Internet-based cognitive-behavioral self-help treatment of tinnitus: clinical effectiveness and predictors of outcome.
Internet-based cognitive-behavioral self-help treatment of tinnitus: clinical effectiveness and predictors of outcome.
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DOI：
10.1044/1059-0889(2004/023
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发表时间：
2004-12-01
影响因子：
1.8
通讯作者：
Andersson, Gerhard
中科院分区：
文献类型：
--
作者：
Kaldo-Sandstrom, Viktor;Larsen, Hans Christian;Andersson, Gerhard
本研究的目的是在一项非随机临床有效性研究中评估基于互联网的耳鸣认知行为治疗，该研究采用了连续患者进行心理治疗的样本（N = 77）。结果是在一个组的水平上计算的意向治疗的基础上，并显示显着减少痛苦的耳鸣反应问卷（P。Wilson，J.亨利，M. Bowen，& G. Haralambous，1991），医院焦虑和抑郁量表（A。S.齐格蒙德河P. Snaith，1983），以及Insufficient Severity Index（C. H. Bastien，A. Vallieres，& C. M. Morin，2001）。随访3个月，患者仍有改善。辍学率为30%。治疗依从性，外部转诊治疗，以及耳鸣早期治疗的数量与积极的结果相关。治疗师和患者之间关于治疗问题的电子邮件数量与更差的结果相关。耳鸣的治疗方法有哪些？耳鸣的治疗方法有哪些？未来的研究应该集中在治疗技术的进一步控制评估和评估的成本效益相比，其他形式的耳鸣治疗。
The aim of this investigation was to evaluate Internet-based cognitive-behavioral therapy for tinnitus in a nonrandomized clinical effectiveness study with a sample of consecutive patients referred for psychological treatment (N = 77). Results were calculated at a group level on an intention-to-treat basis and showed significant reductions of distress on the Tinnitus Reaction Questionnaire (P. H. Wilson, J. Henry, M. Bowen, & G. Haralambous, 1991), the Hospital Anxiety and Depression Scale (A. S. Zigmond & R. P. Snaith, 1983), and on the Insomnia Severity Index (C. H. Bastien, A. Vallieres, & C. M. Morin, 2001). A 3-month follow-up showed that patients remained improved. The dropout rate was 30%. Treatment compliance, external referral to the treatment, and number of earlier treatments for tinnitus were associated with positive outcome. The number of e-mails between therapist and patient concerning treatment problems was associated with worse outcome. Internet-based cognitive-behavioral therapy holds some promise as a treatment modality for tinnitus. Future research should focus on further controlled evaluations of the treatment technique and evaluate the cost-effectiveness compared to other forms of tinnitus treatments.