Integrierte Tinnitusintensivbehandlung: Konzept und erste praktische Erfahrungen

Abstract

In recent years, no major advances have been made in understanding the mechanisms underlying the development of tinnitus. Hence, the present therapeutic strategies aim at decoupling the subconscious from the perception of tinnitus. Mindful of the lessons drawn from existing tinnitus retraining and desensitisation therapies, a new integrated day hospital strategy of treatment lasting 7-14 days has been developed at the Charité Hospital and is presented in the present paper. The strategy for treating tinnitus in the proximity of patient domicile is designed for patients who feel disturbed in their world of perception and their efficiency due to tinnitus and give evidence of mental and physical strain. In view of the etiologically non-uniform and multiple events connected with tinnitus, consideration was also given to the fact that somatic and psychosocial factors are equally involved. Therefore, therapy should aim at diagnosing and therapeutically influencing those psychosocial factors that reduce the hearing impression to such an extent that the affected persons suffer from strain. The first results of therapy-dependent changes of 46 patients suffering from chronic tinnitus are presented. The data were evaluated before and after 7 days of treatment and 6 months after the end of treatment. Immediately after the treatment, the scores of both the tinnitus questionnaire (Goebel and Hiller) and the subscales improved significantly. These results were maintained during the 6-month post-treatment period and even improved.

Results of an Interdisciplinary Day Care Approach for Chronic Tinnitus Treatment: A Prospective Study Introducing the Jena Interdisciplinary Treatment for Tinnitus

“…Mazurek et al (2005) described a 7-day day care interdisciplinary tinnitus-treatment and evaluated it on 46 outpatients. Tinnitus annoyance was reduced significantly from 33.8 points to 27.8 points after 7 days and continued to attenuate to 25.2 points 6 months after treatment.…”

Integrierte Tinnitusintensivbehandlung: Verringerung der tinnitusbedingten Belastung während einer 1-Jahres-Katamnese

“…Kognitive Bew ä ltigungsstrategien, Aufmerksamkeitslenkung und eine verbesserte Stressbew ä ltigung erm ö glichen es, die Ohrger ä usche aus dem Zentrum der Aufmerksamkeit und damit aus dem Zentrum der Wahrnehmung zu r ü cken. Das Ziel der vorliegenden Arbeit ist -ausgehend von den ersten praktischen Erfahrungen mit der Tinnitusintensivtherapie [21] -die Untersuchung von psychometrischen Eff ekten einer multimodalen 7-t ä gigen tagesklinischen Therapie mit Follow-up-Messungen bis zu 1 Jahr bei Patienten mit chronischem Tinnitus. F ü r einen Zeitraum von 3 Monaten erfolgte ein Vergleich mit einer Wartekontrollgruppe von Tinnituspatienten ohne Intervention.…”

Management of Chronic Tinnitus and Insomnia with Repetitive Transcranial Magnetic Stimulation and Cognitive Behavioral Therapy – a Combined Approach

“…In some current reviews, the frequently comorbid sleep problems are conceptualized as an attendant symptom of psychiatric disorders (Mazurek et al, 2005). In contrast, other studies find insomnia-related problems in older tinnitus patients in over 50% of cases (Lasisi and Gureje, 2011).…”