Acceptability of Cognitive Behavioral Therapy for Tinnitus: A Study With Veterans and Nonveterans.

Acceptability of Cognitive Behavioral Therapy for Tinnitus: A Study With Veterans and Nonveterans.
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认知行为疗法治疗耳鸣的可接受性:一项针对退伍军人和非退伍军人的研究。

DOI:
10.1044/2023_aja-23-00020
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发表时间:
2023
影响因子:
1.8
通讯作者:
Rodebaugh,ThomasL
Rodebaugh,ThomasL
中科院分区:
医学4区
文献类型:
--
作者:
Rodriguez,ChavezR;Piccirillo,JayF;Rodebaugh,ThomasL

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目的认知行为疗法(CBT)是治疗耳鸣的金标准,但未得到充分利用,耳鸣在退伍军人中尤其普遍。这项研究的目的有两个:以确定(a)CBT治疗耳鸣是否未被充分利用,因为参与者发现它比其他耳鸣行为治疗更难接受,以及(B)退伍军人和非退伍军人是否对耳鸣行为治疗有不同的评价。在过去的一周里至少报告了某种程度的令人烦恼的耳鸣。本研究的样本包括129名退伍军人和148名非退伍军人。参与者阅读CBT,耳鸣再训练疗法(TRT)和基于正念的压力减轻(MBSR)的描述。对于每一个治疗,向他们提出的随机顺序,他们提供了可信度,期望值和可接受性ratings.ResultsAmong 277名参与者,147(53.07%)报告性别是女性,216(77.98%)报告种族/民族是白色,和129(46.57%)是退伍军人的任何分支的美国武装部队。在所有治疗中,老兵的可信度、期望值和可接受性评分均显著低于非老兵评分。有不同的可信度,期望值和可接受性评级跨治疗,事后检验显示,TRT一贯被评为高于CBT或MBSR.ConclusionsDespite强有力的研究支持,CBT被评为不太可接受的比不同的,不太广泛的经验支持的治疗。在所有治疗中,退伍军人的可接受性评分均低于非退伍军人。
PurposeCognitive behavioral therapy (CBT) is a gold standard yet underutilized treatment for tinnitus, and tinnitus is especially highly prevalent among veterans. The aims of this study were twofold: to determine (a) if CBT for tinnitus is underutilized because participants find it less acceptable than other behavioral treatments for tinnitus and (b) if veterans and nonveterans rate behavioral treatments for tinnitus differently.MethodThis cross-sectional study was conducted online with a sample of 277 adults in the United States who self-reported at least some level of bothersome tinnitus in the past week. The sample for this study consisted of 129 veterans and 148 nonveterans. Participants read descriptions of CBT, tinnitus retraining therapy (TRT), and mindfulness-based stress reduction (MBSR). For each treatment, presented to them in random order, they provided credibility, expectancy, and acceptability ratings.ResultsAmong 277 participants, 147 (53.07%) reporting gender were women, 216 (77.98%) reporting race/ethnicity were White, and 129 (46.57%) were veterans of any branch of the U.S. Armed Forces. Veteran ratings of credibility, expectancy, and acceptability were significantly lower than nonveteran ratings across treatments. There were differences in credibility, expectancy, and acceptability ratings across treatments, and post hoc testing revealed that TRT was consistently rated higher than CBT or MBSR.ConclusionsDespite strong research support, CBT was rated as less acceptable than a different, less widely empirically supported treatment. Veterans' ratings of acceptability were lower than those of nonveterans across all treatments.
军队中的耳鸣、创伤性脑损伤和创伤后应激障碍
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