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개인의 정서가 이명재훈련치료에 미치는 영향

Effects of Personal Affects on Tinnitus Retraining Therapy

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초록

According to previous researches, psychological factors are highly correlated with tinnitus occurrence and perception. However, the effects of psychological factors on tinnitus treatment are not well-known. This study examines how personal affects influence tinnitus retraining therapy (TRT), a popular method of tinnitus treatment. For this purpose, TRT had been performed for 65 subjects (M 33, F 32) aged between 15 and 75 years with tinnitus but normal hearing sensitivity. All subjects had worn a bone vibrator with a white noise masker at least 3 hours a day for 10 weeks at the individual mixing point level. Korean questionnaire of Tinnitus handicap inventory (K-THI) was used for measuring the effects of TRT for all subjects, and then for two sub-groups, positive affect (PA) group (n=17) and negative affect (NA) group (n=11), which were selected based on the scores of the positive affect and negative affect schedule (PANAS). The results were as follows. First, the differences in THI scores between pre and post TRT were statistically significant for total scores and all three subscale scores. Second, although both groups demonstrated considerable reduction in THI scores after TRT, the PA group showed significantly lower THI scores than the NA group. Third, the improvement rates considering the individual THI scores before TRT were higher for the PA group than the NA group, especially at emotional and catastrophic subscales. The above results suggest that personal affects influence tinnitus treatment. Thus, professional counseling or psychotherapy is recommended for persons with tinnitus who have strong negative affect.

Abstract

According to previous researches, psychological factors are highly correlated with tinnitus occurrence and perception. However, the effects of psychological factors on tinnitus treatment are not well-known. This study examines how personal affects influence tinnitus retraining therapy (TRT), a popular method of tinnitus treatment. For this purpose, TRT had been performed for 65 subjects (M 33, F 32) aged between 15 and 75 years with tinnitus but normal hearing sensitivity. All subjects had worn a bone vibrator with a white noise masker at least 3 hours a day for 10 weeks at the individual mixing point level. Korean questionnaire of Tinnitus handicap inventory (K-THI) was used for measuring the effects of TRT for all subjects, and then for two sub-groups, positive affect (PA) group (n=17) and negative affect (NA) group (n=11), which were selected based on the scores of the positive affect and negative affect schedule (PANAS). The results were as follows. First, the differences in THI scores between pre and post TRT were statistically significant for total scores and all three subscale scores. Second, although both groups demonstrated considerable reduction in THI scores after TRT, the PA group showed significantly lower THI scores than the NA group. Third, the improvement rates considering the individual THI scores before TRT were higher for the PA group than the NA group, especially at emotional and catastrophic subscales. The above results suggest that personal affects influence tinnitus treatment. Thus, professional counseling or psychotherapy is recommended for persons with tinnitus who have strong negative affect.

참고문헌 (15)

  1. 김지혜, "한국어 번역판 Tinnitus Handicap Inventory의 신뢰도 및 타당도 연구", 대한이비인후과학회지 두경부외과학, 45(4), pp.328~334 (2002), 대한이비인후과학회
  2. 박동선, "이명 환자에서 스트레스, 불안, 우울 정도의 측정 및 임상적 의의", 석사, 이비인후과학, pp.2007
  3. 이현희, "한국판 정적 정서 및 부적 정서 척도 (Positive Affect and Negative Affect Schedule; PANAS)의 타당화 연구", 한국심리학회지 임상, 22(4), pp.935~946 (2003), 한국임상심리학회
  4. Collet, L., "Psychological factors affecting outcome of treatment after transcutaneous electrotherapy for persistent tinnitus", Archives of Oto-rhino-laryngology, 244(1), pp.20~22 (1987)
  5. Henry, J. A., "Comparison of tinnitus masking and tinnitus retraining therapy", Journal of American Academic Audiology, 13, pp.559~581 (2002)
  6. Herraiz, C., "Long-term clinical trial of tinnitus retraining therapy", Journal of Otolaryngology and Head and Neck Surgery, 133(5), pp.774~779 (2005)
  7. Ito, J., "Suppression of tinnitus by cochlear implantation", American Journal of Otolaryngology, 15(2), pp.145~148 (1994)
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  9. Jastreboff, P. J., "Tinnitus habituation therapy (THT) and tinnitus retraining therapy (TRT), In Tinnitus Handbook", pp.357~376 (2000), Singular
  10. Jastreboff, P. J., "Tinnitus retraining therapy: Implementing the neurophysiological model", pp.1~268 (2004), Cambridge University Press
  11. Korres, S., "Tinnitus retraining therapy (TRT): outcomes after one-year treatment", International Tinnitus Journal, 16(1), pp.55~59 (2010)
  12. Newman, C. W., "Development of the tinnitus handicap inventory", Archives of Oto-rhino-laryngology, 122(2), pp.143~148 (1996)
  13. Sommers, M. S., "Auditory-visual speech perception and auditory-visual enhancement in normal- hearing younger and older adults", Ear and Hearing, 26(3), pp.263~275 (2005)
  14. Watson, D., "Development and validation of brief measures of positive and negative affect: The PANAS scales", Journal of Personality and Social Psychology, 54(6), pp.1063~1070 (1988)
  15. Welch, D., "Personality and perception of tinnitus", Ear and Hearing, 29(5), pp.684~692 (2008)

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