Robinson Shannon K, Viirre Erik S, Bailey Kelly A, Kindermann Sandra, Minassian Arpi L, Goldin Phillippe R, Pedrelli Paola, Harris Jeffery P, McQuaid John R
University of California-San Diego Department of Psychiatry, San Diego, California 92161, USA.
Int Tinnitus J. 2008;14(2):119-26.
This study is a randomized, waitlist-controlled trial testing the effect of a brief, "manualized" cognitive-behavioral group therapy on distress associated with tinnitus, quality of well-being, psychological distress including depression, and internal focus. Cognitive-behavioral therapy (CBT) included training in activity planning, relaxation training and, primarily, cognitive restructuring. Sixty-five participants were recruited, and 41 completed treatment. Participants were randomly assigned to receive 8 weeks of manualized group CBT either immediately or after an 8-week waiting period. Participants completed outcome measures at the time of their random assignment and at 8, 16, and 52 weeks later. Repeated-measure analysis of covariance revealed significant group-by-time interactions on measures of tinnitus distress and depression, indicating that CBT led to greater improvement in those symptoms. The current results suggest that CBT, applied in a group format using a manual, can reduce the negative emotional distress, including depression, associated with tinnitus.
本研究是一项随机、等待列表对照试验，旨在测试一种简短的、“手册化”认知行为团体疗法对耳鸣相关痛苦、幸福感质量、包括抑郁在内的心理困扰以及内在专注度的影响。认知行为疗法（CBT）包括活动规划训练、放松训练，主要是认知重构。招募了65名参与者，41名完成了治疗。参与者被随机分配立即接受8周的手册化团体CBT，或在8周等待期后接受。参与者在随机分配时以及8周、16周和52周后完成结局测量。重复测量协方差分析显示，在耳鸣痛苦和抑郁测量方面存在显著的组×时间交互作用，表明CBT导致这些症状有更大改善。当前结果表明，以团体形式使用手册应用CBT可以减少与耳鸣相关的负面情绪困扰，包括抑郁。
