中国现代医生2026，Vol.64Issue(23)：14-18,5.DOI:10.3969/j.issn.1673-9701.2026.23.004
认知行为疗法联合帕罗西汀对持续性姿势-知觉性头晕患者负性情绪及认知功能的影响分析
Analysis of the effects of cognitive behavioral therapy combined with paroxetine on negative emotions and cognitive function in patients with persistent postural-perceptual dizziness
摘要
Abstract
Objective To analyze the effects of cognitive behavioral therapy(CBT)combined with paroxetine on negative emotions and cognitive functions in patients with persistent postural-perceptual dizziness(PPPD).Methods A total of 60 patients with PPPD from Huaibei People's Hospital from January 2024 to December 2025 were enrolled and randomly assigned to either control group(n=30)or intervention group(n=30)using a random number table.The control group received paroxetine treatment,while the intervention group additionally underwent CBT for a duration of 8 weeks.Clinical efficacy was compared between two groups based on scores obtained from the dizziness handicap inventory(DHI),Hamilton anxiety scale(HAMA),Hamilton depression scale(HAMD),mini-mental state examination(MMSE),and Montreal cognitive assessment(MoCA).Results A total of 26 cases in control group and 25 cases in intervention group completed the study.After 8 weeks of treatment,all components and total scores of the DHI scale,as well as total scores of HAMA and HAMD were lower in intervention group compared to control group(P<0.05).MMSE and MoCA scales were higher in intervention group than those in control group(P<0.05).Conclusion The combination of CBT with paroxetine can improve negative emotions and cognitive function in patients with PPPD,thereby enhancing clinical treatment efficacy and reducing the adverse effects of the disorder on patients.关键词
认知行为疗法/持续性姿势-知觉性头晕/负性情绪/认知功能Key words
Cognitive behavioral therapy/Persistent postural-perceptual dizziness/Negative emotions/Cognitive function分类
医药卫生引用本文复制引用
张玄,张全刚,张嫚茹..认知行为疗法联合帕罗西汀对持续性姿势-知觉性头晕患者负性情绪及认知功能的影响分析[J].中国现代医生,2026,64(23):14-18,5.基金项目
安徽省淮北市科技计划项目(2023HK032) （2023HK032）
