Ablenkungs- und Entspannungstraining bei akutem Tinnitus

Gerhards, Friedemann; Brehmer, D.

doi:10.1007/s00106-009-2019-8

Cited by 9 publications

(4 citation statements)

References 18 publications

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“…However, none of these treatment methods have proven to be effective after replication in controlled trials (Elgoyhen and Langguth, 2011 ). On the other hand, different types of psychotherapeutic intervention supporting and accompanying medical treatment have also been designed (Schildt et al, 2006 ; Gerhards and Brehmer, 2010 ). These adjuvant psychotherapeutic interventions consist of one or more of the following elements: psycho-educative counseling, relaxation training, and general and tinnitus-related stress management.…”

Section: Introductionmentioning

confidence: 99%

Cortical reorganization in recent-onset tinnitus patients by the Heidelberg Model of Music Therapy

Krick

Grapp²,

Daneshvar-Talebi

et al. 2015

Front. Neurosci.

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Pathophysiology and treatment of tinnitus still are fields of intensive research. The neuroscientifically motivated Heidelberg Model of Music Therapy, previously developed by the German Center for Music Therapy Research, Heidelberg, Germany, was applied to explore its effects on individual distress and on brain structures. This therapy is a compact and fast application of nine consecutive 50-min sessions of individualized therapy implemented over 1 week. Clinical improvement and long-term effects over several years have previously been published. However, the underlying neural basis of the therapy's success has not yet been explored. In the current study, the therapy was applied to acute tinnitus patients (TG) and healthy active controls (AC). Non-treated patients were also included as passive controls (PTC). As predicted, the therapeutic intervention led to a significant decrease of tinnitus-related distress in TG compared to PTC. Before and after the study week, high-resolution MRT scans were obtained for each subject. Assessment by repeated measures design for several groups (Two-Way ANOVA) revealed structural gray matter (GM) increase in TG compared to PTC, comprising clusters in precuneus, medial superior frontal areas, and in the auditory cortex. This pattern was further applied as mask for general GM changes as induced by the therapy week. The therapy-like procedure in AC also elicited similar GM increases in precuneus and frontal regions. Comparison between structural effects in TG vs. AC was calculated within the mask for general GM changes to obtain specific effects in tinnitus patients, yielding GM increase in right Heschl's gyrus, right Rolandic operculum, and medial superior frontal regions. In line with recent findings on the crucial role of the auditory cortex in maintaining tinnitus-related distress, a causative relation between the therapy-related GM alterations in auditory areas and the long-lasting therapy effects can be assumed.

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Section: Introductionmentioning

confidence: 99%

Cortical reorganization in recent-onset tinnitus patients by the Heidelberg Model of Music Therapy

Krick

Grapp²,

Daneshvar-Talebi

et al. 2015

Front. Neurosci.

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“…These findings suggest that a single approach might not be as effective as a combined approach similar to what we applied in our research presented here. This is underpinned by several researchers who proposed the use of sound with educational elements and stress-reduction techniques supplemented with psychological and medical management as the most promising way to treat tinnitus [ 9 , 39 , 40 ].…”

Section: Discussionmentioning

confidence: 99%

“…Taking into account that tinnitus symptoms are widespread and individually different integrative approaches in treating tinnitus have been proposed. These include cognitive-behavioral treatment (CBT) [ 8 ], relaxation techniques [ 9 ] as well as sound therapeutic options to reduce the acoustic symptoms and are regarded as promising for managing tinnitus [ 10 ]. A recent review of 31 studies [ 11 ] found multidisciplinary CBT-based tinnitus treatment the most promising option for treating patients with tinnitus.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of 5536 patients treated in an integrative outpatient tinnitus treatment center–immediate effects and a modeling approach for sustainability

Ostermann

Boehm

Kusatz

2016

BMC Health Serv Res

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BackgroundTinnitus is an increasingly serious problem for health care systems. According to epidemiological data, 7–14 % of outpatients have asked their physician about tinnitus and management strategies. Integrative outpatient treatments are currently regarded as promising therapeutic approaches for managing tinnitus. In this article we report on the treatment success of an outpatient tinnitus treatment center in Germany.MethodsThis cohort study included pre-post data of 5536 outpatients which were treated between 2003 and 2010 in the tinnitus-therapy center, Krefeld-Düsseldorf (TTZ). The intervention consisted of psychological immunization training as well as an auditory stimulation therapy component. The main outcome parameter was the score of the Tinnitus Questionnaire (TQ) which was assessed before and after a 9 days treatment and (in a small subsample) at a 6 months follow-up. Missing data were multiply imputed. Pre-post effect sizes were calculated and adjusted for regression to the mean (RTM).ResultsRTM-adjusted treatment effects at the end of treatment were estimated as −18.6 (CI: −18.9 to 18.2, p < 0.001) score points which corresponds to a standardized effect of d = −1.03 (CI: −1.05 to −1.01). These effects can be corroborated in various subgroups and all subscales of the TQ (d ranging from −0.31 to −0.97).ConclusionThe study suggests the effectiveness of this outpatient tinnitus therapy concept. Multiple imputations techniques and RTM analysis were helpful in carving out true treatment effects.

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“…The cognitive task provided a distraction for subjects meaning they did not attend to low sound levels in the room. Treatment and intervention measures for tinnitus often work on developing distraction techniques to assist sufferers [15].…”

Section: Background and Related Research A Tinnitus Related Behamentioning

confidence: 99%

Modelling the generation of tinnitus in a silent environment

Gault

McGinnity

Coleman

2016

2016 International Joint Conference on Neural Networks (IJCNN)

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Tinnitus is the phantom perception of a sound heard in or around the head in the absence of an identifiable source affecting 10-15% worldwide. The majority of tinnitus sufferers have some form of hearing loss. The multiple pathologies that generate and sustain tinnitus in a diverse tinnitus population make it challenging to establish a homogeneous cohort for experimental studies. People with no hearing loss or previous experience of tinnitus also begin to perceive phantom sounds when situated in a sound proof room for five minutes or less. This is consistently observed across multiple studies. Studies that induced tinnitus through acoustic deprivation in healthy subjects provide a more controlled environment to observe tinnitus. Although experimental work shows what is happening it does not explain how the tinnitus related activity is generated. Computational modelling of tinnitus following hearing loss has shown that underlying mechanisms, such as adaptive gain, can generate hyperactivity in the regions of hearing loss. These models do not account for the generation of tinnitus in people with no hearing loss. In this work we model the development of tinnitus related activity in cases of no hearing loss and induced acoustic deprivation. The tinnitus related activity disappears once the model is returned to normal ambient noise.

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Ablenkungs- und Entspannungstraining bei akutem Tinnitus

Abstract: In acute tinnitus, distraction and relaxation training should be conducted as a complement to standard medical treatment, especially in high-risk patients demonstrating abnormal psychopathological status, since treatment results can be improved in this way.

Cited by 9 publications

References 18 publications

Cortical reorganization in recent-onset tinnitus patients by the Heidelberg Model of Music Therapy

Cortical reorganization in recent-onset tinnitus patients by the Heidelberg Model of Music Therapy

Evaluation of 5536 patients treated in an integrative outpatient tinnitus treatment center–immediate effects and a modeling approach for sustainability

Modelling the generation of tinnitus in a silent environment

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