Internet Versus Group Cognitive-Behavioral Treatment of Distress Associated With Tinnitus: A Randomized Controlled Trial
Internet Versus Group Cognitive-Behavioral Treatment of Distress Associated With Tinnitus: A Randomized Controlled Trial
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DOI：
10.1016/j.beth.2007.10.003
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发表时间：
2008-12-01
期刊：
影响因子：
3.7
通讯作者：
Andersson, Gerhard
中科院分区：
文献类型：
--
作者：
Kaldo, Viktor;Levin, Susanna;Andersson, Gerhard
通过认知行为疗法（CBT）可以减轻耳鸣困扰，治疗可以以不同的方式进行。最新的形式是基于互联网的自助。本研究的目的是在一项随机对照试验中比较这种治疗（n= 26）与基于标准组的CBT（n=25）。在治疗后立即和治疗后1年对测量耳鸣困扰的自我报告清单的结果进行评估。结果显示，两组都有改善，而且两者之间几乎没有差异。互联网治疗的效应量为d=0.73（95% CI=0.16-1.30），组治疗的效应量为d=0.64（95% CI=0.07-1.21）。互联网治疗消耗更少的治疗师的时间，是1.7倍的成本效益的团体治疗。在治疗前，患者将互联网治疗评为比团体治疗更不可信。总之，互联网治疗耳鸣困扰值得进一步调查，取得的成果是有希望的。
Tinnitus distress can be reduced by means of cognitive-behavior therapy (CBT), and the treatment can be delivered in different ways. The most recent format is Internet-based self-help. The aim of this study was to compare this treatment (n= 26) with standard group-based CBT (n=25) in a randomized controlled trial. Outcomes on self-report inventories measuring tinnitus distress were evaluated immediately after and 1 year after treatment. Results showed that both groups had improved, and there were few differences between them. The effect size for the Internet treatment was d=0.73 (95% CI=0.16-1.30) and for the group treatment was d=0.64 (95% CI=0.07-1.21). The Internet treatment consumed less therapist time and was 1.7 times as cost-effective as the group treatment. At pretreatment patients rated the Internet treatment as less credible than the group treatment. In conclusion, Internet treatment for tinnitus distress merits further investigation, as the outcomes achieved are promising.