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2017 ; 9
(ä): 192
Nephropedia Template TP
gab.com Text
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English Wikipedia
Results of an Interdisciplinary Day Care Approach for Chronic Tinnitus Treatment:
A Prospective Study Introducing the Jena Interdisciplinary Treatment for
Tinnitus
#MMPMID28670275
Ivansic D
; Dobel C
; Volk GF
; Reinhardt D
; Müller B
; Smolenski UC
; Guntinas-Lichius O
Front Aging Neurosci
2017[]; 9
(ä): 192
PMID28670275
show ga
Objective: Considering the heterogeneity of the symptoms shown by patients
suffering from chronic tinnitus, there are surprisingly few interdisciplinary
treatments available, and mostly available only for inpatients. In order to
provide an interdisciplinary treatment, we developed a day care concept in which
each patient was treated by an ENT doctor, a cognitive behavioral therapist, a
specialist for medical rehabilitation and an audiologist (Jena Interdisciplinary
Treatment for Tinnitus, JITT). The aim of this study was to observe the changes
of tinnitus related distress due to interdisciplinary day care treatment and to
determine which factors mediate this change. Subjects and Methods: Tinnitus
annoyance was measured using the Tinnitus Questionnaire on 308 patients with
chronic tinnitus. They were treated in the day care unit over five consecutive
days between July 2013 and December 2014. Data were collected before treatment
when screened (T0), at the beginning (T1) and at the end of the 5 day treatment
(T2), as well as 20 days (T3) and 6 months after treatment (T4). Results:
Overall, tinnitus annoyance improved significantly from the screening day to the
beginning of treatment, and to a much larger degree from the beginning to the end
of treatment. The treatment outcome remained stable 6 months after treatment.
Patients with the following symptoms displayed higher tinnitus annoyance at T0:
dizziness at tinnitus onset, tinnitus sound could not be masked with background
noise, tinnitus worsening during physical stress, comorbid psychiatric diagnosis,
higher age and higher hearing loss. Loudness of tinnitus perceived in the right
ear correlated with tinnitus annoyance significantly. Demographic, tinnitus and
strain variables could only explain 12.8% of the variance of the change in
tinnitus annoyance from T0 to T4. Out of 39 predictors, the only significant ones
were "sick leave 6 months before treatment" and "tinnitus annoyance at T0."
Conclusion: The newly developed JITT represents a valuable treatment for chronic
tinnitus patients with improvement remaining stable for at least 6 months after
treatment. Using a large number of variables did not allow predicting treatment
outcome which underlines the heterogeneity of tinnitus.