{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T05:09:10Z","timestamp":1788930550630,"version":"build-2803163510"},"reference-count":42,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T00:00:00Z","timestamp":1788912000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>This study evaluated the association of combined cognitive behavioral therapy (CBT) and rehabilitation training with improvements in vestibular dysfunction and negative emotions based on real-world clinical practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This single-center, real-world, retrospective cohort study recruited 100 patients with vestibular dysfunction and negative emotions from a tertiary hospital in China between August 2020 and October 2024. Patients were divided into two groups based on actual treatment received: the conventional care group (\n                      <jats:italic>n<\/jats:italic>\n                      \u202f=\u202f50) received standard medication and health education, while the combined intervention group (\n                      <jats:italic>n<\/jats:italic>\n                      \u202f=\u202f50) additionally underwent a 3-month program of CBT combined with rehabilitation training. Primary outcomes included Visual Analog Scale (VAS), Dizziness Handicap Inventory (DHI), and Somatic Symptom Scale (SSS) scores at 3\u202fmonths. Secondary outcomes included the above scales at 1\u202fmonth, along with Generalized Anxiety Disorder Scale-7 (GAD-7) and Patient Health Questionnaire-9 (PHQ-9) scores.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      At 3\u202fmonths, the combined intervention group showed significantly greater improvement in VAS, DHI, and SSS scores compared to the conventional care group (all\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.05). At 1\u202fmonth, the combined group demonstrated early superiority in the emotional and functional dimensions of the DHI. GAD-7 and PHQ-9 scores showed significantly greater psychological improvement in the combined group at both 1 and 3\u202fmonths (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.01).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In real-world settings, CBT combined with rehabilitation training was associated with greater improvements in dizziness, somatic symptoms, and anxiety\/depression in vestibular dysfunction patients with negative emotions compared with conventional care. Most outcomes improved early, whereas the physical component of dizziness-related disability showed a later between-group separation, which supports the potential value of integrated psychosomatic care models.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1923062","type":"journal-article","created":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T04:41:19Z","timestamp":1788928879000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["The effect of combined cognitive behavioral therapy and rehabilitation training on negative emotions of patients with vestibular dysfunction: a real-world cohort study"],"prefix":"10.3389","volume":"14","author":[{"given":"Lu","family":"Gao","sequence":"first","affiliation":[{"name":"Department of Otolaryngology Head and Neck Surgery, the First Affiliated Hospital, Fujian Medical University","place":["Fuzhou, China"]},{"name":"Department of Otolaryngology Head and Neck Surgery, National Regional Medical Center, Binhai Campus of the First Affiliated Hospital, Fujian Medical University","place":["Fuzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meifang","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Head and Neck Surgery, the First Affiliated Hospital, Fujian Medical University","place":["Fuzhou, China"]},{"name":"Department of Otolaryngology Head and Neck Surgery, National Regional Medical Center, Binhai Campus of the First Affiliated Hospital, Fujian Medical University","place":["Fuzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoxue","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Head and Neck Surgery, the First Affiliated Hospital, Fujian Medical University","place":["Fuzhou, China"]},{"name":"Department of Otolaryngology Head and Neck Surgery, National Regional Medical Center, Binhai Campus of the First Affiliated Hospital, Fujian Medical University","place":["Fuzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaojing","family":"Liang","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Head and Neck Surgery, the First Affiliated Hospital, Fujian Medical University","place":["Fuzhou, China"]},{"name":"Department of Otolaryngology Head and Neck Surgery, National Regional Medical Center, Binhai Campus of the First Affiliated Hospital, Fujian Medical University","place":["Fuzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ling","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Head and Neck Surgery, the First Affiliated Hospital, Fujian Medical University","place":["Fuzhou, China"]},{"name":"Department of Otolaryngology Head and Neck Surgery, National Regional Medical Center, Binhai Campus of the First Affiliated Hospital, Fujian Medical University","place":["Fuzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liqiong","family":"Yu","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Head and Neck Surgery, the First Affiliated Hospital, Fujian Medical University","place":["Fuzhou, China"]},{"name":"Department of Otolaryngology Head and Neck Surgery, National Regional Medical Center, Binhai Campus of the First Affiliated Hospital, Fujian Medical University","place":["Fuzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shaoqin","family":"Ma","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Head and Neck Surgery, the First Affiliated Hospital, Fujian Medical University","place":["Fuzhou, China"]},{"name":"Department of Otolaryngology Head and Neck Surgery, National Regional Medical Center, Binhai Campus of the First Affiliated Hospital, Fujian Medical University","place":["Fuzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heng","family":"Xiao","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Head and Neck Surgery, the First Affiliated Hospital, Fujian Medical University","place":["Fuzhou, China"]},{"name":"Department of Otolaryngology Head and Neck Surgery, National Regional Medical Center, Binhai Campus of the First Affiliated Hospital, Fujian Medical University","place":["Fuzhou, China"]},{"name":"Fujian Institute of Otorhinolaryngology, The First Affiliated Hospital, Fujian Medical University","place":["Fuzhou, China"]},{"name":"The Sixth Medical Center of PLA General Hospital, National Clinical Research Center for Otolaryngologic Diseases","place":["Beijing, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,9,9]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"67","DOI":"10.1016\/B978-0-444-63437-5.00005-4","article-title":"The epidemiology of dizziness and vertigo","volume":"137","author":"Neuhauser","year":"2016","journal-title":"Handb Clin Neurol"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"300","DOI":"10.3238\/arztebl.2020.0300","article-title":"Vestibular Disorders","volume":"117","author":"Strupp","year":"2020","journal-title":"Dtsch Arztebl Int"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"137","DOI":"10.1097\/WCO.0000000000000632","article-title":"Vestibular rehabilitation: advances in peripheral and central vestibular disorders","volume":"32","author":"Dunlap","year":"2019","journal-title":"Curr Opin 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