[New aspects of complex chronic tinnitus. I: Assessment of a multi-modality behavioral medicine treatment concept].
"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
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G
Medizinisch-Psychosomatische Klinik Roseneck, Prien am Chiemsee im Verbund mit der Medizinischen Fakultät, Ludwig-Maximilians-Universität München.
Keeser
W
W
Fichter
M
M
Rief
W
W
D000328:Adult; D000368:Aged; D001521:Behavior Therapy / Q000379:methods*; D002908:Chronic Disease; D003131:Combined Modality Therapy; D005260:Female; D006760:Hospitalization; D006801:Humans; D008297:Male; D008875:Middle Aged; D012649:Self Concept; D012803:Sick Role; D012938:Social Perception; D014012:Tinnitus / Q000523:psychology / Q000628:therapy*
Neue Aspekte des komplexen chronischen Tinnitus. Teil I: Uberprüfung eines multimodalen verhaltensmedizinischen Behandlungskonzeptes.