Sadlier M, Stephens S D G, Kennedy V
Physiotherapy Department, University Hospital of Wales, Cardiff, UK.
J Laryngol Otol. 2008 Jan;122(1):31-7. doi: 10.1017/S0022215107007438. Epub 2007 Apr 23.
Chronic tinnitus is a frequent symptom presentation in clinical practice. No drug treatment to date has shown itself to be effective. The aim of the present study was to investigate the effects of cognitive behavioural therapy and meditation in tinnitus sufferers.
Patients were selected from a dedicated tinnitus clinic in the Welsh Hearing Institute. A waiting list control design was used. Twenty-five chronic tinnitus sufferers were consecutively allocated to two groups, one receiving a cognitive behavioural therapy/meditation intervention of four one hour sessions with the other group waiting three months and subsequently treated in the same way, thereby acting as their own control. The main outcome was measured using the Hallam tinnitus questionnaire. A four to six month follow up was conducted.
These showed significant statistical reductions in tinnitus variables both in the active and also in the control group. Post-therapy, no significant change was found after the waiting list period. The improvement was maintained at the four to six month period.
The positive findings give support for the use of cognitive behavioural therapy/meditation for chronic tinnitus sufferers.
慢性耳鸣是临床实践中常见的症状表现。迄今为止，尚无药物治疗显示出有效。本研究的目的是调查认知行为疗法和冥想对耳鸣患者的影响。
从威尔士听力研究所的一个专门耳鸣诊所选取患者。采用等待列表对照设计。25名慢性耳鸣患者被连续分配到两组，一组接受为期四个一小时疗程的认知行为疗法/冥想干预，另一组等待三个月，随后以相同方式接受治疗，从而作为自身对照。主要结果使用哈勒姆耳鸣问卷进行测量。进行了四到六个月的随访。
结果显示，无论是干预组还是对照组，耳鸣变量均有显著统计学意义的降低。治疗后，等待列表期过后未发现显著变化。这种改善在四到六个月期间得以维持。
这些阳性结果支持对慢性耳鸣患者使用认知行为疗法/冥想。
