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首页> 外文期刊>Psychosomatic Medicine: Journal of the American Psychosomatic Society >Psychophysiologic treatment of chronic tinnitus: a randomized clinical trial.
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Psychophysiologic treatment of chronic tinnitus: a randomized clinical trial.

机译：慢性耳鸣的心理生理治疗：一项随机临床试验。

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BACKGROUND: Tinnitus seems to be associated with psychophysiological over-activation (e.g., of head and shoulder muscles). Therefore we aimed to develop and evaluate a new intervention program including a psychophysiological approach. METHODS: Forty-three tinnitus sufferers were randomized to 2 groups, one receiving a psychophysiologically oriented intervention lasting 7 intervention sessions (plus 2 assessment sessions), whereas the other group waited for a comparable time period. Afterward, patients on the waiting list also received the intervention. Physiological variables were muscle activity of head and shoulders and electrodermal activity. Psychological assessments took place at pretreatment, post-treatment, and 6 months later. Follow-up data were available from 95% of participants. Major outcome variables were self-rating scales (e.g., tinnitus annoyance assessed by the Tinnitus Questionnaire), and diary data (self-control, daily time of perceiving the tinnitus). RESULTS: On most tinnitus specific variables, patients in the treatment group improved significantly more than patients on the waiting list. Main effect sizes for tinnitus-specific variables were up to 0.89. Muscle reactivity of head muscles at the beginning predicted significant treatment effects. CONCLUSION: Compared with meta-analytical reviews of psychological interventions for tinnitus sufferers, the presented treatment is brief and in the upper range of effectiveness.
机译：背景：耳鸣似乎与心理生理过度激活有关（例如头和肩部肌肉）。因此，我们旨在开发和评估一种新的干预方案，其中包括一种心理生理学方法。方法：43名耳鸣患者被随机分为2组，一组接受心理生理学干预，持续7次干预（另加2次评估），而另一组则等待相当的时间。之后，等待名单上的患者也接受了干预。生理变量是头肩的肌肉活动和皮肤电活动。在治疗前，治疗后和六个月后进行心理评估。 95％的参与者可获得随访数据。主要结局变量是自我评估量表（例如，由耳鸣问卷评估的耳鸣烦恼）和日记数据（自我控制，每天感知耳鸣的时间）。结果：在大多数耳鸣的特定变量上，治疗组的患者的改善显着大于等待名单上的患者。耳鸣特定变量的主要影响大小高达0.89。刚开始时头部肌肉的肌肉反应性预示着显着的治疗效果。结论：与耳鸣患者心理干预的荟萃分析相比，本文提出的治疗方法简短且效果较高。

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