만성 이명에 대한 마음챙김 기반 인지치료의 효과
Effectiveness of Mindfulness-Based Cognitive Therapy in Managing Chronic Tinnitus
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Background and Objectives Cognitive behavioral therapy, with recent adaptations integrat- ing mindfulness meditation techniques, is an established evidence-based treatment for tinnitus. This study aimed to assess the effectiveness of mindfulness-based cognitive therapy (MBCT) in alleviating tinnitus-related distress. Subjects and Method Between June and November 2024, 20 adults with subjective tinni- tus were prospectively enrolled, excluding those with identifiable etiologies, severe hearing loss, or other otologic conditions. Participants completed 5 weekly 60-minute MBCT sessions. Tinnitus severity was assessed using the tinnitus handicap inventory (THI) and its subscales (functional subscale of the THI [THI-F], emotional subscale of the THI [THI-E], catastrophic subscale of the THI [THI-C]), along with Visual Analogue Scale ratings for awareness (VAS- AW), loudness (VAS-LD), annoyance (VAS-AN), and effect of tinnitus on life (VAS-EOL) at the baseline and at 2 weeks post-treatment. Mental well-being was evaluated using the Korean version of the Warwick-Edinburgh Mental Wellbeing Scale (WEMWBS). Results The mean age of the 20 participants consisting of 8 males and 12 females was 56.40 ±16.71 years. THI scores significantly improved from 41.00 ±20.02 to 31.90 ±20.49 ( p= 0.005), with significant reductions in THI-F ( p=0.012). While reductions in THI-E ( p=0.052) and THI-C ( p=0.081) were observed, they did not reach statistical significance. A clinically meaningful reduction in THI (≥7-point decrease) was observed in 65% of the participants. Significant improvements were observed in VAS-AN ( p=0.021), VAS-EOL ( p=0.022), and WEMWBS scores ( p=0.006). Conclusion MBCT significantly reduces tinnitus-related distress, enhances the quality of life in individuals with tinnitus, and exhibits high adherence and acceptability, positioning it as a promising therapeutic approach for tinnitus.
Abstract
Background and Objectives Cognitive behavioral therapy, with recent adaptations integrat- ing mindfulness meditation techniques, is an established evidence-based treatment for tinnitus. This study aimed to assess the effectiveness of mindfulness-based cognitive therapy (MBCT) in alleviating tinnitus-related distress. Subjects and Method Between June and November 2024, 20 adults with subjective tinni- tus were prospectively enrolled, excluding those with identifiable etiologies, severe hearing loss, or other otologic conditions. Participants completed 5 weekly 60-minute MBCT sessions. Tinnitus severity was assessed using the tinnitus handicap inventory (THI) and its subscales (functional subscale of the THI [THI-F], emotional subscale of the THI [THI-E], catastrophic subscale of the THI [THI-C]), along with Visual Analogue Scale ratings for awareness (VAS- AW), loudness (VAS-LD), annoyance (VAS-AN), and effect of tinnitus on life (VAS-EOL) at the baseline and at 2 weeks post-treatment. Mental well-being was evaluated using the Korean version of the Warwick-Edinburgh Mental Wellbeing Scale (WEMWBS). Results The mean age of the 20 participants consisting of 8 males and 12 females was 56.40 ±16.71 years. THI scores significantly improved from 41.00 ±20.02 to 31.90 ±20.49 ( p= 0.005), with significant reductions in THI-F ( p=0.012). While reductions in THI-E ( p=0.052) and THI-C ( p=0.081) were observed, they did not reach statistical significance. A clinically meaningful reduction in THI (≥7-point decrease) was observed in 65% of the participants. Significant improvements were observed in VAS-AN ( p=0.021), VAS-EOL ( p=0.022), and WEMWBS scores ( p=0.006). Conclusion MBCT significantly reduces tinnitus-related distress, enhances the quality of life in individuals with tinnitus, and exhibits high adherence and acceptability, positioning it as a promising therapeutic approach for tinnitus.