Structured tinnitus therapy

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The Structured Tinnitus therapy is used to perform a cognitive behavioral therapy for tinnitus . A structured therapy is based on a documented therapy program and / or a documented manual. The doctor or psychologist is given the treatment path and treatment procedures. Together with him, the patient learns to influence his perception of the noise in the ear.

A typical structured therapy program comprises five to 15 therapy modules e.g. B. from the following three therapy pillars:

  • Attention control: Attention medical procedures contribute to the desired insensitivity of the brain to tinnitus . This can take a back seat as a result of the treatment.
  • Tinnitus stress reduction : In cases of chronic stress , stress reduction training is learned.
  • Psychosomatic tinnitus therapy: In the case of chronic sleep disorders or chronic headaches, targeted psychosomatic treatment modules are used.

Examples of structured programs are the Delb programs from the Saarland University , the Tinnitus Care program from the University of Tübingen and the Kroener-Herwig program from the University of Göttingen . The programs mentioned are basically similar.

effectiveness

The effectiveness of cognitive behavioral therapy has been scientifically proven within the framework of structured programs ( evidence-based medicine , EbM level IIa). In contrast to this, the effect of the other therapy modules has only been documented by studies with less scientific informative value.

literature

  • Eberhard Biesinger, Heinrich Iro (Ed.): Tinnitus. (= ENT practice today. Volume 25). Springer Medizin Verlag, Heidelberg 2005, ISBN 3-540-22720-2 .

Individual evidence

  1. ^ W. Delb, D'Amelio R, Archonti C, Schonecke O: Tinnitus. A manual for tinnitus retraining therapy. Hogrefe, Göttingen 2002, ISBN 3-8017-1379-2 .
  2. ↑ W. Delb, D'Amelio R, Boisten CJ, Plinkert PK: Combined application of tinnitus retraining therapy (TRT) and group behavior therapy. In: ENT. 50 (11), Nov 2002, pp. 997-1004. PMID 12420185
  3. ↑ Eberhard Biesinger u. a. (Ed.): Tinnitus . Springer, Heidelberg 2005, pp. 105ff.
  4. ↑ Eberhard Biesinger u. a. (Ed.): Tinnitus . Springer, Heidelberg 2005, pp. 125ff.
  5. ↑ C. Zachriat, B. Kröner-Herwig: Treating chronic tinnitus: comparison of cognitive-behavioral and habituation-based treatments. In: Cogn Behav Ther. 33 (4), 2004, pp. 187-198. PMID 15625793
  6. ^ B. Kröner-Herwig, A. Frenzel, G. Fritsche, G. Schilkowsky, G. Esser: The management of chronic tinnitus: comparison of an outpatient cognitive-behavioral group training to minimal-contact interventions. In: J Psychosom Res. 54 (4), Apr 2003, pp. 381-389. PMID 12670617
  7. ^ B. Kröner-Herwig, G. Hebing, U. van Rijn-Kalkmann, A. Frenzel, G. Schilkowsky, G. Esser: The management of chronic tinnitus - comparison of a cognitive-behavioral group training with yoga. In: J Psychosom Res. 39 (2), Feb 1995, pp. 153-165. PMID 7595873
  8. ↑ K. Eysel-Gosepath, F. Gerhards, KH Schicketanz, K. Teichmann, M. Benthien: Attention Control in Tinnitus Therapy. In: ENT. 52 (5), May 2004, pp. 431-439. PMID 15138649
  9. Jump up ↑ PP Caffier, H. Haupt, H. Scherer, B. Mazurek: Outcomes of long-term outpatient tinnitus-coping therapy: psychometric changes and value of tinnitus-control instruments. In: Ear Hear. 27 (6), Dec 2006, pp. 619-627. PMID 17086074
  10. ^ B. Mazurek, C. Seydel, H. Haupt, A. Szczepek, BF Klapp, T. Schrom: Integrated Tinnitus Intensive Treatment : Reduction of the tinnitus-related burden during a 1-year follow-up. In: Healthcare. 71 (1), Jan 2009, pp. 35-40. PMID 19173149
  11. ↑ W. Hiller, C. Haerkötter: Does sound stimulation have additive effects on cognitive-behavioral treatment of chronic tinnitus? In: Behav Res Ther. 43 (5), May 2005, pp. 595-612. PMID 15865915
  12. ↑ B. Kröner-Herwig, E. Biesinger, F. Gerhards, G. Goebel, Verena Greimel K, Hiller W: Retraining therapy for chronic tinnitus. A critical analysis of its status. In: Scand Audiol. 29 (2), 2000, pp. 67-78. PMID 10888343