PMID- 26001913
OWN - NLM
STAT- MEDLINE
DCOM- 20160622
LR  - 20191210
IS  - 1432-1459 (Electronic)
IS  - 0340-5354 (Linking)
VI  - 262
IP  - 8
DP  - 2015 Aug
TI  - Tailored care for somatoform vertigo/dizziness: study protocol for a randomised 
      controlled trial evaluating integrative group psychotherapy.
PG  - 1867-75
LID - 10.1007/s00415-015-7784-6 [doi]
AB  - Vertigo/dizziness (VD) ranks high in lifetime prevalence and clinical relevance. 
      Nearly half of the complex VD disorders presenting at specialised units for 
      vertigo or otoneurological disorders are not fully explained by an identifiable 
      medical illness, but instead are related to anxiety, depressive, or somatoform 
      disorders. Although there is some evidence that psychotherapy may be effective 
      for these patients, therapeutic options remain unsatisfactory. This report 
      describes the objectives, design and methods of a randomised, controlled clinical 
      trial, evaluating the efficacy of manualised, multimodal group psychotherapy, 
      based on integrative psychotherapy (IPT) and tailored to subgroups of mental 
      disorders in medically unexplained VD. This psychotherapeutic approach will be 
      compared to self-help groups (n = 172; n = 86 per study arm). Improvements with 
      regard to handicap due to VD at 12 months follow-up will serve as primary 
      outcome. Additionally, measures of generic quality of life, severity of vertigo, 
      depression, anxiety, somatisation as well as Head Impulse Test and Computerized 
      Static Posturography will be applied. We will also analyse the cost-effectiveness 
      of this trial. The study aims to improve treatment of this therapeutically 
      underserved population who are often severely impaired in their working and daily 
      lives. TRIAL REGISTRATION: ClinicalTrials.gov Identifier: NCT02320851. TRIAL 
      STATUS: This is an on-going study; recruitment for the study is about to start.
FAU - Lahmann, Claas
AU  - Lahmann C
AD  - Department of Psychosomatic Medicine and Psychotherapy, Klinikum rechts der Isar, 
      Technische Universitat Munchen, Langerstr. 3, 81675, Munich, Germany, 
      lahmann@tum.de.
FAU - Henningsen, P
AU  - Henningsen P
FAU - Dieterich, M
AU  - Dieterich M
FAU - Radziej, K
AU  - Radziej K
FAU - Schmid, G
AU  - Schmid G
LA  - eng
SI  - ClinicalTrials.gov/NCT02320851
PT  - Journal Article
PT  - Randomized Controlled Trial
PT  - Research Support, Non-U.S. Gov't
DEP - 20150523
PL  - Germany
TA  - J Neurol
JT  - Journal of neurology
JID - 0423161
SB  - IM
MH  - Adult
MH  - Anxiety/complications/therapy
MH  - Clinical Protocols
MH  - Depression/complications/therapy
MH  - Dizziness/etiology/*therapy
MH  - Humans
MH  - Outcome Assessment, Health Care/*methods
MH  - Psychotherapy, Group/*methods
MH  - Randomized Controlled Trials as Topic/*methods
MH  - Research Design
MH  - Somatoform Disorders/complications/*therapy
MH  - Vertigo/etiology/*therapy
EDAT- 2015/05/24 06:00
MHDA- 2016/06/23 06:00
CRDT- 2015/05/24 06:00
PHST- 2015/02/24 00:00 [received]
PHST- 2015/05/08 00:00 [accepted]
PHST- 2015/05/07 00:00 [revised]
PHST- 2015/05/24 06:00 [entrez]
PHST- 2015/05/24 06:00 [pubmed]
PHST- 2016/06/23 06:00 [medline]
AID - 10.1007/s00415-015-7784-6 [doi]
PST - ppublish
SO  - J Neurol. 2015 Aug;262(8):1867-75. doi: 10.1007/s00415-015-7784-6. Epub 2015 May 
      23.