Arif M, Sadlier M, Rajenderkumar D, James J, Tahir T
Department of ENT,Glangwili Hospital,Carmarthen,UK.
Department of Physiotherapy,University Hospital of Wales,Cardiff,UK.
J Laryngol Otol. 2017 Jun;131(6):501-507. doi: 10.1017/S002221511700069X. Epub 2017 Mar 30.
Psychotherapeutic interventions have been adopted effectively in the management of tinnitus for a long time. This study compared mindfulness meditation and relaxation therapy for management of tinnitus.
In this randomised controlled trial, patients were recruited for five sessions of mindfulness meditation or five sessions of relaxation therapy. Patients' responses were evaluated using the Tinnitus Reaction Questionnaire as a primary outcome measure, and the Hospital Anxiety and Depression Scale, visual analogue scale and a health status indicator as secondary outcome measures.
A total of 86 patients were recruited. Thirty-four patients completed mindfulness meditation and 27 patients completed relaxation therapy. Statistically significant improvement was seen in all outcome measures except the health status indicator in both treatment groups. The change in treatment scores was greater in the mindfulness meditation group than in the relaxation therapy group.
This study suggests that although both mindfulness meditation and relaxation therapy are effective in the management of tinnitus, mindfulness meditation is superior to relaxation therapy.
心理治疗干预措施长期以来已有效地应用于耳鸣的管理。本研究比较了正念冥想和放松疗法对耳鸣的管理效果。
在这项随机对照试验中，招募患者接受五节正念冥想课程或五节放松疗法课程。使用耳鸣反应问卷作为主要结局指标评估患者的反应，并使用医院焦虑抑郁量表、视觉模拟量表和健康状况指标作为次要结局指标。
共招募了86名患者。34名患者完成了正念冥想，27名患者完成了放松疗法。两个治疗组除健康状况指标外，所有结局指标均有统计学上的显著改善。正念冥想组的治疗分数变化大于放松疗法组。
本研究表明，虽然正念冥想和放松疗法在耳鸣管理中均有效，但正念冥想优于放松疗法。
