Goebel G, Keeser W, Fichter M, Rief W
Medizinisch-Psychosomatische Klinik Roseneck, Prien am Chiemsee im Verbund mit der Medizinischen Fakultät, Ludwig-Maximilians-Universität München.
Psychother Psychosom Med Psychol. 1991 Mar-Apr;41(3-4):115-22.
"Complex tinnitus" is a diagnostic term denoting a disturbance pattern where the patient hears highly annoying and painful noises or sounds that do not originate from a recognisable external source and can be described only by the patient himself. It seems that the suffering mainly depends upon the extent to which the tinnitus is experienced as a phenomenon that is beyond control. Part I reports on an examination of the treatment success achieved with 28 consecutive patients who had been treated according to an integrative multimodal behavioural medicine concept. This resulted--despite continual loudness--in a decrease in the degree of unpleasantness of the tinnitus, by 17% (p less than 0.01) with corresponding normalisation of decisive symptom factors in Hopkins Symptom-Check-List (SCL-90-R) and Freiburg Personality-Inventary (FPI-R). On the whole, 19 out of the total of 28 patients showed essential to marked improvement of the disturbance pattern. Part II presents a multidimensional tinnitus model and the essential psychotherapeutic focal points of a multimodal psychotherapy concept in complex chronic tinnitus, as well as the parallel phenomena in the chronic pain syndrome.
“复杂性耳鸣”是一个诊断术语，指的是一种干扰模式，即患者听到高度恼人且痛苦的噪音或声音，这些声音并非源自可识别的外部声源，且只能由患者本人描述。似乎痛苦主要取决于耳鸣被体验为一种无法控制的现象的程度。第一部分报告了对连续28例按照综合多模式行为医学概念进行治疗的患者的治疗效果检查。尽管耳鸣响度持续存在，但这导致耳鸣不愉快程度降低了17%（p<0.01），同时霍普金斯症状清单（SCL - 90 - R）和弗莱堡人格问卷（FPI - R）中的决定性症状因素相应恢复正常。总体而言，28例患者中有19例的干扰模式有显著至明显改善。第二部分介绍了一个多维耳鸣模型以及针对复杂性慢性耳鸣的多模式心理治疗概念的基本心理治疗重点，以及慢性疼痛综合征中的类似现象。
