结合耳鸣再训练疗法与认知行为疗法的数字化耳鸣治疗：一项挪威自然主义研究

文献信息

中文摘要

引言： 10%至15%的人口经历耳鸣。有必要为遭受耳鸣困扰的患者开发有效的治疗方法。本研究旨在探讨一种由耳鸣再训练疗法和认知行为疗法组成的基于互联网的治疗对主要以耳鸣为主的患者的效果。次要目的是调查听觉过敏（对声音的超敏反应）、恐声症（对声音的强烈情绪反应）、抑郁和焦虑的变化。
方法： 共纳入144名诊断为耳鸣的患者，并在治疗前以及90天和180天后进行评估。根据耳鸣残疾量表（THI）评分，将结果按轻度、中度和重度+耳鸣患者进行区分。
结果： 从治疗前到180天评估，总样本的THI评分有显著变化（d=0.41）。重度+耳鸣组的效应量大（d=0.95），轻度耳鸣组的效应量小（d=0.22）。此外，焦虑、抑郁和听觉过敏有小幅改善，但恐声症无变化。
讨论： 总之，本研究表明该治疗可能对耳鸣患者有帮助。

英文摘要

INTRODUCTION: Ten to fifteen percent of the population experience tinnitus. It is necessary to develop effective treatments for patients suffering from tinnitus. This study aimed to explore the effectiveness of an internet-based treatment consisting of tinnitus retraining therapy and cognitive behavioral therapy for patients with primarily tinnitus. The secondary aims were to investigate changes in hyperacusis (hypersensitivity to sounds), misophonia (strong emotional reaction to a sound), depression, and anxiety.
METHODS: A total of 144 patients diagnosed with tinnitus were included and assessed before treatment, and after 90 and 180 days. The results were differentiated for patients with mild, moderate, and severe+ tinnitus according to their scores on the Tinnitus Handicap Inventory (THI).
RESULTS: A significant change in scores on the THI (d = 0.41) was found from pre-treatment to the 180-day assessment for the total sample. A large effect size (d = 0.95) was found for the group with severe+ tinnitus and a small effect size for the group with mild tinnitus (d = 0.22). Further, there were small improvements in anxiety, depression, and hyperacusis, but no change in misophonia.
DISCUSSION: In conclusion, this study indicate that the treatment can be helpful for people with tinnitus.