[New aspects of complex chronic tinnitus. II: The lost silence: effects and psychotherapeutic possibilities in complex chronic tinnitus].
"Complex tinnitus" is a diagnostic term denoting a disturbance pattern where the patient hears highly annoying and painful noises or sounds that do not originate from a recognisable external source and can be described only by the patient himself. It seems that the suffering mainly depends upon the extent to which the tinnitus is experienced as a phenomenon that is beyond control. Part I reports on an examination of the treatment success achieved with 28 consecutive patients who had been treated according to an integrative multimodal behavioural medicine concept. This resulted--despite continual loudness--in a decrease in the degree of unpleasantness of the tinnitus, by 17% (p less than 0.01) with corresponding normalisation of decisive symptom factors in Hopkins-Symptom-Check-List (SCL-90-R) and Freiburg Personality-Inventary (FPI-R). On the whole, 19 out of the total of 28 patients showed essential to marked improvement of the disturbance pattern. Part II presents a multidimensional tinnitus model and the essential psychotherapeutic focal points of a multimodal psychotherapy concept in complex chronic tinnitus, as well as the parallel phenomena in the chronic pain syndrome.
Goebel
G
G
Medizinisch-Psychosomatische Klinik Roseneck, Prien am Chiemsee in Verbund mit der Medizinischén Fakultät, Ludwig-Maximilians-Universität München.
Keeser
W
W
Fichter
M
M
Rief
W
W
D001521:Behavior Therapy / Q000379:methods*; D003131:Combined Modality Therapy; D006801:Humans; D011602:Psychophysiologic Disorders / Q000523:psychology* / Q000628:therapy; D011613:Psychotherapy / Q000379:methods*; D012803:Sick Role; D014012:Tinnitus / Q000523:psychology* / Q000628:therapy
Neue Aspekte des komplexen chronischen Tinnitus. Teil II: Die verlorene Stille: Auswirkungen und psychotherapeutische Möglichkeiten beim komplexen chronischen Tinnitus.