Publication date: Available online 29 October 2018
Source: American Journal of Otolaryngology
Author(s): Juan Li, Jianhua Jin, Songli Xi, Qian Zhu, Yuqin Chen, Min Huang, Chunyan He
Abstract
Background
Although cognitive behavioral therapy (CBT) has been known with a theoretical basis for tinnitus patients, there still were lack of clinical evidence.
Objective
To evaluate the clinical efficacy of cognitive behavioral therapy (CBT) for treatment of chronic subjective tinnitus.
Methods
One hundred patients with chronic subjective tinnitus patients were randomly divided into control (50 cases) and intervention (50 cases) groups, which received the masking therapy and sound treatment and masking therapy and sound treatment plus CBT. The treatment efficacy was evaluated.
Results
The total effective rate in intervention group was significantly higher than control group (P < 0.01). After treatment, compared with control group, in intervention group the psychotic somatization, interpersonal sensitivity, depression, anxiety, hostility, terror, and phobic anxiety scores in Symptom Checklist-90 and Tinnitus Handicap Inventory score were significantly decreased (P < 0.05), the serum cortisol level was significantly decreased (P < 0.05), and the serum interleukin-2 level was significantly increased (P < 0.05).
Conclusion
Based on the elimination the mood disorders and reduce the stress, CBT can significantly relieve the symptoms of chronic subjective tinnitus.
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