing handicap due to dizziness (DHI equal to or more than 16)
• Written consent

Exclusion criteria

• Vertigo/dizziness/unsteadiness by organic brain diseases, diagnosed by neuro-otologist
• Vertigo/dizziness/unsteadiness explained by only organic cause or drug, diagnosed by neuro-otologist
• Physical status inappropriate for psychotherapy or vestibular rehabilitation
• Current psychiatric disorder other than anxiety disorders, somatic symptom disorder, or illness anxiety disorder (DSM-5), diagnosed by psychiatrist
• History of schizophrenia or bipolar disorder diagnosed by psychiatrist
• Increased risk of suicide or self-harm diagnosed by psychiatrist
• Started or increased SSRI/Venlafaxine within 1 month before treatment
• Any cognitive behavioral therapy or vestibular rehabilitation except this study
• Otological surgery or device therapy for dizziness
• Insufficient understanding of the Japanese language

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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66 participants in 2 patient groups

ACT with VR

Experimental group

Description:

acceptance and commitment therapy with vestibular rehabilitation in addition to clinical management

Treatment:

Behavioral: ACT with VR

Other: clinical management

Self-treatment VR

Active Comparator group

Description:

self-treatment vestibular rehabilitation in addition to clinical management

Treatment:

Behavioral: self-treatment VR

Other: clinical management