Psychological comorbidity in patients with chronic tinnitus: analysis and comparison with chronic pain, asthma or atopic dermatitis patients

Zirke, Nina; Seydel, C.; Szczepek, Agnieszka J.; Olze, Heidi; Haupt, H.; Mazurek, Birgit

doi:10.1007/s11136-012-0156-0

Cited by 60 publications

(38 citation statements)

References 60 publications

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“…A wider measure of psychiatric symptoms (e.g. the Brief Symptom Inventory [53]) would have been more appropriate to assess relevant aspects of tinnitus distress beyond depression and anxiety, such as somatization and interpersonal problems [54,55]. …”

Section: Discussionmentioning

confidence: 99%

Internet-Based Guided Self-Help versus Group Cognitive Behavioral Therapy for Chronic Tinnitus: A Randomized Controlled Trial

Jasper

Weise

Conrad

et al. 2014

Psychother Psychosom

114

133

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Background: The aim of this randomized controlled trial was to investigate the effects of conventional face-to-face group cognitive behavioral therapy (GCBT) and an Internet-delivered guided self-help treatment (Internet-based CBT, ICBT) on tinnitus distress. Methods: A total of 128 adults with at least mild levels of chronic tinnitus distress were randomly assigned to GCBT (n = 43), ICBT (n = 41), or a web-based discussion forum (DF) that served as a control condition (n = 44). Standardized self-report measures [the Tinnitus Handicap Inventory (THI), Mini-Tinnitus Questionnaire (Mini-TQ), Hospital Anxiety and Depression Scale, Insomnia Severity Index and Tinnitus Acceptance Questionnaire] were completed at the pre- and post-assessments and at the 6-month follow-up. Results: Repeated-measures ANOVAs revealed significant time × group interaction effects on the primary outcomes (THI and Mini-TQ scores) in favor of both CBT interventions compared with the DF at post-assessment (0.56 ≤ g ≤ 0.93; all p ≤ 0.001). There were no significant differences between GCBT and ICBT (all p > 0.05) and the treatment effects remained stable at the 6-month follow-up. Conclusions: This study provides evidence that ICBT might be an equally effective alternative to conventional CBT in the management of chronic tinnitus. Despite encouraging results, further research is necessary to determine the actual potential of ICBT as a viable alternative to CBT, and under which circumstances it is effective.

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Section: Discussionmentioning

confidence: 99%

Internet-Based Guided Self-Help versus Group Cognitive Behavioral Therapy for Chronic Tinnitus: A Randomized Controlled Trial

Jasper

Weise

Conrad

et al. 2014

Psychother Psychosom

114

133

View full text Add to dashboard Cite

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“…Tinnitus patients are frequently diagnosed with mood affective disorders [Zirke et al, 2010[Zirke et al, , 2013. It is still unclear whether a depressive disorder is a predisposing factor or a result of tinnitus [Gerhards and Brehmer, 2010;Olderog et al, 2004].…”

Section: Discussionmentioning

confidence: 99%

“…Use of physical therapy for tinnitus treatment aims at physical/muscle relaxation, which in turn improves the quality of sleep, reduces emotional tension and improves cognition. Psychological treatment is often not only an option but a must, as every other tinnitus patient suffers from a comorbid mental condition [Zirke et al, 2010[Zirke et al, , 2013. The clinical protocol used in our study was published in detail previously [Seydel et al, 2010].…”

Section: Introductionmentioning

confidence: 99%

Three Years Later: Report on the State of Well-Being of Patients with Chronic Tinnitus Who Underwent Modified Tinnitus Retraining Therapy

Seydel¹,

Haupt²,

Szczepek³

et al. 2014

Audiol Neurotol

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Successful management of patients with chronic tinnitus is an important health issue. One of the tinnitus management strategies used at our Tinnitus Center is a combination of tinnitus retraining therapy (TRT) with physiotherapy and psychological management [called modified TRT (MTRT)]. We have used this type of management for over a decade and have described the protocol in detail elsewhere. In the present study, we wanted to determine the effect of MTRT on the well-being of tinnitus patients 3 years after treatment onset. One hundred and thirty patients with chronic tinnitus were assessed using psychometric instruments immediately before 7-day MTRT, immediately after the therapy and 3 years later. Patients with very severe tinnitus-related distress associated with major depression and a risk of suicide were excluded from this study. MTRT resulted in a sustained reduction of tinnitus-related distress. Moreover, the quality of life of patients had increased, as assessed by a separate questionnaire. The effect of MTRT was influenced by the degree of tinnitus-related distress and by the patients' age, the latter being gender dependent. Hearing loss and tinnitus duration had only a minor influence on the therapeutic effect. Taken together, we report a positive change in the state of well-being of patients with chronic tinnitus measurable with various psychometric instruments 3 years after the onset of MTRT. i 2014 S. Karger AG, Basel

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“…In addition, tinnitus is often associated with other comorbidities such as depression, anxiety disorders, and somatoform disorders [23][24][25].…”

Section: Tinnitus-new Challenge and Therapeutic Approachesmentioning

confidence: 99%

Tinnitus—New challenge and therapeutic approaches

Mazurek

2018

HNO

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Psychological comorbidity in patients with chronic tinnitus: analysis and comparison with chronic pain, asthma or atopic dermatitis patients

Cited by 60 publications

References 60 publications

Internet-Based Guided Self-Help versus Group Cognitive Behavioral Therapy for Chronic Tinnitus: A Randomized Controlled Trial

Internet-Based Guided Self-Help versus Group Cognitive Behavioral Therapy for Chronic Tinnitus: A Randomized Controlled Trial

Three Years Later: Report on the State of Well-Being of Patients with Chronic Tinnitus Who Underwent Modified Tinnitus Retraining Therapy

Tinnitus—New challenge and therapeutic approaches

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