Study of Concurrent Therapy for Intractable Dizziness of Vestibular Rehabilitation and SSRI

Abstract

Background: Vertiginous patients are more likely to have a psychological fear according to dizziness. The psychological fear may make dizziness obstinate and greatly influences prognosis, too. Moreover, previous researches reported that improvement of QOL is not enough for the patients with depression who constitutes about 10% of vertiginous patients. Method: We provide an in-hospital group with vestibular rehabilitation in our hospital. In this study, patients received SDS test at the time of admission, and SDS≧50 patients as "Depression group" was assessed of the efficacy of group rehabilitation combined with SSRI (fluvoxamine). Result and Conclusion: SF8 score improved significantly after treatment compared with baseline, but they did not reach to the average score in Japan. POMS score was significantly improved after treatment. Moreover, fluvoxamine treatment was more effective with 150mg/day than 100mg/day which was reported previously. Improvement of POMS score was necessary in the course of adqute improvement of psychological functions (MCS etc.) in the depression group.