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听力治疗可改善慢性耳鸣且轻度至中度听力损失的轻度困扰患者的耳鸣相关困扰：一项随机对照交叉设计研究。

Hearing Therapy Improves Tinnitus-Related Distress in Mildly Distressed Patients with Chronic Tinnitus and Mild-to-Moderate Hearing Loss: A Randomized-Controlled Cross-Over Design.

作者信息

Boecking Benjamin, Rausch Leonie, Psatha Stamatina, Nyamaa Amarjargal, Dettling-Papargyris Juliane, Funk Christine, Brueggemann Petra, Rose Matthias, Mazurek Birgit

机构信息

Tinnitus Centre, Charité-Universitätsmedizin Berlin, 10117 Berlin, Germany.

Terzo Institute, ISMA AG, 96515 Sonneberg, Germany.

出版信息

J Clin Med. 2022 Mar 22;11(7):1764. doi: 10.3390/jcm11071764.

DOI:10.3390/jcm11071764
PMID:35407372
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9000020/
Abstract

BACKGROUND

The psychological effects of hearing aids and auditory training are underinvestigated.

OBJECTIVE

To assess the short- and long-term effects of an industry-developed auditory training on tinnitus-related distress, perceived stress, and psychological epiphenomena in patients with chronic tinnitus and mild-to-moderate hearing loss.

METHOD

One-hundred-seventy-seven gender-stratified patients were randomized to an immediate [IIG] or delayed [DIG] intervention group. Following binaural hearing aid fitting, participants completed a CD-enhanced 14-days self-study program. Applying a randomized-controlled cross-over design, psychological measures were obtained at four times: pre-treatment/wait [IIG: t; DIG: wait], post-treatment/pre-treatment [IIG: t; DIG: t], follow-up/post-treatment [IIG: t; DIG: t], and [DIG: t]. Between- and within-group analyses investigated treatment-related effects and their stability at a 70-day follow-up.

RESULTS

Overall, distress symptom severity was mild. Unlike the DIG, the IIG showed significant improvements in tinnitus-related distress. Some psychological epiphenomena, notably anxiety, slightly improved in both groups. Within-group analyses demonstrated the stability of the tinnitus-distress-related effects, alongside uncontrolled improvements of perceived stress and mood-related symptoms at follow-up.

CONCLUSIONS

The investigated hearing therapy lastingly improves tinnitus-related distress in mildly distressed patients with chronic tinnitus and mild-to-moderate hearing loss. Beneficial psychological knock-on effects deserve further investigation.

摘要

背景

助听器和听觉训练的心理影响研究不足。

目的

评估一种行业开发的听觉训练对慢性耳鸣和轻至中度听力损失患者耳鸣相关困扰、感知压力及心理附带现象的短期和长期影响。

方法

177名按性别分层的患者被随机分为即时干预组[IIG]或延迟干预组[DIG]。在双耳佩戴助听器后，参与者完成一个为期14天的光盘增强自学项目。采用随机对照交叉设计，在四个时间点获取心理测量数据：治疗前/等待期[IIG：t；DIG：等待期]、治疗后/治疗前[IIG：t；DIG：t]、随访/治疗后[IIG：t；DIG：t]以及[DIG：t]。组间和组内分析研究了治疗相关影响及其在70天随访时的稳定性。

结果

总体而言，困扰症状严重程度较轻。与DIG组不同，IIG组在耳鸣相关困扰方面有显著改善。两组中一些心理附带现象，尤其是焦虑，略有改善。组内分析表明耳鸣困扰相关影响具有稳定性，同时随访时感知压力和情绪相关症状有未受控制的改善。

结论

所研究的听力治疗能持久改善慢性耳鸣且困扰程度较轻、伴有轻至中度听力损失患者的耳鸣相关困扰。有益的心理连锁反应值得进一步研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6417/9000020/6096b0cc01ca/jcm-11-01764-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6417/9000020/2a81fdba4f03/jcm-11-01764-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6417/9000020/e385c46686f3/jcm-11-01764-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6417/9000020/6096b0cc01ca/jcm-11-01764-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6417/9000020/2a81fdba4f03/jcm-11-01764-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6417/9000020/e385c46686f3/jcm-11-01764-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6417/9000020/6096b0cc01ca/jcm-11-01764-g003.jpg

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