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Effect of psychological intervention on idiopathic tinnitus |
XU Jing1,2 YAN Dan1 PAN Gangqiang2 SHEN Li2 YU Lu2 |
1.Medical College, Wuhan University of Science and Technology, Hubei Province, Wuhan 430065, China;
2.Department of Otolaryngology, Huangshi Love & Health Hospital, Hubei Province, Huangshi 435000, China |
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Abstract Objective To investigate the role of psychological intervention in treatment of idiopathic tinnitus and provide the theoretical basis for clinical application. Methods From December 2015 to December 2016, 66 patients with idiopathic tinnitus in Huangshi Love & Health Hospital were selected and divided into control group and observation group by random number table, with 33 cases in each group. Both groups were treated by routine treatment (drug therapy, intratympanic injection, hyperbaric oxygen). Additionally, the observation group was combined with psychological intervention (acclimatization, cognitive, masking, implied). Hamilton anxiety scale (HAMA) and Hamilton depression scale (HAMD) examinations were taken before and after treatment. The effective rates of two groups were compared at the end of 2-week treatment and 2 months after treatment,respectively. Results In observation group, the HAMA score and HAMD score after treatment were lower than those before treatment (P < 0.05). But there was no significant difference in control group (P > 0.05). Before treatment, there was no difference in HAMA score and HAMD score between two groups (P > 0.05). After treatment, the HAMA score and HAMD score in the observation group were significantly lower than those in the control group (P < 0.05). The effective rate of the observation group was significantly higher than that of the control group both at the end of 2-week treatment and 2 months after treatment (P < 0.05). Conclusion Psychological intervention in the conventional treatment of idiopathic tinnitus can reduce anxiety and depression and improve therapeutic effect.
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