title: [Pre- and posttreatment results of an inpatient neurotologic and psychosomatic tinnitus therapy].
abstract: BACKGROUND
  Inpatient treatment of chronic complex tinnitus can be necessary for patients with a high symptomatic strain, mostly accompanied by a corresponding mental comorbidity, and/or for patients that can only perceive their psychogenic suffering through somatization into tinnitus.
  
  
  METHODS
  We report the results of 368 consecutively treated inpatients with chronic complex tinnitus. Patients' audiometric data were collected, and at the beginning and end of treatment, the Mini-Tinnitus Questionnaire (Mini-TQ12; Hiller und Goebel) was completed, as was the German version of the Hospitality Anxiety and Depression Score (HADS). Effect sizes were calculated for both questionnaires. Mean treatment duration was 38.8 days (standard deviation, SD: 13.6 days). The main therapeutic elements were intensive disorder-specific neurotologic counselling and psychoeducation; improvement of hearing by fitting of hearing aids, complemented by an individualized hearing therapy; and intensive individual and group-based psychotherapy.
  
  
  RESULTS
  In addition to tinnitus, 82.1% of the patients had reduced hearing requiring rehabilitation with hearing aids. After hospitalization, a highly significant improvement in tinnitus strain could be demonstrated by the Mini-TQ12. Furthermore, a significant reduction in the depression and anxiety components of HADS was also achieved, with high effect sizes of 1.6 to 2.2. No reduction of tinnitus symptoms to a medium- or low-range level was experienced by 8.9% of patients.
  
  
  CONCLUSIONS
  With corresponding symptomatic suffering, disorder-specific inpatient tinnitus treatment comprising neurotologic and psychosomatic alignment can achieve medium- to high-range therapeutic effects.
authors.affiliation: Tinnitus-Klinik Dr. Hesse, Krankenhaus Arolsen, Große Allee 50, 34454, Bad Arolsen, Deutschland, hschaaf@tinnitus-klinik.net.
authors.forename: H
authors.initials: H
authors.lastname: Schaaf
authors.forename: G
authors.initials: G
authors.lastname: Hesse
mesh_terms: D000328:Adult; D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D002908:Chronic Disease; D003131:Combined Modality Therapy / Q000706:statistics & numerical data; D015897:Comorbidity; D003863:Depression / Q000453:epidemiology* / Q000517:prevention & control; D037001:Directive Counseling / Q000706:statistics & numerical data*; D005260:Female; D005858:Germany / Q000453:epidemiology; D006310:Hearing Aids / Q000706:statistics & numerical data*; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D063165:Neurotology / Q000706:statistics & numerical data; D015995:Prevalence; D011611:Psychosomatic Medicine / Q000706:statistics & numerical data; D011615:Psychotherapy, Group / Q000706:statistics & numerical data*; D017678:Sex Distribution; D014012:Tinnitus / Q000175:diagnosis / Q000453:epidemiology* / Q000628:therapy*; D016896:Treatment Outcome