Small-Group Counseling in a Modified Tinnitus Retraining Therapy for Chronic Tinnitus

박시내; 배성천; 김동기; 박용수; 여상원; 박소영

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자료유형: 학술저널

저자정보: 박시내 배성천 김동기 박용수 여상원 박소영

저널정보: 대한이비인후과학회 Clinical and Experimental Otorhinolaryngology Clinical and Experimental Otorhinolaryngology 제6권 제4호

발행연도: 2013.1

수록면: 214 - 218 (5page)

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Objectives. The authors have treated chronic tinnitus patients using a combination of a simplified tinnitus retraining therapy (TRT) and medications, which we called modified TRT. In this clinical setting, we have attempted small-group counseling to find a time-effective equivalent of individual counseling. The aim of the present study was to evaluate the effectiveness of small-group counseling by comparing the treatment outcomes between individual and small-group counseling. Methods. The patients who had distressing chronic tinnitus with normal hearing or mild hearing loss were included. The subjects were placed into the small-group (group 1:4) or the individual (group 1:1) counseling group, and underwent a modified TRT composed of a single session of directive counseling and ambient sound stimulation. In addition, alprazolam (0.25 mg) and ginkgo biloba extract (80 mg) were administered orally to the subjects for 3 months. The 3- and 6- month outcomes were assessed using the follow-up rates and tinnitus severity scores: awareness, tinnitus handicap inventory (THI), loudness, annoyance, and effect on life. The treatment responses were classified as improvement,no changes, and worsening. Results. Of the total 149 patients (77 in group 1:1; 72 in group 1:4), 104 patients completed the protocol at 3 months, and 55 patients at 6 months. The follow-up rates were similar in both groups. Over the period of 6 months, all scores declined significantly except the loudness score at 3 months in both groups. Treatment responses showed no between-group differences. The success rate based on THI was 70% in group 1:1, and 64% in group 1:4 at 6 months. Conclusion. The small-group counseling of our modified TRT was comparable to the individual counseling for tinnitus relief. We suggest that this protocol can be implemented effectively in any crowded otolaryngology clinics.

#Tinnitus #Tinnitus retraining therapy #Directive counseling #Benzodiazepines

참고문헌 (16)

참고문헌 신청

Bauer CA / 2001 / Assessing tinnitus and prospective tinnitus therapeutics using a psychophysical animal model / J Assoc Res Otolaryngol 2 (1) : 54 ~ 64

Brozoski TJ / 2002 / Elevated fusiform cell activity in the dorsal cochlear nucleus of chinchillas with psychophysical evidence of tinnitus / J Neurosci 22 (6) : 2383 ~ 2390

Ernst E / 1999 / Ginkgo biloba for tinnitus: a review / Clin Otolaryngol Allied Sci 24 (3) : 164 ~ 167

Henry JA / 2003 / Guide to conducting tinnitus retraining therapy initial and follow-up interviews / J Rehabil Res Dev 40 (2) : 157 ~ 177

Hilton M / 2004 / Ginkgo biloba for tinnitus / Cochrane Database Syst Rev (2) : CD003852 ~