Long-Term Improvement in Tinnitus after Modified Tinnitus Retraining Therapy Enhanced by a Variety of Psychological Approaches

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

doi:10.1159/000231632

Cited by 73 publications

(59 citation statements)

References 71 publications

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“…In our recent study, we showed that tinnitus therapy was most effective in the patients with higher perceived stress [Seydel et al, 2010]. In order to examine the outcome of therapy in the implanted patients with different degrees of tinnitus-related distress or perceived stress, the TQ and PSQ scores were divided into 2 subgroups with low and high levels each.…”

Section: Effect Of the Severity Level Of Tinnitus And Perceived Stresmentioning

confidence: 99%

The Impact of Cochlear Implantation on Tinnitus, Stress and Quality of Life in Postlingually Deafened Patients

et al. 2011

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Tinnitus is a common complaint in the candidates for cochlear implantation (CI). Tinnitus-related distress has often been measured in these patients using categorical ratings, which lack information about tinnitus severity, stress and health-related quality of life or their correlation. Here, using 4 validated questionnaires, we evaluated psychometric parameters and the quality of life of 32 postlingually deafened patients before and after CI. The data regarding pre-CI were collected retrospectively. Of all patients included in this study, 28 (87.5%) suffered from tinnitus before implantation. Following a mean of 24 months after surgery, these patients reported a significant decrease (39.2%) of tinnitus impairment, as measured by the Tinnitus Questionnaire. In none of the 28 patients has tinnitus worsened. Moreover, the 4 tinnitus-free patients remained so after the CI surgery. In addition, the implant supply resulted in 36.7% reduction in perceived stress and in 15.4% reduction in evasive coping. In addition, the focus on positive coping has improved by 12.3%, whereas the health-related quality of life improved by 53.4% in all patients. Tinnitus impairment and stress were reduced more strongly in patients who had initially higher scores. Interestingly, a significant correlation between the psychometric scores was found mainly after CI. Our results indicate that patients with higher tinnitus-related distress have a lower quality of life, lesser coping abilities and perceive more stress, but before implantation it is masked by deafness. We conclude that tinnitus-related screening of patients before and after CI is an important step in the identification of individuals who would benefit from specific fitting and/or tinnitus therapy after implantation.

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Section: Effect Of the Severity Level Of Tinnitus And Perceived Stresmentioning

confidence: 99%

The Impact of Cochlear Implantation on Tinnitus, Stress and Quality of Life in Postlingually Deafened Patients

et al. 2011

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“…Davies et al (17) found that relaxation exercises significantly lowered annoyance ratings at one month follow-up despite having no significant changes in the loudness of tinnitus. In a recent study muscle relaxation therapies were found to significantly reduce both short and long-term tinnitus related distress (18). When the TRQ and THQ scores of patients that carried out only relaxation exercises were interpreted, no statistically significant difference was found among them.…”

Section: Discussionmentioning

confidence: 93%

Tinnitus hastalarında gevşeme egzersizlerinin ve maskeleme tedavisinin prospektif değerlendirilmesi

Karaçalı¹,

Turhal²,

Göde³

et al. 2016

Ege Tıp Dergisi

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Aim: Prospective evaluation of relaxation exercises and masking in tinnitus patients. Materials and Methods:Thirty-two patients with a mean age of 54.69±12.68 years who consulted the otolaryngology clinic with chronic tinnitus were included. Patients were randomized into four groups as: 1) Tinnitus masker device and relaxation exercises given, 2) Only tinnitus masker given, 3) Only relaxation exercises given and 4) Neither relaxation exercises implemented nor tinnitus masker given (control group). For the interventions, the Turkish Psychological Association Relaxation Exercises CD and tinnitus masker device were used. Tinnitus Reaction Questionnaire (TRQ), Tinnitus Handicap Questionnaire (THQ), Case Report Form, and Tinnitus / Hyperacusis Initial Assessment Forms were used for evaluation and follow-up. Patients were evaluated at the beginning and at the end of three months.Results: TRQ scores of groups 1-4 at the beginning of the study were 37.38±19. 37.38±19.81, 21±21.82, 27.25±13.12 ve 35.25±24.51; Grup 1-4'teki hastaların üçüncü ayın sonundaki TRQ skorları sırasıyla 21.5±16, 17.25±17.8, 37.88±16.18 ve 52.13±10.29; Grup 1-4'teki hastaların üçüncü ayın sonundaki THQ skorları sırasıyla 979.38±685.79, 643.5±383.47, 838.75±530.42 ve 1375±652.95; Grup 1-4'teki hastaların üçüncü ayın sonundaki THQ skorları ise sırasıyla 741.88±635.24, 622.75±344, 1208.13±623.21 ve 1958.75±667.46

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“…However, CBT studies showed large effects size. As the 8 studies in the present review involved combined approaches 22,28,31,33,35,36,38,40 therefore, making it difficult to extract the role of individual intervention approach.…”

Section: Discussionmentioning

confidence: 99%

“…Seydel et al 35 evaluated an enhanced TRT for 237 patients suffering from chronic tinnitus. Short term and long term changes in stress variable and tinnitus related distress was investigated using TQ, TSQ and ADS.…”

Section: Ariizumi Et Almentioning

confidence: 99%

Treatment of Tinnitus: A Scoping Review

Makar¹,

Mukundan²,

Gore³

2017

The International Tinnitus Journal

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Background: Tinnitus is a perception of an auditory sensation without the presence of an external sound. It has devastating impact on the quality of life and psychosocial aspect of the sufferer. Mechanisms of tinnitus not clear; however, its management include counselling, hearing aids, tinnitus masking, relaxation therapy, cognitive behaviour therapy and tinnitus retraining therapy. Objective: To conduct a scoping review to explore the role of counselling, hearing aids, tinnitus masking, relaxation therapy, cognitive-behavioural therapy and tinnitus retraining therapy in India. To also provide an overview of efficacy of these approaches in tinnitus management. Research Design: Scoping review. Study Sample: Experimental studies, follow-up assessments, and reviews assessing tinnitus treatment approaches were identified as a result of an electronic database met search. Results: The evidence suggests that all tinnitus management programs have their unique benefits in the treatment of tinnitus. Given the confounding variables that include length of therapy, tinnitus severity and subject population, the overall level of evidence is equivocal. Nonetheless, the efficacy of CBT appears reasonably established and combined approach (masking + counselling + attention diversion) appears to be most promising for audiologists for future tinnitus management. A common ground of therapeutic elements was established and evidence was found to be robust enough to guide clinical practice. Conclusion: The use of more robust methodology with well-defined control groups, as well as randomization of clinical trials in future studies would increase the quality of evidence in the study of tinnitus management. Clinical recommendation: Combined therapies (masking + counselling + attention diversion) appear more appropriate in the treatment of tinnitus as the evidence is not sufficient to support a specific treatment method.

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Long-Term Improvement in Tinnitus after Modified Tinnitus Retraining Therapy Enhanced by a Variety of Psychological Approaches

Cited by 73 publications

References 71 publications

The Impact of Cochlear Implantation on Tinnitus, Stress and Quality of Life in Postlingually Deafened Patients

The Impact of Cochlear Implantation on Tinnitus, Stress and Quality of Life in Postlingually Deafened Patients

Tinnitus hastalarında gevşeme egzersizlerinin ve maskeleme tedavisinin prospektif değerlendirilmesi

Treatment of Tinnitus: A Scoping Review

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