Differential outcome of a multimodal cognitive-behavioral inpatient treatment for patients with chronic decompensated tinnitus
Standard
Differential outcome of a multimodal cognitive-behavioral inpatient treatment for patients with chronic decompensated tinnitus. / Graul, Joachim; Klinger, Regine; Greimel, Karoline V; Rustenbach, Stephan; Nutzinger, Detlev O.
In: Int Tinnitus J, Vol. 14, No. 1, 2008, p. 73-81.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
Harvard
APA
Vancouver
Bibtex
}
RIS
TY - JOUR
T1 - Differential outcome of a multimodal cognitive-behavioral inpatient treatment for patients with chronic decompensated tinnitus
AU - Graul, Joachim
AU - Klinger, Regine
AU - Greimel, Karoline V
AU - Rustenbach, Stephan
AU - Nutzinger, Detlev O
PY - 2008
Y1 - 2008
N2 - We examined 179 inpatients with severe chronic tinnitus for tinnitus-related distress and psychological dysfunction after treatment. We conducted a prospective, nonrandomized, noncontrolled study. We calculated treatment outcome in tinnitus-related distress, depression, and somatic complaints by analysis of variance with repeated measurement at admission, at discharge, and at 3, 6, and 12 months after treatment. Additionally, on the basis of reduction in tinnitus-related distress, responders and nonresponders were determined. We compared the effects of treatment for both groups on tinnitus-related distress, depression, and somatic complaints. In our entire sample, tinnitus-related distress, depression, and somatic complaints decreased significantly at discharge. After discharge, all patients showed improvement for up to 12 months as compared to their condition at admission. Of the 179 severely distressed patients, 67% were found to have improved clinically at discharge, and 47% still benefited after 12 months. In comparison to the nonresponders, the responders displayed less depression, fewer physical complaints, and fewer body-related anxieties at each measuring point. The only distinguishing factors between responders and nonresponders were their age and the extent of their psychosocial stress. Limitations of the study and consequences for treatment of chronic tinnitus patients are discussed.
AB - We examined 179 inpatients with severe chronic tinnitus for tinnitus-related distress and psychological dysfunction after treatment. We conducted a prospective, nonrandomized, noncontrolled study. We calculated treatment outcome in tinnitus-related distress, depression, and somatic complaints by analysis of variance with repeated measurement at admission, at discharge, and at 3, 6, and 12 months after treatment. Additionally, on the basis of reduction in tinnitus-related distress, responders and nonresponders were determined. We compared the effects of treatment for both groups on tinnitus-related distress, depression, and somatic complaints. In our entire sample, tinnitus-related distress, depression, and somatic complaints decreased significantly at discharge. After discharge, all patients showed improvement for up to 12 months as compared to their condition at admission. Of the 179 severely distressed patients, 67% were found to have improved clinically at discharge, and 47% still benefited after 12 months. In comparison to the nonresponders, the responders displayed less depression, fewer physical complaints, and fewer body-related anxieties at each measuring point. The only distinguishing factors between responders and nonresponders were their age and the extent of their psychosocial stress. Limitations of the study and consequences for treatment of chronic tinnitus patients are discussed.
KW - Adaptation, Psychological
KW - Adult
KW - Aged
KW - Chronic Disease
KW - Cognitive Therapy
KW - Combined Modality Therapy
KW - Depression
KW - Disability Evaluation
KW - Female
KW - Follow-Up Studies
KW - Humans
KW - Male
KW - Middle Aged
KW - Patient Admission
KW - Prospective Studies
KW - Sick Role
KW - Somatoform Disorders
KW - Surveys and Questionnaires
KW - Tinnitus
KW - Journal Article
M3 - SCORING: Journal article
C2 - 18616090
VL - 14
SP - 73
EP - 81
JO - Int Tinnitus J
JF - Int Tinnitus J
SN - 0946-5448
IS - 1
ER -