[耳鸣患者动机变化的评估。一项关于跨理论模型的研究]
[Assessment of motivational changes in tinnitus sufferers. A study of the transtheoretical model].
作者信息
Härter M, Battlehner J, Münscher A, Graul J, Maurischat C
机构信息
Abteilung für Psychiatrie und Psychotherapie, Universitätsklinikum Freiburg.
出版信息
HNO. 2005 Aug;53(8):707-10, 712-5. doi: 10.1007/s00106-004-1181-2.
OBJECTIVES
Cognitive-behavioural treatment of chronic tinnitus needs active cooperation and motivation in patients. The transtheoretical model (TTM) defines the behavioural change using six different stages of change (SoC). In this study, we examined SoC in patients with tinnitus via a new self-rating instrument.
SAMPLE AND METHODS
An item-pool, consisting of 48 questions, was administered to 125 tinnitus sufferers in a cross-sectional study. In addition to data on tinnitus history, the tinnitus strain (THI, German: TB-12), scores of anxiety and depression (HADS-D), and life quality (SF-12) were assessed.
RESULTS
Four SoC could be identified empirically: (1) precontemplation, (2) contemplation/preparation, (3) action/maintenance, and (4) termination. Associations of the SoC with socio-demographic and tinnitus related data, as well as with the instruments applied, conformed with the theory.
CONCLUSIONS
The results confirm the transfer of SoC theory to patients with tinnitus.
目的
慢性耳鸣的认知行为治疗需要患者积极配合并有动力。跨理论模型（TTM）使用六个不同的改变阶段（SoC）来定义行为改变。在本研究中，我们通过一种新的自评工具检查耳鸣患者的SoC。
样本与方法
在一项横断面研究中，对125名耳鸣患者进行了由48个问题组成的项目池调查。除了耳鸣病史数据外，还评估了耳鸣严重程度（THI，德语：TB - 12）、焦虑和抑郁评分（HADS - D）以及生活质量（SF - 12）。
结果
通过实证可确定四个SoC：（1）未考虑阶段，（2）考虑/准备阶段，（3）行动/维持阶段，以及（4）终止阶段。SoC与社会人口学和耳鸣相关数据以及所应用工具之间的关联符合该理论。
结论
结果证实了SoC理论可应用于耳鸣患者。
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