Physiological and psychological stress reactivity in chronic tinnitus

Heinecke, Kristin; Weise, Cornelia; Schwarz, K.; Rief, Winfried

doi:10.1007/s10865-007-9145-0

Cited by 56 publications

(46 citation statements)

References 41 publications

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“…Several authors have confirmed in their studies the association between tinnitus and psychological stress and depression, and have recommended the assessment of appropriate psychometric parameters resulting in adequate treatment [Adoga et al, 2008;Andersson, 2002;Graul et al, 2008;Hebert and Lupien, 2007;Heinecke et al, 2008]. In our study, patients were individually treated during the single sessions according their tinnitus co-symptoms, and outcome was assessed using PSQ and ADS in addition to TQ.…”

Section: Discussionmentioning

confidence: 59%

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

Seydel¹,

Haupt²,

Szczepek³

et al. 2009

Audiol Neurotol

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This work evaluates an enhanced tinnitus retraining therapy (TRT) for patients with chronic tinnitus based on different group therapeutic interventions in a day hospital setting. Therapy for chronic tinnitus is intended to improve the way patients cope with tinnitus by learning how to reduce tinnitus-induced impairments. Short-term and long-term changes in stress variables and tinnitus-related distress were investigated using 3 psychometric instruments. Patients received 7 consecutive days of a multidisciplinary therapy at the Charité University Hospital in Berlin. The data were assessed before and after therapy, either immediately or after 3, 6 or 12 months. As a control, we used scores of tinnitus patients from the waiting list, and compared these to the scores of the therapy group 3 months after the end of treatment. The main factors of the modified TRT were Jacobson’s progressive muscle relaxation, physiotherapy, education via lectures and training of selective attention, as well as changes of appraisal, mental attitude and behavior towards tinnitus. The therapy resulted in a significant reduction in both short-term and long-term tinnitus-related distress and psychometric stress variables, with the latter being more reduced in patients with higher initial scores. Moreover, our study revealed differences in psychometric parameters concerning duration of tinnitus, age and gender, which may explain the different outcomes of therapy. The outpatient setting enables the patients to test, practice and transfer strategies into their everyday life.

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Section: Discussionmentioning

confidence: 59%

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

Seydel¹,

Haupt²,

Szczepek³

et al. 2009

Audiol Neurotol

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“…The inclusion of psychometric parameters in the therapy of tinnitus was recommended by a number of studies [Adoga et al, 2008;Andersson, 2002;Hebert and Lupien, 2007;Heinecke et al, 2008;Seydel et al, 2010]. However, there is little information on the influence of the CI supply on perceived stress and coping strategies regarding tinnitus.…”

Section: Discussionmentioning

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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“…The observed abnormalities of HPA function in tinnitus patients suggest that tinnitus can be conceptualized as a chronic stress disorder, similar like PTSD, chronic pain or depression. Interestingly, a recent study has shown, that tinnitus patients differ only slightly from controls in physiological reactivity during stress tests, indicating relatively normal psychophysiological reactivity (Heinecke et al 2008).…”

Section: Neurobiology Of Tinnitus and Depressionmentioning

confidence: 94%