Anxiety and Depression in Tinnitus Patients: 5-Year Follow-Up Assessment after Completion of Habituation Therapy

Abstract

Treatment programs based on a neurophysiological model have shown a positive effect on anxiety and depression in tinnitus patients. The aim of this paper was to assess the long-term effect of tinnitus habituation therapy. Sixty-eight individuals were treated with a comprehensive therapy program. The degree of anxiety and depression was assessed before, after, and five years after intervention using the Hospital Anxiety and Depression Scale. The positive and significant changes achieved after habituation therapy (pre = 1.10, post = 0.92 for anxiety and pre = 0.77, post = 0.62 for depression) were maintained five years after treatment ended (0.87 for anxiety and 0.52 for depression). A regression analysis revealed that individual evaluation of the treatment lectures, self-reported health condition, individual experiences of hyperacusis, and hearing loss could explain 44.3% of the variation in anxiety and 30.5% of the variation in depression posttreatment. Five years after, individual evaluation of the treatment lectures and self-reported health condition explained 22.2% of the variation in anxiety. These factors and individual experiences of hyperacusis could further explain 34.9% of the variation in depression. The effect of a neurophysiologic-based management treatment was maintained five years after treatment ended, indicating that the patients continued the improvement process without becoming dependent on professionals.

Tinnitusu olan bireylerde müzik terapisinin yaşam kalitesi üzerine etkisi

“…Çalışmamızda müzik terapisi ile, tinnitus hastalarının tinnitustan duydukları rahatsızlık düzeyi ve yaşam kalitesi üzerinde iyileşme sağlanmıştır. Bu sonuç, metodolojik farklılıklar göstermekle birlikte, literatür ile uyumludur [15,16,[20][21][22][23][24]. Argstatter ve ark.…”

“…Bu terapide, psikolojik durumu yönetecek bütünleştirici stratejileri oluşturmak ve işitsel yolun nörofizyolojik olarak yeniden organizasyonunu sağlamak amaçlanmıştır. Falkenberg ve Wie, tinnitus hastalarında habituasyon terapisi sonrasında 5 yıllık takip sonucunda tedavi sonrasında da bir uzmana bağımlı olmaksızın iyileşmenin devam ettiğini bulmuşlardır [21].…”

Prisustvo depresije kod bolesnika sa hroničnim subjektivnim tinitusom

“…Uočavanje veze između tegoba nastalih zbog hroničnog tinitusa i prisustva depresije ima značaj u liječenju ovih pacijenata, jer identifikujući depresiju kao faktor koji dodatno smanjuje kvalitet života, adekvatnim tretmanom možemo uticati na bržu adaptaciju na tinitus [15,16].…”

Association between tinnitus and mental health among Korean adolescents: the Korea National Health and Nutrition Examination Survey

“…If subjective perception of a sound caused by tinnitus continues, it may interfere with activities of daily living (11). Previous studies have reported that tinnitus may negatively influence concentration, sleep, completion of tasks, and social interaction (12,13), and consequently, some individuals with tinnitus may be more likely to be depressed (5,11,(14)(15)(16)(17)(18). Further, tinnitus symptoms have been linked to various mental health (19)(20)(21)(22)(23)(24).…”