认知行为疗法与凹槽声疗法对听力正常的慢性主观性耳鸣成人的疗效对比。

IF 1 Q3 OTORHINOLARYNGOLOGY
International Archives of Otorhinolaryngology Pub Date : 2024-10-25 eCollection Date: 2024-10-01 DOI:10.1055/s-0044-1788000
Soha Abdelraouf Mekki, Mohammed Gamal Sehlo, Usama Mahmoud Youssef, Ola Abdallah Ibraheem, Mai Ragab Ghazaly
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引用次数: 0

摘要

导言 耳鸣可能令人痛苦,并通过心理和认知障碍影响生活质量(QoL)。认知行为疗法(CBT)和凹槽声疗法(NST)是耳鸣治疗方法,旨在通过两种不同的机制减轻症状和改善生活质量。CBT 实现了认知原则,而 NST 则启动了耳鸣习惯化。目的 评估 CBT 和 NST 在治疗慢性主观性耳鸣方面的效果,并比较其结果。方法 本前瞻性研究涉及 64 名听力正常并患有慢性主观性耳鸣的成年人。他们接受了病史采集、基本听力评估和 10 和 12.5 kHz 的扩展高频测听。参与者被分为两组,第一组接受 CBT 治疗,第二组接受 NST 治疗。采用耳鸣心理声学测量和阿拉伯语耳鸣反应问卷(Arabic-QTR)来监测两种疗法的效果。结果 根据阿拉伯语耳鸣反应问卷(Arabic-QTR)和耳鸣响度匹配,两组患者的耳鸣严重程度均有明显减轻。CBT 组的阿拉伯语 QTR 改善效果更好,而 NST 组的耳鸣响度改善效果更好。结论 CBT 和 NST 对慢性主观性耳鸣的治疗都很有效。通过比较两种疗法的效果,发现 CBT 在减少耳鸣相关困扰方面更为有效,而 SNT 在减少耳鸣响度方面更有帮助。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Effectiveness of Cognitive Behavioral Therapy versus Notched Sound Therapy in Adults with Chronic Subjective Tinnitus and Normal Hearing.

Introduction  Tinnitus can be distressing, and it affects the quality of life (QoL) through psychological and cognitive impairments. Cognitive behavioral therapy (CBT) and notched sound therapy (NST) are tinnitus management approaches aiming to reduce symptoms and improve QoL via two different mechanisms. The CBT attains the cognitive principle, whereas the NST initiates tinnitus habituation. Objective  To evaluate the effect of CBT and NST and compare their results in the management of chronic subjective tinnitus. Methods  The present prospective study involved 64 adults with normal hearing and chronic subjective tinnitus. They were subjected to history taking, basic audiological evaluation, and extended high-frequency audiometry at 10 and 12.5 kHz. The participants were divided into two equal groups, the first treated with CBT and the second treated with NST. The psychoacoustic measures of tinnitus and the Arabic Questionnaire for Tinnitus Reaction (Arabic-QTR) were used to monitor the outcomes of both therapies. Results  Both groups showed significant reduction in tinnitus severity according to the Arabic-QTR and tinnitus loudness matching. Improvement in the Arabic-QTR was better in the CBT group, while tinnitus loudness improvement was better in the NST group. Conclusion  Both CBT and NST are effective in the management of chronic subjective tinnitus. In a comparison of the effect of the two therapies, CBT was found to be more effective in decreasing tinnitus-related distress, whereas SNT was found to be more helpful in reducing tinnitus loudness.

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来源期刊
CiteScore
2.80
自引率
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发文量
84
审稿时长
12 weeks
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