Andersson Gerhard, Kaldo Viktor
Department of Psychology, Uppsala University, Sweden.
J Clin Psychol. 2004 Feb;60(2):171-8. doi: 10.1002/jclp.10243.
Tinnitus is a common otological problem that is often resistant to surgical or medical interventions. In common with chronic pain, cognitive-behavioral treatment has been found to alleviate the distress and improve the functioning of tinnitus patients. Recently, a self-help treatment has been developed for use via the Internet. In this article, we describe the self-help program and apply it to a middle-aged woman with tinnitus. We report the case formulation, which was done in a structured interview, and the treatment interactions, which were conducted via e-mail. The self-help program was presented on Web pages, and weekly diaries were submitted to follow progress and give feedback. The treatment was successful with reductions of tinnitus-related annoyance and anxious and depressive mood. Implications for Internet administration of self-help treatment are discussed.
耳鸣是一种常见的耳科问题，通常对手术或药物治疗有抵抗性。与慢性疼痛一样，认知行为疗法已被发现可减轻耳鸣患者的痛苦并改善其功能。最近，一种通过互联网使用的自助治疗方法已经开发出来。在本文中，我们描述了这种自助计划，并将其应用于一名患有耳鸣的中年女性。我们报告了在结构化访谈中完成的病例分析，以及通过电子邮件进行的治疗互动。自助计划展示在网页上，患者每周提交日记以跟踪进展并提供反馈。治疗取得了成功，耳鸣相关的烦恼以及焦虑和抑郁情绪都有所减轻。文中还讨论了互联网自助治疗的意义。
