Effects of cognitive behavioral therapy based on the Information-Motivation-Behavioral Skills model on negative emotions in patients with vestibular dysfunction
- VernacularTitle:基于信息-动机-行为技巧模型的认知行为疗法对前庭功能障碍患者负性情绪的影响
- Author:
Ling WANG
1
;
Xiaowei LIU
;
Chaohong LIU
Author Information
- Keywords: Information-Motivation-Behavioral Skills model; cognitive behavioral therapy; vestibular dysfunction; negative emotions
- From: Journal of Clinical Medicine in Practice 2024;28(19):134-139
- CountryChina
- Language:Chinese
- Abstract: Objective To investigate the effects of cognitive behavioral therapy based on the In-formation-Motivation-Behavioral Skills(IMB)model on anxiety,depression,and other negative emo-tions in patients with vestibular dysfunction.Methods A total of 154 patients with vestibular dys-function admitted to our hospital from March 2021 to September 2023 were enrolled and randomly di-vided into observation group(n=77)and control group(n=77)using simple random sampling.Both groups received routine treatment and intervention,while the observation group received addi-tional cognitive behavioral therapy based on the IMB model.The Depression Anxiety Stress Scales-21(DASS-21),Dizziness Handicap Inventory(DHI),Vestibular Rehabilitation Benefit Questionnaire(VRBQ),Falls Risk Questionnaire(FRQ),Exercise of Self-Care Agency Scale(ESCA)scores,and changes in balance function were compared between the two groups before and after the interven-tion.Results After 4 weeks of intervention,the depression,anxiety,and stress scores in both groups decreased compared to pre-intervention,and the observation group showed lower scores than the control group after 4 weeks of intervention(P＜0.05).The physical,emotional,functional scores decreased in both groups after 4 weeks of intervention;the observation group had lower scores than the control group at 4 weeks(P＜0.05).The VRBQ and FRQ scores decreased,while the ESCA scores increased in both groups after 4 weeks of intervention;the observation group had lower VRBQ and FRQ scores and a higher ESCA score compared to the control group at 4 weeks(P＜0.05).Balance function improved in both groups after 4 weeks of intervention,with the observation group showing better balance function than the control group(P＜0.05).Conclusion Cognitive behav-ioral therapy based on the IMB model can help patients with vestibular dysfunction improve negative emotions such as anxiety and depression,and promote the improvement of clinical symptoms and self-care ability,thereby enhancing the quality of rehabilitation.
