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

Mazurek, Birgit; Seydel, C.; Haupt, H.; Szczepek, Agnieszka J.; Klapp, Burghard F.; Schrom, T.

doi:10.1055/s-0028-1082303

Cited by 10 publications

(4 citation statements)

References 9 publications

(10 reference statements)

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“…Our results regarding reduction of depressive symptoms support prior studies stating that the reduction of depressive symptoms is an often found outcome in the treatment of tinnitus (22,23). In summary, our results support earlier studies (15,18,19,22,24,25) that a treatment specifically geared at tinnitus in addition to psychiatric treatment as usual benefits people suffering from tinnitus.…”

Section: Discussionsupporting

confidence: 91%

“…All included outcome measures, such as the BDI-II to assess depressive symptoms, showed a significant difference between the values at baseline compared to the assessment before discharge from the clinic. The analysis of the subjective symptom intensity as measured by the BSI also demonstrated a clear reduction throughout the course of treatment, which confirms prior findings (15,18,21,24,25). Our results regarding reduction of depressive symptoms support prior studies stating that the reduction of depressive symptoms is an often found outcome in the treatment of tinnitus (22,23).…”

Section: Discussionsupporting

confidence: 90%

“…Achieved amelioration persists up to 15 years following treatment (23), whereby it tends to continuously improve in the first year after treatment (24). While CBT protocols usually take several weeks, it has been shown that tinnitus retraining therapy carried out as a short-term therapy (e.g., 1 week) is effective at the end of the program, as well as maintaining the achieved results over time (24). Whereas most treatments focus on group therapy, individual CBT shows to also be effective (25).…”

Section: Introductionmentioning

confidence: 99%

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An Effective Treatment for Tinnitus and Hyperacusis Based on Cognitive Behavioral Therapy in an Inpatient Setting: A 10-Year Retrospective Outcome Analysis

et al. 2020

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Aim: Tinnitus and hyperacusis are phenomena with a considerable prevalence in the general population, leading to high levels of suffering. It is a symptom that can present itself comorbidly with a variety of psychiatric and medical illnesses. We established a treatment of tinnitus and hyperacusis, which is based on a multimodal approach including a specific cognitive behavioral therapy (CBT) method in an inpatient setting. This approach includes education on tinnitus and hyperacusis, applying coping strategies and techniques of relaxation, directed attention, and music therapy. We aim to evaluate the efficacy of this treatment approach.Materials and Methods: We included retrospective data of 268 patients who underwent tinnitus treatment throughout the 10-year existence of the treatment program. We assessed routine clinical data pretreatment and posttreatment with parameters concerning tinnitus-distress, hyperacusis, and psychological well-being. To determine these variables, we used validated instruments including the Tinnitus Questionnaire (TQ), Questionnaire on Hypersensitivity to Sound (QHS), Brief Symptom Inventory (BSI), and the Beck Depression Inventory (BDI-II).Results: Patients showed highly significant reduction in all of the examined clinical outcomes. Reduction of TQ, the primary outcome measure, was 15.39 (SD 21.88) from a mean baseline value of 35.72 (p < 0.001). The QHS showed a reduction of 6.72 (SD 8.23) from a mean baseline value of 18.98 (p < 0.001). Moreover, psychological strain was also reduced with high significance, as illustrated in reduction of BSI and BDI-II; reduction in BSI from 49.63 by 24.41 (SD 26.88; p < 0.001) and BDI-II from 16.89 by 7.47 (SD 8.76; p < 0.001).

