Tags

Type your tag names separated by a space and hit enter

Small-group counseling in a modified tinnitus retraining therapy for chronic tinnitus.
Clin Exp Otorhinolaryngol. 2013 Dec; 6(4):214-8.CE

Abstract

OBJECTIVES

The authors have treated chronic tinnitus patients using a combination of a simplified tinnitus retraining therapy (TRT) and medications, which we called modified TRT. In this clinical setting, we have attempted small-group counseling to find a time-effective equivalent of individual counseling. The aim of the present study was to evaluate the effectiveness of small-group counseling by comparing the treatment outcomes between individual and small-group counseling.

METHODS

The patients who had distressing chronic tinnitus with normal hearing or mild hearing loss were included. The subjects were placed into the small-group (group 1:4) or the individual (group 1:1) counseling group, and underwent a modified TRT composed of a single session of directive counseling and ambient sound stimulation. In addition, alprazolam (0.25 mg) and ginkgo biloba extract (80 mg) were administered orally to the subjects for 3 months. The 3- and 6- month outcomes were assessed using the follow-up rates and tinnitus severity scores: awareness, tinnitus handicap inventory (THI), loudness, annoyance, and effect on life. The treatment responses were classified as improvement, no changes, and worsening.

RESULTS

Of the total 149 patients (77 in group 1:1; 72 in group 1:4), 104 patients completed the protocol at 3 months, and 55 patients at 6 months. The follow-up rates were similar in both groups. Over the period of 6 months, all scores declined significantly except the loudness score at 3 months in both groups. Treatment responses showed no between-group differences. The success rate based on THI was 70% in group 1:1, and 64% in group 1:4 at 6 months.

CONCLUSION

The small-group counseling of our modified TRT was comparable to the individual counseling for tinnitus relief. We suggest that this protocol can be implemented effectively in any crowded otolaryngology clinics.

Authors+Show Affiliations

Department of Otorhinolaryngology-Head and Neck Surgery, The Catholic University of Korea College of Medicine, Seoul, Korea.Department of Otorhinolaryngology-Head and Neck Surgery, The Catholic University of Korea College of Medicine, Seoul, Korea.Department of Otorhinolaryngology-Head and Neck Surgery, The Catholic University of Korea College of Medicine, Seoul, Korea.Department of Otorhinolaryngology-Head and Neck Surgery, The Catholic University of Korea College of Medicine, Seoul, Korea.Department of Otorhinolaryngology-Head and Neck Surgery, The Catholic University of Korea College of Medicine, Seoul, Korea.Department of Otorhinolaryngology-Head and Neck Surgery, The Catholic University of Korea College of Medicine, Seoul, Korea.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

24353860

Citation

Park, Shi-Nae, et al. "Small-group Counseling in a Modified Tinnitus Retraining Therapy for Chronic Tinnitus." Clinical and Experimental Otorhinolaryngology, vol. 6, no. 4, 2013, pp. 214-8.
Park SN, Bae SC, Kim DK, et al. Small-group counseling in a modified tinnitus retraining therapy for chronic tinnitus. Clin Exp Otorhinolaryngol. 2013;6(4):214-8.
Park, S. N., Bae, S. C., Kim, D. K., Park, Y. S., Yeo, S. W., & Park, S. Y. (2013). Small-group counseling in a modified tinnitus retraining therapy for chronic tinnitus. Clinical and Experimental Otorhinolaryngology, 6(4), 214-8. https://doi.org/10.3342/ceo.2013.6.4.214
Park SN, et al. Small-group Counseling in a Modified Tinnitus Retraining Therapy for Chronic Tinnitus. Clin Exp Otorhinolaryngol. 2013;6(4):214-8. PubMed PMID: 24353860.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Small-group counseling in a modified tinnitus retraining therapy for chronic tinnitus. AU - Park,Shi-Nae, AU - Bae,Seong-Cheon, AU - Kim,Dong-Kee, AU - Park,Yong-Soo, AU - Yeo,Sang-Won, AU - Park,So-Young, Y1 - 2013/11/29/ PY - 2013/03/29/received PY - 2013/04/14/revised PY - 2013/04/22/accepted PY - 2013/12/20/entrez PY - 2013/12/20/pubmed PY - 2013/12/20/medline KW - Benzodiazepines KW - Directive counseling KW - Tinnitus KW - Tinnitus retraining therapy SP - 214 EP - 8 JF - Clinical and experimental otorhinolaryngology JO - Clin Exp Otorhinolaryngol VL - 6 IS - 4 N2 - OBJECTIVES: The authors have treated chronic tinnitus patients using a combination of a simplified tinnitus retraining therapy (TRT) and medications, which we called modified TRT. In this clinical setting, we have attempted small-group counseling to find a time-effective equivalent of individual counseling. The aim of the present study was to evaluate the effectiveness of small-group counseling by comparing the treatment outcomes between individual and small-group counseling. METHODS: The patients who had distressing chronic tinnitus with normal hearing or mild hearing loss were included. The subjects were placed into the small-group (group 1:4) or the individual (group 1:1) counseling group, and underwent a modified TRT composed of a single session of directive counseling and ambient sound stimulation. In addition, alprazolam (0.25 mg) and ginkgo biloba extract (80 mg) were administered orally to the subjects for 3 months. The 3- and 6- month outcomes were assessed using the follow-up rates and tinnitus severity scores: awareness, tinnitus handicap inventory (THI), loudness, annoyance, and effect on life. The treatment responses were classified as improvement, no changes, and worsening. RESULTS: Of the total 149 patients (77 in group 1:1; 72 in group 1:4), 104 patients completed the protocol at 3 months, and 55 patients at 6 months. The follow-up rates were similar in both groups. Over the period of 6 months, all scores declined significantly except the loudness score at 3 months in both groups. Treatment responses showed no between-group differences. The success rate based on THI was 70% in group 1:1, and 64% in group 1:4 at 6 months. CONCLUSION: The small-group counseling of our modified TRT was comparable to the individual counseling for tinnitus relief. We suggest that this protocol can be implemented effectively in any crowded otolaryngology clinics. SN - 1976-8710 UR - https://www.unboundmedicine.com/medline/citation/24353860/Small_group_counseling_in_a_modified_tinnitus_retraining_therapy_for_chronic_tinnitus_ L2 - http://e-ceo.org/DOIx.php?id=10.3342/ceo.2013.6.4.214 DB - PRIME DP - Unbound Medicine ER -
Try the Free App:
Prime PubMed app for iOS iPhone iPad
Prime PubMed app for Android
Prime PubMed is provided
free to individuals by:
Unbound Medicine.