A Study on the Rehabilitation Effects of Tinnitus Counseling for Hearing Aid Users Who Suffer from Tinnitus
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Purpose: This study aimed to evaluate the efficacy of tinnitus counseling in improving tinnitus symptoms among hearing-impaired individuals who use hearing aids and have reported difficulties due to tinnitus. Methods: Thirty participants completed the tinnitus handicap inventory (THI), the tinnitus magnitude index (TMI), and a tinnitus knowledge questionnaire both before and after tinnitus rehabilitation counseling. A tinnitogram was also assessed. The tinnitus knowledge questionnaire was customized based on a preliminary survey that identified participants’ misconceptions or specific areas of interest regarding tinnitus, enabling targeted and informative counseling. Results: THI scores showed a statistically significant decrease, from a mean of 48.16 (standard deviation [SD], 27.1) to 41.66 (SD, 25.6), with an average reduction of 6.5 points (p = 0.000). Similarly, TMI scores showed a statistically significant reduction, from a mean of 20.7 (SD, 6.1) to 19.0 (SD, 6.58), with an average decrease of 1.7 points (p = 0.01). Conclusion: The findings support the efficacy of tinnitus rehabilitation counseling in alleviating tinnitus-related discomfort among individuals who have used hearing aids for over a year. While the reduction in THI scores was statistically significant, an analysis of the minimum clinically significant difference showed that only 33% of participants exhibited clinically meaningful improvement. Future studies should explore the benefits of continuous counseling for those who do not respond to a single session.
Abstract
Purpose: This study aimed to evaluate the efficacy of tinnitus counseling in improving tinnitus symptoms among hearing-impaired individuals who use hearing aids and have reported difficulties due to tinnitus. Methods: Thirty participants completed the tinnitus handicap inventory (THI), the tinnitus magnitude index (TMI), and a tinnitus knowledge questionnaire both before and after tinnitus rehabilitation counseling. A tinnitogram was also assessed. The tinnitus knowledge questionnaire was customized based on a preliminary survey that identified participants’ misconceptions or specific areas of interest regarding tinnitus, enabling targeted and informative counseling. Results: THI scores showed a statistically significant decrease, from a mean of 48.16 (standard deviation [SD], 27.1) to 41.66 (SD, 25.6), with an average reduction of 6.5 points (p = 0.000). Similarly, TMI scores showed a statistically significant reduction, from a mean of 20.7 (SD, 6.1) to 19.0 (SD, 6.58), with an average decrease of 1.7 points (p = 0.01). Conclusion: The findings support the efficacy of tinnitus rehabilitation counseling in alleviating tinnitus-related discomfort among individuals who have used hearing aids for over a year. While the reduction in THI scores was statistically significant, an analysis of the minimum clinically significant difference showed that only 33% of participants exhibited clinically meaningful improvement. Future studies should explore the benefits of continuous counseling for those who do not respond to a single session.
참고문헌 (33)
- Aazh, H., "A preliminary analysis of the clinical effectiveness of audiologist-delivered cognitive behavioral therapy delivered via video calls for rehabilitation of misophonia, hyperacusis, and tinnitus", American Journal of Audiology, 33(2), pp.1~16 (2024)
- Andersson, G., "Internet-based cognitive behavioral therapy for tinnitus", Journal of Clinical Psychology, 60(2), pp.171~178 (2004)
- Atik, A., "Pathophysiology and treatment of tinnitus : An elusive disease", Indian Journal of Otolaryngology and Head and Neck Surgery, 66, pp.1~5 (2014)
- Bauer, C. A., "Effect of tinnitus retraining therapy on the loudness and annoyance of tinnitus : A controlled trial", Ear and Hearing, 32(2), pp.145~155 (2011)
- Beukes, E. W., "Internet-based audiologist-guided cognitive behavioral therapy for tinnitus: Randomized controlled trial", Journal of Medical Internet Research, 24(2), pp.e27584~ (2022)
- Clarke, N. A., "A critical review of established tinnitus patient-reported outcomes as measures of tinnitus severity and tinnitus distress and exemplar analysis of the tinnitus handicap inventory as a formative or reflective measure", Frontiers in Audiology and Otology, 1, pp.1325137~ (2024)