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

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An Effective Treatment for Tinnitus and Hyperacusis Based on Cognitive Behavioral Therapy in an Inpatient Setting: A 10-Year Retrospective Outcome Analysis

et al. 2020

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“…Tinnitus is considered to be at a decompensated level (permanent annoyance and psychological strain) with a TQ score of 47 points or higher (grade 3 and 4) and to be at a compensated level (low secondary symptoms) at 46 points or lower (grade 1 and 2) (Lenarz, 1992; Goebel and Hiller, 1998; Stobik et al, 2005; Mazurek et al, 2009). Therefore, we defined a clinically relevant change as a change from a decompensated to a compensated level, i.e., below 47 points.…”

Section: Methodsmentioning

confidence: 99%

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

Ivanšić

Dobel

Volk

et al. 2017

Front. Aging Neurosci.

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Objective: Considering the heterogeneity of the symptoms shown by patients suffering from chronic tinnitus, there are surprisingly few interdisciplinary treatments available, and mostly available only for inpatients. In order to provide an interdisciplinary treatment, we developed a day care concept in which each patient was treated by an ENT doctor, a cognitive behavioral therapist, a specialist for medical rehabilitation and an audiologist (Jena Interdisciplinary Treatment for Tinnitus, JITT). The aim of this study was to observe the changes of tinnitus related distress due to interdisciplinary day care treatment and to determine which factors mediate this change.Subjects and Methods: Tinnitus annoyance was measured using the Tinnitus Questionnaire on 308 patients with chronic tinnitus. They were treated in the day care unit over five consecutive days between July 2013 and December 2014. Data were collected before treatment when screened (T0), at the beginning (T1) and at the end of the 5 day treatment (T2), as well as 20 days (T3) and 6 months after treatment (T4).Results: Overall, tinnitus annoyance improved significantly from the screening day to the beginning of treatment, and to a much larger degree from the beginning to the end of treatment. The treatment outcome remained stable 6 months after treatment. Patients with the following symptoms displayed higher tinnitus annoyance at T0: dizziness at tinnitus onset, tinnitus sound could not be masked with background noise, tinnitus worsening during physical stress, comorbid psychiatric diagnosis, higher age and higher hearing loss. Loudness of tinnitus perceived in the right ear correlated with tinnitus annoyance significantly. Demographic, tinnitus and strain variables could only explain 12.8% of the variance of the change in tinnitus annoyance from T0 to T4. Out of 39 predictors, the only significant ones were “sick leave 6 months before treatment” and “tinnitus annoyance at T0.”Conclusion: The newly developed JITT represents a valuable treatment for chronic tinnitus patients with improvement remaining stable for at least 6 months after treatment. Using a large number of variables did not allow predicting treatment outcome which underlines the heterogeneity of tinnitus.

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TRT und Psychotherapie beim Leiden am Tinnitus

Schaaf

Gieler

2010

HNO

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Basic requirements and results of tinnitus retraining therapy (TRT) as well as other habituation therapies with psychotherapeutic approaches in the treatment of tinnitus are examined closely in this literature review. In German-speaking countries experts generally aim for involvement of psychotherapists beyond the classic TRT developed by Jastreboff and Hazell. On the basis of a validated diagnostic test such as the Tinnitus Questionnaire according to Hiller and Goebel (1998), such a therapy regime is more effective than the "classic" procedure. Under different treatment approaches, cognitive behavioural therapy elements have been proven to be effective-even as a component of the TRT-as well as integrated variants in psychodynamic therapies. We have to give consideration to the fact that in all studies about the selection and inclusion criteria selective test conditions were established which suggest that in each case diverse patient groups were studied. In the overall picture it becomes apparent that depending on the severity of the tinnitus and accompanying hearing problems a dysfunction-oriented and staged approach makes sense.

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

Cited by 10 publications

References 9 publications

An Effective Treatment for Tinnitus and Hyperacusis Based on Cognitive Behavioral Therapy in an Inpatient Setting: A 10-Year Retrospective Outcome Analysis

An Effective Treatment for Tinnitus and Hyperacusis Based on Cognitive Behavioral Therapy in an Inpatient Setting: A 10-Year Retrospective Outcome Analysis

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

TRT und Psychotherapie beim Leiden am Tinnitus

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