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Langzeitveränderung bei multimodaler Tinnitustherapie

Eine 5‑Jahres-Katamnese

Long-term changes in multimodal intensive tinnitus therapy

A 5‑year follow-up. German version

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Zusammenfassung

Hintergrund

Vorgestellt werden 5-Jahres-katamnestische tinnitusspezifische sowie komorbide depressions- und stressbezogene Outcomes einer 7-tägigen, multimodalen Tinnitus-Intensivtherapie.

Methoden

In einem Längsschnittverlauf werden Tinnitusbelastung (Tinnitus-Fragebogen, TF), Stress (Perceived Stress Questionnaire, PSQ) und Intensität depressiver Symptome (Allgemeine Depressionsskala, ADS) zum 5-Jahres-Katamnesezeitpunkt für 94 Betroffene erfasst und zum Therapieerfolg (Punktwertdifferenz Tag 7 vs. Tag 1) in Beziehung gesetzt.

Ergebnisse

Alle Ergebnisvariablen zeigten zum Ende der 7‑tägigen Intensivbehandlung signifikante Verbesserungen. Diese Effekte blieben auch nach 5 Jahren signifikant.

Schlussfolgerung

Die Resultate der vorliegenden Studie unterstützen die Wirksamkeit der 7-Tage-multimodalen Intensivtherapie für Tinnitus. Relevante Verbesserungen bezüglich Tinnitusdistress und komorbider Variablen wie Stress und depressiver Symptome bestehen nach Therapieende fort und können nach 5 Jahren weiter nachgewiesen werden.

Abstract

Background

We present 5‑year follow-up data for tinnitus-specific and comorbid depressive symptoms as well as stress-related outcome variables of an intensive multimodal 7‑day tinnitus therapy.

Method

Tinnitus burden (Tinnitus Questionnaire), stress (Perceived Stress Questionnaire), and depressive symptomatology (General Depression Scale) were measured at the 5‑year follow-up after a multimodal intensive 7‑day intervention. In all, 94 patients participated in the study.

Results

All outcome variables showed significant improvement at the end of the 7‑day intensive treatment. These effects remained significant after 5 years.

Conclusion

The results of the present study support the effectiveness of the 7‑day multimodal intensive therapy for tinnitus. Posttreatment improvements were related to both tinnitus burden as well as stress and depressive symptoms and were maintained at the 5‑year follow-up.

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Authors and Affiliations

  1. Tinnituszentrum, Charité – Universitätsmedizin Berlin, Campus Charité Mitte, Charitéplatz 1, 10117, Berlin, Deutschland

    P. Brüggemann, J. Otto, N. Lorenz, S. Schorsch, B. Böcking &  B. Mazurek

  2. HNO-Klinik Forschungslabor, Charité – Universitätsmedizin Berlin, Campus Charité Mitte, Berlin, Deutschland

    A. J. Szczepek

Authors
  1. P. Brüggemann
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  2. J. Otto
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  3. N. Lorenz
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  4. S. Schorsch
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  5. A. J. Szczepek
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  6. B. Böcking
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  7. B. Mazurek
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Corresponding author

Correspondence to B. Mazurek.

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Interessenkonflikt

P. Brüggemann, J. Otto, N. Lorenz, S. Schorsch, A. J. Szczepek, B. Böcking und B. Mazurek geben an, dass kein Interessenkonflikt besteht.

Die Patienten gaben schriftlich ihr Einverständnis und wurden über Ziele und Inhalte der von der Ethikkommission genehmigten Erhebung aufgeklärt.

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Brüggemann, P., Otto, J., Lorenz, N. et al. Langzeitveränderung bei multimodaler Tinnitustherapie. HNO 66, 205–211 (2018). https://doi.org/10.1007/s00106-017-0462-5

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