Schmidt A, Lins U, Wetscher I, Welzl-Müller K, Weichbold V
Klinische Abteilung für Hör-, Stimm- und Sprachstörungen, Universitätskliniken Innsbruck, Austria.
HNO. 2004 Mar;52(3):242-7. doi: 10.1007/s00106-003-0930-y.
Both counselling and group therapy have been recommended for supporting patients with chronic tinnitus. It is unclear which of these treatments is superior.
This retrospective study aimed at comparing relief from tinnitus distress following counselling with that following cognitive group therapy. Distress relief was also compared to the distress level of the waiting group patients.
Tinnitus distress was assessed through the Tinnitus Questionnaire (TQ, Goebel and Hiller) at three different times: before treatment (in waiting list patients: at initial contact) and at 3 and 6 months after initial assessment. Data from 21 patients per group were included in the analysis.
The initial tinnitus distress scores were similar in all groups (about 48 TQ points out of a maximum of 84). After 3 months, both counselling subjects and group therapy participants exhibited a significant distress reduction of 13 TQ points, which remained stable after 6 months. Patients on the waiting list experienced no distress relief over time.
Results from our data demonstrate the need for a future prospective study on the comparison of efficacy of counselling vs cognitive group therapy.
咨询和团体治疗都被推荐用于支持慢性耳鸣患者。目前尚不清楚哪种治疗方法更具优势。
这项回顾性研究旨在比较咨询治疗后与认知团体治疗后耳鸣困扰缓解情况。还将困扰缓解情况与等待组患者的困扰水平进行了比较。
通过耳鸣问卷（TQ，戈贝尔和希勒）在三个不同时间评估耳鸣困扰：治疗前（等待名单患者：初次接触时）以及初次评估后3个月和6个月。每组21名患者的数据纳入分析。
所有组的初始耳鸣困扰评分相似（最高84分中约48分）。3个月后，咨询治疗对象和团体治疗参与者的困扰均显著降低13分，6个月后保持稳定。等待名单上的患者随着时间推移未出现困扰缓解。
我们的数据结果表明，未来需要进行一项关于咨询与认知团体治疗疗效比较的前瞻性研究。
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