- Demoen, S., "Effectiveness of telerehabilitation interventions for self-management of tinnitus:Systematic review", Journal of Medical Internet Research, 25, pp.e39076~ (2023)
- Erlandsson, S. I., "Prediction of quality of life in patients with tinnitus", British Journal of Audiology, 34(1), pp.11~19 (2000)
- Hébert, S., "Individual reliability of the standard clinical method vs patient-centered tinnitus likeness rating for assessment of tinnitus pitch and loudness matching", JAMA Otolaryngology–Head and Neck Surgery, 144(12), pp.1136~1144 (2018)
- Helson, H., "Current trends and issues in adaptation-level theory", American Psychologist, 19(1), pp.26~38 (1964)
- Henry, J. A., "Validation of a novel combination hearing aid and tinnitus therapy device", Ear and Hearing, 36(1), pp.42~52 (2015)
- Hwang, D. H., "A Korean adaptation of the tinnitus magnitude index : Validity and reliability", Audiology and Speech Research, 14(2), pp.90~99 (2018)
- Jastreboff, P. J., "Textbook of Tinnitus", pp.589~616 (2024), Springer International Publishing
- Jin, T. J., "Investigation of tinnitus counseling requirements and derivation of counseling topics through focus group interviews with tinnitus patients", Audiology and Speech Research, 19(3), pp.179~189 (2023)
- Kam, A. C. S., "Efficacy of amplification for tinnitus relief in people with mild hearing loss", Journal of Speech, Language, and Hearing Research, 67(2), pp.606~617 (2024)
- Kim, H. J., "Analysis of the prevalence and associated risk factors of tinnitus in adults", PLoS One, 10(5), pp.e0127578~ (2015)
- Kim, H. R., "Can the tinnitus magnitude index reflect the depression and anxiety of tinnitus sufferers?", Audiology and Speech Research, 17(4), pp.364~370 (2021)
- Kim, J. H., "Reliability and validity of a Korean adaptation of the tinnitus handicap inventory", Korean Journal of Otolaryngology-Head and Neck Surgery, pp.328~334 (2002)
- Kochkin, S., "Tinnitus treatment and the effectiveness of hearing aids : Hearing care professional perceptions", Hearing Review, 15(13), pp.14~18 (2008)
- Lai, H., "The potassium channels: Neurobiology and pharmacology of tinnitus", Journal of Neuroscience Research, 102(1), pp.e25281~ (2024)
- Lee, Y. C., "The effectiveness of the hearing aid in hearing loss with tinnitus", Korean Journal of Otolaryngology-Head and Neck Surgery, 51(11), pp.967~972 (2008)
- Neff, P., "Comparing three established methods for tinnitus pitch matching with respect to reliability, matching duration, and subjective satisfaction", Trends in Hearing, 23, pp.2331216519887247~ (2019)
- Newman, C. W., "Development of the tinnitus handicap inventory", Archives of Otolaryngology–Head and Neck Surgery, 122(2), pp.143~148 (1996)
- Schlee, W., "Smartphone-guided educational counseling and self-help for chronic tinnitus", Journal of Clinical Medicine, 11(7), pp.1825~ (2022)
- Schmidt, C. J., "Toward development of a tinnitus magnitude index", Ear and Hearing, 35(4), pp.476~484 (2014)
- Searchfield, G. D., "An adaptation level theory of tinnitus audibility", Frontiers in Systems Neuroscience, 6, pp.46~ (2012)
- Searchfield, G. D., "A proof-of-concept study of the benefits of a single-session of tinnitus instruction and counselling with homework on tinnitus", International Journal of Audiology, 59(5), pp.374~382 (2020)
- Searchfield, G. D., "Textbook of Tinnitus", pp.529~544 (2024), Springer International Publishing
- Shekhawat, G. S., "Role of hearing aids in tinnitus intervention : A scoping review", Journal of the American Academy of Audiology, 24(8), pp.747~762 (2013)
- Wang, X., "Hearing aids combined with educational counseling versus educational counseling alone for tinnitus treatment in patients with hearing loss: A longitudinal follow-up study", Journal of Speech, Language, and Hearing Research, 66(7), pp.2490~2502 (2023)
- Wilson, P. H., "Cognitive methods in the management of chronic pain and tinnitus", Australian Psychologist, 28(3), pp.172~180 (1993)
- Wilson, T. D., "Explaining away : A model of affective adaptation", Perspectives on Psychological Science, 3(5), pp.370~386 (2008)
- Zeman, F., "Tinnitus handicap inventory for evaluating treatment effects : Which changes are clinically relevant", Otolaryngology-Head and Neck Surgery, 145(2), pp.282~287 (2011)
