Effects of Educational Counseling as Solitary Therapy for Chronic Primary Tinnitus and Related Problems

Liu, Yuqing; Chen, Zhi-Ji; Li, Gang; Lai, Daowan; Liu, Peng; Zheng, Yun

doi:10.1155/2018/6032525

Cited by 12 publications

(15 citation statements)

References 37 publications

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“…However, different effectiveness of EC alone was also reported in some studies. For instance, an early study reported a successful ratio of 18% in tinnitus release (Jastreboff et al, 1996); while another study reported a significant THI reduction from 46.11 ± 22.74 to 31.94 ± 20.41 (Liu et al, 2018). In the present study, the THI was reduced by 5.4 ± 6.9 after EC alone treatment in 2019.…”

Section: Discussionmentioning

confidence: 99%

COVID-19 associated anxiety enhances tinnitus

Xia

Wang

Dong

et al. 2020

Preprint

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Background We investigated how the anxiety associated with COVID 19 impacts the severity of tinnitus and the outcomes of tinnitus therapy. Methods and Findings A retrospective research design was used to compare the clinical characteristics of tinnitus between patients from March to April 2020 under pandemic pressure and those from the matching period in 2019. Tinnitus severity was evaluated using the Tinnitus Handicap Inventory (THI) questionnaire and the minimum masking level (MML) measure while anxiety was quantified using the Zung Self-rating Anxiety Scale (SAS). The assessments were repeated after a 2-month interval, in which sound therapy was applied to a subgroup of patients. In all, 94 and 70 cases were reported in the 2020 and 2019 groups, respectively. The effects of the pandemic on emotional status were evident from a higher incidence of anxiety and much higher SAS scores in the 2020 group. There was also an increase in the THI scores in the 2020 group, but the between-year difference was smaller than that of the SAS score. Moreover, there was no between-year difference in MML or the treatment effect, as measured via both THI and MML. Furthermore, the reduction in SAS score in the second assessment was significantly smaller in the 2020 group. However, a positive correlation between the initial SAS score and the improvement was seen within the 2020 group. Conclusions Anxiety increased greatly in tinnitus subjects due to the COVID 19 pandemic. However, this was not associated with an increase in tinnitus severity in 2020. Instead, there was no between-year difference in the THI score or MML or in the improvement of either measure after treatment. The smaller improvement in SAS score and the positive correlation with the initial SAS score in the 2020 group suggests that the SAS score change in this group might largely be due to the natural relief of pressure as the pandemic decelerated in China. Therefore, the anxiety change induced by the COVID 19 pandemic is not likely to have a strong impact on tinnitus.

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Section: Discussionmentioning

confidence: 99%

COVID-19 associated anxiety enhances tinnitus

Xia

Wang

Dong

et al. 2020

Preprint

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“…Tyler et al [24] and Henry et al [20] even proposed that consultation education should be included in every clinical tinnitus treatment regimen [25]. Educational counseling is a form of psychological therapy that is often very satisfactory, it is costeffective even in the long term [12], and it is easy for clinicians to implement. A vast majority of patients in the present study also said that counseling relieves tinnitus; 66.7% (item 6R) of the return visit respondents who did not report deteriorated symptoms considered that the main factors behind the curative effects included the physician's explanation and guidance, which is in conformity with a previous study.…”

Section: Discussionmentioning

confidence: 99%

“…Education consultation is currently one of the hot spots in tinnitus treatment. Previous studies have shown that it is a reliable intervention method [12,13], and it is currently considered to be the most widely used [6] to teach patients to establish a neutral signal for tinnitus in different ways (mainly face-to-face communication). As an incurable chronic and long-term disease [14,15], it has been reported that the main goal of tinnitus treatment is to improve the quality of life, rather than to provide absolute treatment [6], effective management to minimize its impact on the quality of life has become our focus.…”

