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Psychophysiological treatment of chronic tinnitus: A review
Clinical Psychology & Psychotherapy ( IF 3.198 ) Pub Date : 2022-01-06 , DOI: 10.1002/cpp.2708
Manuel Czornik 1 , Azim Malekshahi 1 , Wala Mahmoud 1 , Stephan Wolpert 2 , Niels Birbaumer 1
Affiliation  

Subjective chronic tinnitus consists of a more or less continuous perception of sound in the absence of a corresponding acoustic source, which can lead to various psychological problems like depression, anxiety, attentional deficits and sleep disturbances. The prevalence is 10%–15% of the general population. Various therapy and management options have been proposed, but outcomes vary, and no generally accepted cure exists. In this review, the coherence of the most frequently used aetiological models shall be evaluated, and the efficacy of several treatment options will be discussed. With respect to tinnitus treatments, we focus on controlled studies and meta-analyses. Although there are some therapies that outweigh placebo effects such as cognitive behavioural therapy, neurofeedback or neuromodulation techniques, they mainly target secondary symptoms and not the tinnitus tone itself. Furthermore, positive treatment effects only seem to last for a limited period of time. We conclude that long-lasting combination therapies such as neurofeedback of auditory cortex inhibitory EEG signatures, cognitive therapy and sound-tactile stimulation may provide more efficient outcomes if they target the intensity of the tinnitus tone itself and not only secondary psychological symptoms.

中文翻译:

慢性耳鸣的心理生理治疗:综述

主观性慢性耳鸣是在没有相应声源的情况下或多或少地持续感知声音,这会导致各种心理问题,如抑郁、焦虑、注意力缺陷和睡眠障碍。患病率为普通人群的 10%~15%。已经提出了各种治疗和管理方案,但结果各不相同,并且不存在普遍接受的治愈方法。在这篇综述中,将评估最常用的病因模型的一致性,并将讨论几种治疗方案的疗效。关于耳鸣治疗,我们专注于对照研究和荟萃分析。尽管有一些疗法比安慰剂效应更重要,例如认知行为疗法、神经反馈或神经调节技术,它们主要针对次要症状,而不是耳鸣音本身。此外,积极的治疗效果似乎只持续有限的时间。我们得出结论,如果针对耳鸣音本身的强度而不仅仅是继发性心理症状,那么持久的联合疗法(例如听觉皮层抑制性脑电图信号的神经反馈、认知疗法和声音触觉刺激)可能会提供更有效的结果。
更新日期:2022-01-06
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