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音乐疗法作为预防耳鸣慢性化的早期干预措施。

Music therapy as an early intervention to prevent chronification of tinnitus.

作者信息

Grapp Miriam, Hutter Elisabeth, Argstatter Heike, Plinkert Peter K, Bolay Hans V

机构信息

German Center for Music Therapy Research Maaßstraße 32/1, 69123 Heidelberg, Germany.

出版信息

Int J Clin Exp Med. 2013 Aug 1;6(7):589-93. Print 2013.

Abstract

In the present study a music therapeutic intervention according to the 'Heidelberg Model' was evaluated as a complementary treatment option for patients with acute tinnitus whom medical treatment only brought minimal or no improvement. The central question was if music therapy in an early phase of tinnitus was able to reduce tinnitus symptoms and to prevent them from becoming chronical. 23 patients with acute tinnitus (6-12 weeks) were included in this study and took part in our manualized short term music therapeutic treatment which lasted ten consecutive 50-minutes sessions of individualized therapy. Tinnitus severity and individual tinnitus related distress were assessed by the Tinnitus Beeinträchtigungs-Fragebogen (i.e. Tinnitus Impairment Questionnaire, TBF-12) at baseline, start of treatment, and end of treatment. Score changes in TBF-12 from start to end of the treatment showed significant improvements in tinnitus impairment. This indicates that this music therapy approach applied in an initial stage of tinnitus can make an important contribution towards preventing tinnitus from becoming a chronic condition.

摘要

在本研究中,一种依据“海德堡模式”的音乐治疗干预措施被评估为对急性耳鸣患者的一种补充治疗选择,这些患者接受药物治疗后改善甚微或毫无改善。核心问题在于耳鸣早期阶段的音乐疗法是否能够减轻耳鸣症状并防止其发展为慢性耳鸣。本研究纳入了23例急性耳鸣(6 - 12周)患者,他们参与了我们的标准化短期音乐治疗,该治疗由连续十次、每次50分钟的个体化治疗组成。在基线、治疗开始时和治疗结束时,通过耳鸣影响问卷(即Tinnitus Beeinträchtigungs - Fragebogen,TBF - 12)评估耳鸣严重程度以及与耳鸣相关的个体痛苦程度。从治疗开始到结束,TBF - 12的评分变化显示耳鸣损伤有显著改善。这表明在耳鸣初期应用这种音乐治疗方法对防止耳鸣发展为慢性疾病可做出重要贡献。

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Electrophysiological and psychological studies in tinnitus.耳鸣的电生理学和心理学研究。
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Ringing ears: the neuroscience of tinnitus.耳鸣:神经科学视角下的耳鸣
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