Andersson Gerhard, Porsaeus Daniel, Wiklund Magnus, Kaldo Viktor, Larsen Hans Christian
Department of Audiology, Uppsala University Hospital, Sweden.
Int J Audiol. 2005 Nov;44(11):671-5. doi: 10.1080/14992020500266720.
The aim of the study was to investigate the effects of cognitive behavioral therapy (CBT) in elderly people with tinnitus (<65 years). Thirty-seven patients were called in for a structured interview. Following exclusion, twenty-three participated in the trial. All participants underwent medical ear, nose, and throat (ENT) examination, audiometry, and tinnitus matchings. A randomized controlled design with a waiting list control group was used. A CBT treatment package was delivered in six weekly two hour group sessions. Outcome was measured using validated self-report inventories and daily diary ratings of annoyance, loudness and sleep quality for one week pretreatment, post-treatment. A three month follow-up was included at which time all participants had received treatment, but in a shorter format for the control group. Results showed statistically significant reductions of tinnitus-related distress. Thus, CBT was better than no treatment, but the particular aspects of CBT that contributed to the effects can not be established. In conclusion, the findings give some support for the use of group CBT for elderly people with tinnitus.
该研究的目的是调查认知行为疗法（CBT）对65岁以下耳鸣老年人的影响。37名患者被邀请参加结构化访谈。排除后，23名患者参与了试验。所有参与者均接受了医学耳鼻喉科（ENT）检查、听力测定和耳鸣匹配。采用了带有等待列表对照组的随机对照设计。一个CBT治疗方案在每周一次、每次两小时的六次小组会议中进行。使用经过验证的自我报告量表以及治疗前一周、治疗后一周关于烦恼、响度和睡眠质量的每日日记评分来衡量结果。纳入了为期三个月的随访，此时所有参与者都已接受治疗，但对照组的治疗形式较短。结果显示，耳鸣相关困扰在统计学上有显著降低。因此，CBT比不治疗要好，但导致这些效果的CBT具体方面尚无法确定。总之，这些发现为将小组CBT用于耳鸣老年人提供了一些支持。
