Anxiety and depression in tinnitus patients: 5-year follow-up assessment after completion of habituation therapy.
Anxiety and depression in tinnitus patients: 5-year follow-up assessment after completion of habituation therapy.
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DOI：
10.1155/2012/375460
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发表时间：
2012-01-01
影响因子：
--
通讯作者：
Wie, Ona Bo
中科院分区：
文献类型：
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作者：
Falkenberg, Eva-Signe;Wie, Ona Bo
基于神经生理学模型的治疗方案对耳鸣患者的焦虑和抑郁有积极的影响。本文的目的是评估耳鸣习惯化治疗的长期效果。68人接受了综合治疗方案。使用医院焦虑和抑郁量表评估干预前、干预后和干预后5年的焦虑和抑郁程度。习惯化治疗后取得的积极和显著的变化（前= 1.10，后= 0.92焦虑和前= 0.77，后= 0.62抑郁）保持治疗结束后5年（0.87焦虑和0.52抑郁）。回归分析显示，治疗讲座的个人评价，自我报告的健康状况，个人经验的听觉过敏，听力损失可以解释44.3%的焦虑和30.5%的抑郁治疗后的变化。五年后，对治疗讲座的个人评价和自我报告的健康状况解释了22.2%的焦虑变化。这些因素和听觉过敏的个人经历可以进一步解释抑郁症34.9%的变异。基于神经生理学的管理治疗的效果在治疗结束后维持了五年，表明患者继续改善过程，而不依赖于专业人员。
Treatment programs based on a neurophysiological model have shown a positive effect on anxiety and depression in tinnitus patients. The aim of this paper was to assess the long-term effect of tinnitus habituation therapy. Sixty-eight individuals were treated with a comprehensive therapy program. The degree of anxiety and depression was assessed before, after, and five years after intervention using the Hospital Anxiety and Depression Scale. The positive and significant changes achieved after habituation therapy (pre = 1.10, post = 0.92 for anxiety and pre = 0.77, post = 0.62 for depression) were maintained five years after treatment ended (0.87 for anxiety and 0.52 for depression). A regression analysis revealed that individual evaluation of the treatment lectures, self-reported health condition, individual experiences of hyperacusis, and hearing loss could explain 44.3% of the variation in anxiety and 30.5% of the variation in depression posttreatment. Five years after, individual evaluation of the treatment lectures and self-reported health condition explained 22.2% of the variation in anxiety. These factors and individual experiences of hyperacusis could further explain 34.9% of the variation in depression. The effect of a neurophysiologic-based management treatment was maintained five years after treatment ended, indicating that the patients continued the improvement process without becoming dependent on professionals.