Section: Introductionmentioning

confidence: 99%

Self-Reported Experience of Tinnitus Patients for Different Outpatient Modes

Xiang

Ren

et al. 2020

Preprint

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Objective: To explore self-reported experience for different outpatient modes in tinnitus patients.Methods: A observational study design was adopted. Tinnitus outpatients from the otological medicine and routine otolaryngology of our hospital fulfilling the study criteria were enrolled between October 2018 and January 2020. They were examined by semi-structured interview questionnaire. Groups were formed according to the different outpatient modes. The data were analyzed with SPSS 23.0.Results: 193 questionnaires were included; 118 questionnaires of otological medicine outpatients, 75 questionnaires of otolaryngology outpatients. Nearly half of the otological medicine patients (48.3%) said that they communicated for 5–10 minutes with their doctor and a routine otolaryngology outpatient service usually takes 3–5 minutes (61.3%). However, most patients expected a longer time. Patient satisfaction and return visit rate of otological medicine (95.5% and 43.9%) were better than routine otolaryngology (77.3% and 7.1%). The main factors of efficacy considered physician interpretation and guidance.Conclusion: Both outpatient models can give patients a more satisfactory experience. Specialized outpatient service can better fit the shared decision making model, conducive to the rehabilitation and management of tinnitus. However, the long-term follow-up and management of patients still need to be scrutinized and improved continuously.

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“…Furthermore, a descriptive longitudinal cohort study amongst 159 adult patients with chronic primary tinnitus and sleep problems has shown that TCM-based lifestyle counselling may relieve chronic primary tinnitus. After 6–26 months of follow-up, sleep quality and tinnitus loudness improved, and the effects of tinnitus on sleep, concentration and emotional state were also alleviated [17].…”

Section: Introductionmentioning

confidence: 99%

Healthy lifestyle consultation based on traditional Chinese medicine versus routine patient education in the treatment of idiopathic sudden sensorineural hearing loss after failure of systemic therapy: study protocol for a clinical randomised trial

Fei

Zheng

Lai

et al. 2019

Trials

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BackgroundIdiopathic sudden sensorineural hearing loss (ISSNHL) is a major cause of deafness. Despite the advances in systemic therapy, some cases of ISSNHL are untreated, because the exact ISSNHL aetiology is unclear. Traditional Chinese medicine (TCM) has been used to treat diseases for thousands of years and is popular and widely practiced in Asia. TCM includes guidance on a healthy lifestyle. In recent decades, the relationship between lifestyle and disease has been emphasised; an unhealthy lifestyle may lead to illnesses. Thus, this study aims to compare the efficacy of lifestyle modification based on TCM with the usual consultation of ISSNHL after failure of a 2-week systemic therapy to provide a scientific basis for clinical decisions.MethodsThis study is a clinical randomised trial that involves 56 patients diagnosed with ISSNHL but who have had incomplete recovery after initial management (at least 2 weeks of routine Western medical treatment). The study is performed in accordance with the sudden hearing loss clinical guideline of the American Academy of Otolaryngology–Head and Neck Surgery, published in 2012. Participants are randomly distributed into two groups: the healthy lifestyle modification group based on TCM and the control group (1:1 ratio). Patient follow-up lasts for 3 months. The primary outcome measure is the effective rate of hearing improvement, which is defined as the proportion of patients with at least 15 dB of improvement in the average thresholds of hearing loss frequency. The secondary outcome measures are improvements in word recognition score, Tinnitus Handicap Inventory and visual analogue scale for ear blockage and dizziness. Assessments are made at baseline and after lifestyle modification for 1 and 3 months.DiscussionThe efficacy of healthy lifestyle modification based on a TCM programme for patients with ISSNHL with incomplete recovery after failure of initial systemic therapy is determined in this trial. Positive results will provide clinical evidence on the effects of a TCM-based healthy lifestyle, which could be recommended as salvage therapy for patients with ISSNHL.Trial registrationChinese Clinical Trial Registry, ChiCTR-INR-17011459. Registered on 22 May 2017.

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Effects of Educational Counseling as Solitary Therapy for Chronic Primary Tinnitus and Related Problems

Cited by 12 publications

References 37 publications

COVID-19 associated anxiety enhances tinnitus

COVID-19 associated anxiety enhances tinnitus

Self-Reported Experience of Tinnitus Patients for Different Outpatient Modes

Healthy lifestyle consultation based on traditional Chinese medicine versus routine patient education in the treatment of idiopathic sudden sensorineural hearing loss after failure of systemic therapy: study protocol for a clinical randomised trial

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