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Title: What are the cognitive behavioural predictors of recovery and persistence of dizziness following assessment at an NHS vestibular clinic?
Author: Mcguire, Sally
ISNI:       0000 0004 7432 6636
Awarding Body: University of Bath
Current Institution: University of Bath
Date of Award: 2018
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Purpose: This study aimed to identify which cognitive and behavioural factors were associated with self-rated dizziness handicap at assessment and persistence six months after assessment at an NHS vestibular clinic. This study used questionnaire data to explore these associations in a clinical population with mixed diagnoses of dizziness and imbalance, regardless of treatment intervention or diagnostic category. Method: Participants (N=39) completed questionnaires shortly after assessment at an NHS vestibular clinic (Time 1) and at a 6 month follow-up (Time 2). Data were explored using bivariate and partial correlations to assess the relationship between dizziness handicap, severity and the cognitive-behavioural factors of dizziness beliefs, safety-seeking behaviours, body vigilance and health anxiety. Results: At Time 1, safety-seeking behaviours and dizziness beliefs were associated with dizziness handicap (DHI), even when dizziness severity, anxiety, depression were controlled for. There was no relationship between health anxiety and dizziness handicap, or body vigilance and dizziness handicap. A multiple regression using T2 data was planned but not completed due to a small sample size. Conclusions: Results suggest the importance of assessing and treating safety-seeking behaviours, beliefs about dizziness and body vigilance at clinical assessment, regardless of diagnosis or treatment offered. Clinical implications are discussed whilst remaining cautious of interpretations limited by a small sample size.
Supervisor: Marks, Elizabeth ; Daniels, Jolene ; Griffith, Emma Sponsor: Not available
Qualification Name: Thesis (D.Clin.Psy.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available