Evaluating the efficacy of vestibular rehabilitation therapy on quality of life in persistent postural-perceptual dizziness: the role of anxiety and depression in treatment outcomes
BackgroundPersistent Postural-Perceptual Dizziness (PPPD) is a chronic disorder that significantly affects the quality of life (QoL) and daily living. Vestibular rehabilitation therapy (VRT) has emerged as a promising treatment option, yet its effectiveness, particularly in relation to symptom durat...
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Frontiers Media S.A.
2025-02-01
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| Series: | Frontiers in Neurology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fneur.2025.1524324/full |
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| author | Khalid A. Alahmari Sarah Alshehri |
| author_facet | Khalid A. Alahmari Sarah Alshehri |
| author_sort | Khalid A. Alahmari |
| collection | DOAJ |
| description | BackgroundPersistent Postural-Perceptual Dizziness (PPPD) is a chronic disorder that significantly affects the quality of life (QoL) and daily living. Vestibular rehabilitation therapy (VRT) has emerged as a promising treatment option, yet its effectiveness, particularly in relation to symptom duration, anxiety, and depression, remains underexplored.MethodsThis cross-sectional study assessed the effect of VRT on the QoL in 188 PPPD patients, as well as the correlation between the duration of symptoms and dizziness severity and the role of anxiety and depression in the treatment response. QoL was assessed using the EuroQol-5 Dimension (EQ-5D), and dizziness-related handicap using the Dizziness Handicap Inventory (DHI) and anxiety and depression using the Hospital Anxiety and Depression Scale (HADS).ResultsNinety three patients were included in the analysis. QoL was significantly improved post-VRT with a greater mean EQ-5D score (EQ-5D post-VRT 0.72; EQ-5D pre-VRT 0.61, p = 0.032). Age was also found to correlate with increased dizziness severity (p < 0.001), although this was not as strong as the correlation of symptom duration (longer duration correlating with increased dizziness severity; p < 0.01), anxiety (r = −0.45, p = 0.002) and depression (r = −0.51, p < 0.001) (both significantly associated with poorer outcomes especially with reference to VRT) emerging as independent correlates of reduced effectiveness of treatment.ConclusionsThis study revealed the benefit of VRT in patients with PPPD on QoL and indicates the importance of identifying and treating psychological factors to improve the success of treatment for PPPD. |
| format | Article |
| id | doaj-art-c1027d92cd124a55a657b290bfd17f1a |
| institution | Kabale University |
| issn | 1664-2295 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Neurology |
| spelling | doaj-art-c1027d92cd124a55a657b290bfd17f1a2025-02-04T16:15:08ZengFrontiers Media S.A.Frontiers in Neurology1664-22952025-02-011610.3389/fneur.2025.15243241524324Evaluating the efficacy of vestibular rehabilitation therapy on quality of life in persistent postural-perceptual dizziness: the role of anxiety and depression in treatment outcomesKhalid A. Alahmari0Sarah Alshehri1Program of Physical Therapy, Medical Rehabilitation Sciences, College of Applied Medical Sciences, King Khalid University, Abha, Saudi ArabiaOtology and Neurotology, Department of Surgery, College of Medicine, King Khalid University, Abha, Saudi ArabiaBackgroundPersistent Postural-Perceptual Dizziness (PPPD) is a chronic disorder that significantly affects the quality of life (QoL) and daily living. Vestibular rehabilitation therapy (VRT) has emerged as a promising treatment option, yet its effectiveness, particularly in relation to symptom duration, anxiety, and depression, remains underexplored.MethodsThis cross-sectional study assessed the effect of VRT on the QoL in 188 PPPD patients, as well as the correlation between the duration of symptoms and dizziness severity and the role of anxiety and depression in the treatment response. QoL was assessed using the EuroQol-5 Dimension (EQ-5D), and dizziness-related handicap using the Dizziness Handicap Inventory (DHI) and anxiety and depression using the Hospital Anxiety and Depression Scale (HADS).ResultsNinety three patients were included in the analysis. QoL was significantly improved post-VRT with a greater mean EQ-5D score (EQ-5D post-VRT 0.72; EQ-5D pre-VRT 0.61, p = 0.032). Age was also found to correlate with increased dizziness severity (p < 0.001), although this was not as strong as the correlation of symptom duration (longer duration correlating with increased dizziness severity; p < 0.01), anxiety (r = −0.45, p = 0.002) and depression (r = −0.51, p < 0.001) (both significantly associated with poorer outcomes especially with reference to VRT) emerging as independent correlates of reduced effectiveness of treatment.ConclusionsThis study revealed the benefit of VRT in patients with PPPD on QoL and indicates the importance of identifying and treating psychological factors to improve the success of treatment for PPPD.https://www.frontiersin.org/articles/10.3389/fneur.2025.1524324/fulldizzinessvestibular rehabilitation therapyquality of lifeanxietydepression |
| spellingShingle | Khalid A. Alahmari Sarah Alshehri Evaluating the efficacy of vestibular rehabilitation therapy on quality of life in persistent postural-perceptual dizziness: the role of anxiety and depression in treatment outcomes Frontiers in Neurology dizziness vestibular rehabilitation therapy quality of life anxiety depression |
| title | Evaluating the efficacy of vestibular rehabilitation therapy on quality of life in persistent postural-perceptual dizziness: the role of anxiety and depression in treatment outcomes |
| title_full | Evaluating the efficacy of vestibular rehabilitation therapy on quality of life in persistent postural-perceptual dizziness: the role of anxiety and depression in treatment outcomes |
| title_fullStr | Evaluating the efficacy of vestibular rehabilitation therapy on quality of life in persistent postural-perceptual dizziness: the role of anxiety and depression in treatment outcomes |
| title_full_unstemmed | Evaluating the efficacy of vestibular rehabilitation therapy on quality of life in persistent postural-perceptual dizziness: the role of anxiety and depression in treatment outcomes |
| title_short | Evaluating the efficacy of vestibular rehabilitation therapy on quality of life in persistent postural-perceptual dizziness: the role of anxiety and depression in treatment outcomes |
| title_sort | evaluating the efficacy of vestibular rehabilitation therapy on quality of life in persistent postural perceptual dizziness the role of anxiety and depression in treatment outcomes |
| topic | dizziness vestibular rehabilitation therapy quality of life anxiety depression |
| url | https://www.frontiersin.org/articles/10.3389/fneur.2025.1524324/full |
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