이명의 유병기간과 동반 청력손실이 인지행동치료에 미치는 효과
Effects of Tinnitus Duration and Concomitant Hearing Loss on the Cognitive-Behavioral Treatment Outcomes
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Background and Objectives Several reports indicated that tinnitus treatment was influenced by several factors including age of patients, concomitant hearing loss, onset and duration of tinnitus, etc. The purpose of this study was to investigate the effects of the duration of tinnitus and the degree of hearing loss on the treatment outcomes. Subjects and Method Seventy-two subjects with tinnitus were divided into several groups according to the duration of tinnitus and the degree of hearing loss. All subjects were treated by cognitive-behavioral treatment program in tinnitus clinic. Treatment effects were studied by Tinnitus Handicap Inventory (THI) and Visual Analogue Scale (VAS), which were used to measure the loudness, awareness, and annoyance of tinnitus. Results THI and VAS scores were decreased significantly after the treatment. Tinnitus of 12 months or shorter duration showed greater improvement than those cases of longer than 12 months. The lower degree of hearing loss also showed greater improvement when compared with the greater degree of hearing loss. Conclusion Tinnitus of shorter duration and milder hearing loss showed better prognosis: the results of this study may help in treatment counseling for tinnitus patients. Korean J Otorhinolaryngol-Head Neck Surg 2014;57(9):596-602
Abstract
Background and Objectives Several reports indicated that tinnitus treatment was influenced by several factors including age of patients, concomitant hearing loss, onset and duration of tinnitus, etc. The purpose of this study was to investigate the effects of the duration of tinnitus and the degree of hearing loss on the treatment outcomes. Subjects and Method Seventy-two subjects with tinnitus were divided into several groups according to the duration of tinnitus and the degree of hearing loss. All subjects were treated by cognitive-behavioral treatment program in tinnitus clinic. Treatment effects were studied by Tinnitus Handicap Inventory (THI) and Visual Analogue Scale (VAS), which were used to measure the loudness, awareness, and annoyance of tinnitus. Results THI and VAS scores were decreased significantly after the treatment. Tinnitus of 12 months or shorter duration showed greater improvement than those cases of longer than 12 months. The lower degree of hearing loss also showed greater improvement when compared with the greater degree of hearing loss. Conclusion Tinnitus of shorter duration and milder hearing loss showed better prognosis: the results of this study may help in treatment counseling for tinnitus patients. Korean J Otorhinolaryngol-Head Neck Surg 2014;57(9):596-602
참고문헌 (17)
- Snow JB, "Tinnitus: theory and management", pp.1~39 (2004), BC Decker Inc
- Vesterager V, "Combined psychological and prosthetic management of tinnitus: a cross-sectional study of patients with severe tinnitus", Br J Audiol, 28(1), pp.1~11 (1994)
- Coelho CCB, "Características do Zumbido em Pacientes Atendidos em Serviço de Referência; Tinnitus Characteristics of Patients Attended in a Tinnitus Clinic", Arq Otorrinolaringol, 8(3), pp.216~224 (2004)
- Lindberg P, "Tinnitus--incidence and handicap", Scand Audiol, 13(4), pp.287~291 (1984)
- Yoon SY, "Cognitive behavioral therapy of tinnitus", Proceedings of the 5th Kyung Hee Tinnitus Seminar, pp.48~51 (2013)
- Martinez-Devesa P, "Cognitive behavioural therapy for tinnitus", Cochrane Database Syst Rev, 9, pp.CD005233~ (2010)
- Erlandsson SI, "Tinnitus Handbook", pp.25~57 (2000), San Diego (Calif): Thomson Learning
- Folmer RL, "Tinnitus severity, loudness, and depression", Otolaryngol Head Neck Surg, 121(1), pp.48~51 (1999)
- Salonen J, "Alexithymia, depression and tinnitus in elderly people", Gen Hosp Psychiatry, 29(5), pp.431~435 (2007)
- Andersson G, "A Review of psychological treatment approaches for patients suffering from tinnitus", Ann Behav Med, 17(4), pp.357~366 (1995)
- Robinson SK, "A randomized controlled trial of cognitive-behavior therapy for tinnitus", Int Tinnitus J, 14(2), pp.119~126 (2008)
- Baguley DM, "Mechanisms of tinnitus", Br Med Bull, 63(1), pp.195~212 (2002)
- Dias A, "Association between hearing loss level and degree of discomfort introduced by tinnitus in workers exposed to noise", Braz J Otorhinolaryngol, 74(6), pp.876~883 (2008)
- Hiller W, "Factors influencing tinnitus loudness and annoyance", Arch Otolaryngol Head Neck Surg, 132(12), pp.1323~1330 (2006)
- Pinto PC, "The impact of gender, age and hearing loss on tinnitus severity", Braz J Otorhinolaryngol, 76(1), pp.18~24 (2010)
- Jastreboff PJ, "A neurophysiological approach to tinnitus:clinical implications", Br J Audiol, 27(1), pp.7~17 (1993)
- Kuk FK, "The psychometric properties of a tinnitus handicap questionnaire", Ear Hear, 11(6), pp.434~445 (1990)