[Inpatient infusion treatment for acute tinnitus with and without adjuvant psychotherapeutic intervention. A comparison of psychological effectiveness].
Two groups of tinnitus patients (n=93) were recruited, one of which was treated with standard infusion therapy and further acute medical intervention, while the other obtained an additional psychotherapeutic intervention. Questionnaires and interviews were taken at beginning of the treatment, and 9 days and 3 years after treatment. The accompanying psychotherapeutic intervention consisted primarily of client-centered counseling, guided relaxation techniques from clinical hypnosis, and some standard and tinnitus-related methods for a better coping with stress. After 9 days, both treatment groups showed significant improvement in several psychological characteristics. However, there was no evidence for the superiority of the combined treatment with psychological intervention. Psychotherapeutic treatment accompanying the acute medical treatment probably shows better effectiveness in an ambulant setting with both patients and medical healthcare professionals rating it as 'very helpful'. This pilot study has contributed initial results for the integrated treatment of the acute tinnitus and has helped in the development of further therapeutic strategies as well as an evidence based concept for further evaluation. This study received one of the two scientific first prizes of the "German Tinnitus League".
Schildt
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Fachbereich Psychologie, Universität Hamburg. axelschildt@t-online.de
Tönnies
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Böttcher
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D000223:Adaptation, Psychological; D000328:Adult; D015928:Cognitive Behavioral Therapy; D003131:Combined Modality Therapy; D003348:Cortisone / Q000008:administration & dosage; D004334:Drug Administration Schedule; D004359:Drug Therapy, Combination; D005260:Female; D006801:Humans; D006895:Hydroxyethyl Starch Derivatives / Q000008:administration & dosage*; D007262:Infusions, Intravenous; D008297:Male; D008875:Middle Aged; D009257:Nafronyl / Q000008:administration & dosage*; D010343:Patient Admission; D010431:Pentoxifylline / Q000008:administration & dosage*; D009629:Person-Centered Psychotherapy; D010555:Personality Inventory; D011613:Psychotherapy; D012064:Relaxation Therapy; D012803:Sick Role; D013001:Somatoform Disorders / Q000523:psychology / Q000628:therapy*; D011795:Surveys and Questionnaires; D014012:Tinnitus / Q000523:psychology / Q000628:therapy*; D014665:Vasodilator Agents / Q000008:administration & dosage*
D006895:Hydroxyethyl Starch Derivatives; D014665:Vasodilator Agents; D009257:Nafronyl; D010431:Pentoxifylline; D003348:Cortisone