Psychological aspects of tinnitus and the application of cognitive-behavioral therapy

Psychological aspects of tinnitus and the application of cognitive-behavioral therapy
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DOI:
10.1016/s0272-7358(01)00124-6
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发表时间:
2002-09-01
影响因子:
12.8
通讯作者:
Andersson, G
Andersson, G
中科院分区:
心理学1区
文献类型:
--
作者:
Andersson, G

文献摘要

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本文概述了耳鸣(耳鸣或耳鸣),其心理影响,以及认知行为疗法(CBT)在治疗中的应用。一些研究已经证实了心理因素之间的关联,如焦虑和抑郁,和严重的耳鸣和初步报告表明,耳鸣患者的比例患有精神疾病。耳鸣CBT中使用的评估策略包括结构化访谈,每日日记评级和有效的自我报告问卷。本文中描述的治疗方法包括应用放松,图像和分心技术,有关环境声音的建议,睡眠管理,与耳鸣相关的思想和信念的认知重建,以及复发预防。有关CBT方法治疗耳鸣的文献进行了审查,并得出结论,CBT显示作为耳鸣相关的痛苦的治疗承诺。最后讨论了今后的研究方向。(C)2002爱思唯尔科技有限公司版权所有。
This article presents an overview of tinnitus (ringing or buzzing in the ears), its psychological effects, and the application of cognitive-behavioral therapy (CBT) for its treatment. Several studies have confirmed an association between psychological factors, such as anxiety and depression, and severe tinnitus and preliminary reports suggest that a proportion of tinnitus patients suffer from mental illness. Assessment strategies used in CBT for tinnitus include structured interviews, daily diary ratings, and validated self-report questionnaires. The treatment approach described in this article includes applied relaxation, imagery and distraction techniques, advice regarding environmental sounds, management of sleep, cognitive restructuring of thoughts and beliefs associated with tinnitus, and relapse prevention. The literature pertinent to CBT approaches to treating tinnitus is reviewed, and it is concluded that CBT shows promise as a treatment of tinnitus-related distress. Future research directions are discussed. (C) 2002 Elsevier Science Ltd. All rights reserved.