Vol. 6, Issue 1, Part A (2024)

Vestibular disorders not only disrupt physiological equilibrium but also significantly impact psychological well-being. The challenges of vertigo, dizziness, and imbalance often give rise to psychological factors that influence treatment outcomes, coping strategies, and rehabilitation success. Recognizing the intricate interplay between the mind and the body is essential for optimizing vestibular rehabilitation efficacy. This narrative review explores the substantial role of psychological factors in the context of vestibular rehabilitation. It delves into the array of psychological elements at play, including anxiety, fear avoidance, depression, and perceived disability, which can hinder or facilitate patients' progress. The review also highlights the biopsychosocial model, illustrating how psychological factors intricately intertwine with physiological responses. Positive psychological states, resilience, and self-efficacy are explored as facilitators of engagement and adaptation. Moreover, the review discusses the value of psychotherapeutic interventions such as cognitive-behavioral therapy, mindfulness, and relaxation techniques in enhancing rehabilitation outcomes. Emphasizing patient-centered care, the review underscores the importance of tailoring rehabilitation programs to individual psychological profiles and preferences. This approach optimizes engagement, adherence, and ultimately, outcomes. Acknowledging and addressing psychological factors in vestibular rehabilitation empowers a holistic approach, enhancing treatment effectiveness and enabling patients to attain equilibrium in both physical and psychological well-being.