Ericksonian hypnosis in tinnitus therapy: effects of a 28-day inpatient multimodal treatment concept measured by Tinnitus-Questionnaire and Health Survey SF-36

Abstract

For the first time, the therapeutic effects on subacute and chronic tinnitus of an inpatient multimodal treatment concept based on principles of Ericksonian hypnosis (EH) were examined by standardized criteria of the Tinnitus Questionnaire (TQ) and Health Survey (SF-36) within a controlled prospective, longitudinal study. A total of 393 patients were treated within an inpatient closed-group 28-day-setting based on a resource-oriented, hypnotherapeutic concept. The severity of tinnitus was assessed by TQ at times of admission, discharge and also at a 6- and 12-month follow-up. Health-related quality of life was evaluated before and after therapy using the SF-36. After therapy, a decrease in TQ score was seen in 90.5% of the patients with subacute tinnitus and in 88,3% of those with chronic tinnitus. Assessment of the TQ score at the end of therapy revealed highly significant improvements of 15.9/14.1 points in mean. Effect sizes in the treatment groups (0.94/0.80) were superior to those in the waiting-list controls (0.14/0.23). The TQ score remained stable in the follow-up controls. Significant improvement in health-related quality of life has been observed within the treatment groups depending on initial level of tinnitus serverity I-IV according to TQ. Using a multimodal treatment concept with emphasis on resource-activating approaches of EH the annoyance of tinnitus can be significantly reduced while health-related quality of life is enhanced within a comparatively short treatment period of 28 days.

The natural history of subjective tinnitus in adults: A systematic review and meta‐analysis of no‐intervention periods in controlled trials

“…[16][17][18][21][22][23][24][25][26]28,29,[31][32][33][34][35][36][37][38][39][40] Among these, one record reported two independent control groups that were retained as independent groups. 18 Ross et al (2007) also used multiple control groups depending on tinnitus duration, and this enabled two independent control groups to be used for the meta-analysis. 35 Thus, the metaanalyses examined up to 23 no-intervention or waitinglist control groups from 21 study records.…”

“…18 Ross et al (2007) also used multiple control groups depending on tinnitus duration, and this enabled two independent control groups to be used for the meta-analysis. 35 Thus, the metaanalyses examined up to 23 no-intervention or waitinglist control groups from 21 study records.…”

The Additive Effect of Co-Occurring Anxiety and Depression on Health Status, Quality of Life and Coping Strategies in Help-Seeking Tinnitus Sufferers

“…Some authors previously described general health-related quality of life in a tinnitus population by means of generic health measures, frequently measured in combination with anxiety and depression (Aydemir, et al, 2006;Erlandsson & Hallberg, 2000;Harter, et al, 2004;Harrop-Griffiths, et al, 1987;Henry & Wilson, 1995;Ross et al, 2007;Sullivan et al, 1988;Wilson, et al, 2002;Zoger, et al, 2006). The Short Form-36 (SF-36, Ware & Sherbourne, 1993) was already used in several tinnitus studies (Aydemir, et al, 2006;Harter, et al, 2004;Ross et al, 2007;Wilson, et al, 2002, 196 /id) and, in accordance to our results, predominantly described a marked reduction in health status of tinnitus sufferers throughout all subscales.…”

Evidence and evidence gaps in tinnitus therapy

“…Ross et al [202] treated 393 patients with hypnosis in the context of an inpatient stay. The patients were treated in groups of 8–12 persons for 28 days in individual and group sessions.…”