认知行为疗法在持续性姿势知觉性头晕中的临床应用

Clinical Application of Cognitive Behavioral Therapy in Persistent Postural Perception Dizziness

持续性姿势-知觉性头晕(Persistent postural perception dizziness, PPPD)是临床中常见的慢性前庭疾病之一,患者的症状常来自于与其头晕相关的恐惧信念,不同程度伴发负性情绪,影响生活质量。主要的治疗方式包括药物治疗、前庭康复训练和认知行为疗法,针对其主观症状及负性情绪,后者更为重要。近年来,认知行为疗法在前庭疾病中的应用越来越广泛,通过促进对主观症状的心理及生理习服,缓解症状、改善情绪、建立康复信心,临床中常作为辅助治疗方式与药物和(或)前庭康复训练联合应用,发挥协同作用。本文对近年来认知行为疗法在PPPD治疗中的研究进展进行综述,以期为临床实践提供参考。

Persistent Postural Perception Dizziness(PPPD)is one of the most common chronic vestibular disorders in clinical practice.Patients'symptoms often stem from fearful beliefs associated with their dizziness,and are associated with varying degrees of negative emotions that affect their quality of life.The main treatment modalities include medications,vestibular rehabilitation and cognitive-behavioral therapy,the latter being more important for their subjective symptoms and negative emotions.In recent years,cognitive-behavioral therapy has been increasingly used in vestibular disorders to alleviate symptoms,improve mood,and build confidence in recovery by promoting psychological and physical adaptation to subjective symptoms.It is often used clinically as an adjunctive treatment modality in combination with medications and vestibular rehabilitation training to play a synergistic role.This paper reviews the research progress on cognitive behavioral therapy in the treatment of PPPD in recent years,in order to provide a basis for its use in clinical practice.