Using interpretative phenomenological analysis to probe the lived experiences of persistent postural-perceptual dizziness (PPPD).

Gamble R, Ryan Gamble, Petroc Sumner, Sumner P, Wilson-Smith K, Kevin Wilson-Smith, Hannah Derry-Sumner, Derry-Sumner H, Rajenderkumar D, Deepak Rajenderkumar, Powell G, Georgie Powell
Journal of Vestibular Research · 2023 · doi:10.3233/ves-220059 · PMID:36710692 · PMC10041438
OA: gold CC-BY-NC-4.0
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Abstract

BackgroundPersistent Postural-Perceptual Dizziness (PPPD) is a chronic neuro-vestibular condition characterised by subjective dizziness, non-spinning vertigo, and postural imbalance. Symptoms are typically induced by situations of visuo-vestibular conflict and intense visual-motion.ObjectiveLittle research has focused on the lived experiences of people with PPPD. Therefore, our objective was to present an in-depth exploration of patient experiences and sense-making, and the effect of PPPD on psycho-social functioning.MethodsWe conducted semi-structured interviews with 6 people with PPPD, who were recruited from an Audiovestibular department in Wales. We present a case-by-case Interpretive Phenomenological Analysis (IPA) for each participant and present common themes.ResultsOur analysis revealed a range of superordinate and subordinate themes, individualised to each participant, but broadly described under the following headings: dismissal and non-belief, identity loss, dissociative experiences, poor psychological well-being and processes of sense-making.ConclusionThe qualitative experiences documented in this study will help clinicians and researchers to better understand the lived experiences of PPPD, how PPPD patients make sense of their symptoms, and the psycho-social impacts of the condition.

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License: CC-BY-NC-4.0