Landis B, Landis E
Department of Psychiatry, Cornell University Medical College, New York, NY 10021.
Am J Otolaryngol. 1992 Nov-Dec;13(6):349-56. doi: 10.1016/0196-0709(92)90075-5.
This study was developed to test the hypothesis that intensive biofeedback and relaxation training may favorably affect chronic tinnitus.
Seven subjects with chronic tinnitus of moderate to severe intensity engaged in an intensive 5-month program of weekly, individual 90 minute sessions. All individuals attained a high standard of proficiency following training by a biofeedback specialist. A biofeedback unit was provided each subject for daily practice. Audiometric matching of tinnitus pitch and loudness and subjective comparisons of tinnitus loudness were conducted before and after every session.
Audiometric evaluation showed no changes in tinnitus loudness. Nevertheless, all subjects gained satisfaction from the training. Three reported substantial psychological benefits in coping with tinnitus, two described moderate improvement, and two experienced modest gains.
These results highlight the role of psychological factors in tinnitus management and indicate that biofeedback-relaxation training may be useful therapy for coping with stresses of tinnitus.
本研究旨在验证强化生物反馈和放松训练可能对慢性耳鸣产生积极影响这一假设。
七名患有中度至重度慢性耳鸣的受试者参加了为期5个月的强化项目，每周进行一次，每次90分钟的个人训练。在接受生物反馈专家的训练后，所有个体均达到了较高的熟练水平。为每位受试者提供了一个生物反馈装置用于日常练习。在每次训练前后进行耳鸣音高和响度的听力匹配以及耳鸣响度的主观比较。
听力评估显示耳鸣响度没有变化。然而，所有受试者都从训练中获得了满足感。三名受试者报告在应对耳鸣方面有显著的心理益处，两名受试者描述有中度改善，两名受试者有适度收获。
这些结果突出了心理因素在耳鸣管理中的作用，并表明生物反馈放松训练可能是应对耳鸣压力的有效疗法。
