| Unique ID issued by UMIN | UMIN000054701 |
|---|---|
| Receipt number | R000062510 |
| Scientific Title | Cognitive Behavioral Therapy for Persistent Persistent Postural Perceptual Dizziness in Japan: a Pre Post Comparative Study |
| Date of disclosure of the study information | 2024/06/18 |
| Last modified on | 2024/12/18 10:42:00 |
Cognitive Behavioral Therapy for Persistent Postural Perceptual Dizziness in Japan: a Pre Post Comparative Study
Cognitive Behavioral Therapy for Persistent Postural Perceptual Dizziness in Japan
Cognitive Behavioral Therapy for Persistent Persistent Postural Perceptual Dizziness in Japan: a Pre Post Comparative Study
Cognitive Behavioral Therapy for Persistent Postural Perceptual Dizziness in Japan
| Japan |
Persistent Postural Perceptual Dizziness
| Oto-rhino-laryngology | Adult |
Others
NO
The prevalence of dizziness in the general population is estimated to be 20-30%, and among people of working age, 74% have persistent dizziness for more than 6 months and 30% for more than 5 years, resulting in significant social losses due to chronic dizziness. However, treatment is inadequate, in part because much of the chronic vertigo is organically unexplained. The most common form of chronic vertigo is persistent perceptual postural vertigo (PPPD), which has been described as a vicious circle of interaction between psychiatric symptoms such as anxiety and neurophysiological processes, with neurotic tendencies thought to be the underlying cause. Recently, it has been suggested that cognitive behavioural therapy may be effective in the treatment of chronic vertigo, but there are few reports of such therapy in Japan. The aim of this study was to carry out cognitive-behavioural therapy for patients with PPPD, to test its effectiveness, and to develop a programme of cognitive-behavioural therapy for patients with PPPD.
Efficacy
Exploratory
Explanatory
Phase II
Dizziness Handicap Inventory(DHI)
(Assessments are made at three time points: pre-intervention assessment, post-intervention assessment and follow-up assessment three months after the end of the intervention, using a patient-reported questionnaire).
Hospital Anxiety and Depression Scale (HADS)
The Niigata PPPD questionnaire (NPQ)
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
NO
NO
No need to know
1
Treatment
| Behavior,custom |
CBT for PPPD combined with usual care: The CBT for PPPD used in this study is a structured and manualised six-session programme consisting of psychoeducation, goal setting, internal sensory exposure, body scan, behavioural experimentation, behavioural activation, cognitive restructuring and relapse prevention components. It has the following components. A special text and worksheets are provided. During the treatment period, treatment continues as usual; CBT for PPPD is essentially face-to-face.
| 20 | years-old | <= |
| Not applicable |
Male and Female
Participants were Japanese patients with PPPD aged 20 or older, diagnosed by a physician at Niigata University Hospital Otorhinolaryngology Department after 2020. Consecutive patients who had not received serotonergic antidepressant therapy after PPPD diagnosis, had no dose increase of serotonergic antidepressants prescribed by other departments within the past 3 months prior to PPPD diagnosis, Consecutive patients who were willing to participate in the study, proficient in reading and writing Japanese, and capable of attending regular CBT sessions were included in the study.
Those who have difficulty in understanding the questions in the self-administered questionnaire.
Other cases deemed inappropriate by the doctor in charge.
30
| 1st name | Arata |
| Middle name | |
| Last name | Horii |
Niigata University Graduate School of Medical and Dental Sciences
Department of Otolaryngology, Head and Neck Surgery,
951-8510
1-757 Asahimachidori, Chuo-ku, Niigata City, Niigata Prefecture
025-227-2306
ahorii@med.niigata-u.ac.jp
| 1st name | Tsunehiko |
| Middle name | |
| Last name | Tanaka |
Niigata University
Faculty of Education Specialized courses educational psychology
950-2181
8050, Ikarashi2-no-cho, Nishi-ku, Niigata City 950-2181, Japan
025-262-5460
tanakat@ed.niigata-u.ac.jp
Niigata University
The Ministry of Education, Culture, Sports, Science and Technology (MEXT). Japan Society for the Promotion of Science (JSPS).
Japanese Governmental office
Japan
Ethics Committee of Niigata University
1-757 Asahimachidori, Chuo-ku, Niigata City, Niigata Prefecture
025-227-2625
ethics@adm.niigata-u.ac.jp
NO
| 2024 | Year | 06 | Month | 18 | Day |
Unpublished
20
No longer recruiting
| 2020 | Year | 07 | Month | 01 | Day |
| 2019 | Year | 03 | Month | 22 | Day |
| 2020 | Year | 07 | Month | 01 | Day |
| 2025 | Year | 03 | Month | 31 | Day |
| 2025 | Year | 04 | Month | 10 | Day |
| 2025 | Year | 04 | Month | 30 | Day |
| 2024 | Year | 06 | Month | 18 | Day |
| 2024 | Year | 12 | Month | 18 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000062510