이명에 대한 외래 기반의 인지행동치료
Cognitive Behavioral Therapy for Tinnitus: Outpatient-Based Treatment
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Background and Objectives Cognitive behavioral therapy (CBT) is a treatment option forsubjective tinnitus. There are many reports on its clinical efficacy, but the protocol has notbeen well established. The purpose of this study was to set an outpatient-based CBT protocoland evaluate its clinical efficacy for tinnitus. Subjects and Method A total of 85 chronic tinnitus patients was assessed in this prospec-tive study. After evaluating for eligibility, 30 patients completed CBT based on a protocol of 5weekly sessions in an outpatient setting. Therapeutic efficacy was assessed by Tinnitus Hand-icap Inventory (THI) questionnaires and visual analogue scale (VAS) for tinnitus. The initialscores were compared with the final scores, which were assessed a month after the fifth CBTsession. Results The results showed that CBT reduced THI and VAS scores significantly ( p<0.05). Conclusion The results of the study suggest that an outpatient-based CBT protocol can beclinically beneficial for patients with tinnitus.
Abstract
Background and Objectives Cognitive behavioral therapy (CBT) is a treatment option forsubjective tinnitus. There are many reports on its clinical efficacy, but the protocol has notbeen well established. The purpose of this study was to set an outpatient-based CBT protocoland evaluate its clinical efficacy for tinnitus. Subjects and Method A total of 85 chronic tinnitus patients was assessed in this prospec-tive study. After evaluating for eligibility, 30 patients completed CBT based on a protocol of 5weekly sessions in an outpatient setting. Therapeutic efficacy was assessed by Tinnitus Hand-icap Inventory (THI) questionnaires and visual analogue scale (VAS) for tinnitus. The initialscores were compared with the final scores, which were assessed a month after the fifth CBTsession. Results The results showed that CBT reduced THI and VAS scores significantly ( p<0.05). Conclusion The results of the study suggest that an outpatient-based CBT protocol can beclinically beneficial for patients with tinnitus.
참고문헌 (24)
- Hoare DJ, "Amplification with hearing aids for patients with tinnitus and coexisting hearing loss", Cochrane Database Syst Rev, 1, pp.CD010151~ (2014)
- Rush AJ, "At the research front : Cognitive therapy for depression", Aust N Z J Psychiatry, 13(1), pp.13~16 (1979)
- Heller AJ, "Classification and epidemiology of tinnitus", Otolaryngol Clin North Am, 36(2), pp.239~248 (2003)
- Axelsson A, "Tinnitus--a study of its prevalence and characteristics", Br J Audiol, 23(1), pp.53~62 (1989)
- Sweetow RW, "Cognitive aspects of tinnitus patient management", Ear Hear, 7(6), pp.390~396 (1986)
- Beck AT, "Cognitive therapy : Nature and relation to behavior therapy", J Psychother Pract Res, 2(4), pp.342~356 (1993)
- Zenner HP, "Tinnitus sensitization : Sensory and psychophysiological aspects of a new pathway of acquired centralization of chronic tinnitus", Otol Neurotol, 27(8), pp.1054~1063 (2006)
- Greimel KV, "Textbook of Tinnitus", pp.557~561 (2011), Springer
- Fuller T, "Cognitive behavioural therapy for tinnitus", Cochrane Database Syst Rev, 1, pp.CD012614~ (2020)
- Newman CW, "Development of the tinnitus handicap inventory", Arch Otolaryngol Head Neck Surg, 122(2), pp.143~148 (1996)
- Torrance GW, "Visual analog scales : Do they have a role in the measurement of preferences for health states?", Med Decis Making, 21(4), pp.329~334 (2001)
- König O, "Course of hearing loss and occurrence of tinnitus", Hear Res, 221(1-2), pp.59~64 (2006)
- Phillips JS, "Tinnitus retraining therapy(TRT)for tinnitus", Cochrane Database Syst Rev, 2010(3), pp.CD007330~ (2010)
- Westin VZ, "Acceptance and commitment therapy versus tinnitus retraining therapy in the treatment of tinnitus : A randomised controlled trial", Behav Res Ther, 49(11), pp.737~747 (2011)
- Beck JS. Cognitive behavior therapy : basics, "2nd ed" (2011), Guilford Press
- Cima RFF, "A multidisciplinary European guideline for tinnitus:Diagnostics, assessment, and treatment", HNO, 67(Suppl 1), pp.10~42 (2019)
- Andersson G, "A meta-analytic review of psychological treatments for tinnitus", Br J Audiol, 33(4), pp.201~210 (1999)
- Martinez-Devesa P, "Cognitive behavioural therapy for tinnitus", Cochrane Database Syst Rev, 9, pp.CD005233~ (2010)
- Menon V, "Large-scale brain networks and psychopathology : A unifying triple network model", Trends Cogn Sci, 15(10), pp.483~506 (2011)
- De Ridder D, "Tinnitus and the triple network model : A perspective", Clin Exp Otorhinolaryngol, 15(3), pp.205~212 (2022)
- Andersson G, "Psychological aspects of tinnitus and the application of cognitive-behavioral therapy", Clin Psychol Rev, 22(7), pp.977~990 (2002)
- Kaldo V, "Use of a self-help book with weekly therapist contact to reduce tinnitus distress : A randomized controlled trial", J Psychosom Res, 63(2), pp.195~202 (2007)
- Kaldo V, "Internet versus group cognitive-behavioral treatment of distress associated with tinnitus : A randomized controlled trial", Behav Ther, 39(4), pp.348~359 (2008)
- Henry JL, "The psychological management of tinnitus:Comparison of a combined cognitive educational program, education alone and a waiting-list control", Int Tinnitus J, 2, pp.9~20 (1996)
