Service d'Oto-Rhino-Laryngologie et Chirurgie Cervico-Faciale, Institut Universitaire de la Face et du Cou, Centre Hospitalier Universitaire de Nice, Université Côte d'Azur, 31, Avenue de Valombrose, 06103 Nice, France.
Cabinet de psychothérapie et sophrologie, 40 rue Pastorelli, 06000 Nice, France.
Eur Ann Otorhinolaryngol Head Neck Dis. 2022 Mar;139(2):65-71. doi: 10.1016/j.anorl.2021.06.002. Epub 2021 Jul 3.
Tinnitus can induce disabling psychological suffering, requiring an integrative multimodal approach, combining neuromodulation and psychotherapeutic methods. We sought to evaluate the therapeutic efficacy and acceptability of Eye Movement Desensitization and Reprocessing (EMDR) in tinnitus.
This was a single-center prospective non-comparative study. Inclusion criteria comprised: adult patient, with chronic tinnitus, Tinnitus Handicap Inventory (THI) score>17, causing psychological distress motivating active treatment after ineffective "classic" treatment (combining advice, sound therapy and first-line drug treatment), and agreement to EMDR therapy. Therapeutic efficacy was defined by a decrease in THI or Visual Analog Scale (VAS) scores. Treatment acceptability was defined by the rate of included patients who completed therapy.
Thirty-eight patients were included. There was a significant reduction of 53.5% in THI score in 78.9% of patients (P<0.0001; 64.8±20.8 before versus 31.8±24.7 after treatment), and of 51% in VAS score in 76.3% of patients (P<0.0001; 7.24±2.12 before versus 3.58±2.03 after treatment). The treatment acceptability was 86.8%.
EMDR appeared to be an effective alternative that was acceptable to the majority of patients, after failure of "classic" first-line treatment, improving quality of life in tinnitus patients and thus relieving disability.
耳鸣可导致致残性心理痛苦，需要采用整合的多模式方法，结合神经调节和心理治疗方法。我们旨在评估眼动脱敏再处理（EMDR）治疗耳鸣的疗效和可接受性。
这是一项单中心前瞻性非对照研究。纳入标准包括：成年患者，慢性耳鸣，耳鸣残疾量表（THI）评分>17，在“经典”一线治疗（包括建议、声音治疗和一线药物治疗）无效后，因引起心理困扰而有积极治疗的动机，且同意接受 EMDR 治疗。治疗疗效定义为 THI 或视觉模拟量表（VAS）评分降低。治疗可接受性定义为接受治疗的患者中完成治疗的比例。
共纳入 38 例患者。78.9%的患者 THI 评分显著降低 53.5%（P<0.0001；治疗前 64.8±20.8，治疗后 31.8±24.7），76.3%的患者 VAS 评分显著降低 51%（P<0.0001；治疗前 7.24±2.12，治疗后 3.58±2.03）。治疗可接受性为 86.8%。
在“经典”一线治疗失败后，EMDR 似乎是一种有效的替代方法，大多数患者均可接受，可改善耳鸣患者的生活质量，从而缓解残疾。
