Advertisement

Tinnitus from the Perspective of the Psychologist

  • Karoline V. GreimelEmail author
  • Birgit Kröner-Herwig
Chapter

Keypoints

  1. 1.

    Tinnitus is always both a medical and a psycho­logical phenomenon.

     
  2. 2.

    A medical condition might be responsible for the emergence of tinnitus, but psychological factors play an important role in individual processing of inner noises.

     
  3. 3.

    Characteristics of tinnitus-like loudness do not determine the tinnitus-related distress.

     
  4. 4.

    The primary goal of psychological interventions is to promote habituation and to improve the patient’s ability to reduce the impact of tinnitus on the quality of life.

     
  5. 5.
    Psychological approaches offer:
    1. (a)

      Diagnostic assessment

       
    2. (b)

      Management of tinnitus

       
     
  6. 6.

    Psychological interventions should be an integral part of tinnitus management and not be made dependent on existence of a mental disorder.

     
  7. 7.

    Early referrals to a psychologist are desirable to conduct a thorough assessment of tinnitus-related complaints and to undertake a comprehensive functional analysis of the problem.

     

Keywords

Tinnitus Psychological assessment Psychoeducation Psychological treatment Multiprofessional team 

Abbreviations

CBT

Cognitive behavioral treatment

CNS

Central nervous system

References

  1. 1.
    Coles, RRA and Baskill, JL (1995) Absolute loudness of tinnitus: Tinnitus clinic data In: Proceedings of the Fifth International Tinnitus Seminar 135–141. American Tinnitus Association: Portland, OregonGoogle Scholar
  2. 2.
    Traserra, J, Doménech, J, Fusté, J, Carulla, M and Traserra-Coderch, J (1995) Subjective and objective intensity of tinnitus In: Proceedings of the Fifth International Tinnitus Seminar 193–194. American Tinnitus Association: Portland, OregonGoogle Scholar
  3. 3.
    Sweetow, RW (1986) Cognitive aspects of tinnitus-patient management. Ear Hear 7, 390–396PubMedCrossRefGoogle Scholar
  4. 4.
    Hallam, RS, Jakes, SC and Hinchcliffe, R (1988) Cognitive variables in tinnitus annoyance. Brit J Cin Psychol 27, 213–222CrossRefGoogle Scholar
  5. 5.
    Tyler, RS and Baker, LJ (1983) Difficulties experienced by tinnitus sufferers. JSHD 48, 150–154Google Scholar
  6. 6.
    Andersson, G, Vretblad, P, Larsen, H and Lyttkens, L (2001) Longitudinal follow-up of tinnitus complaints. Arch Otolaryngol Head Neck Surg 127, 175–179PubMedGoogle Scholar
  7. 7.
    Wilson, PH and Henry, JL (2000) Psychological management of Tinnitus. In: Tinnitus Handbook 263-279 Ed RS Tyler, Singular: San DiegoGoogle Scholar
  8. 8.
    Hallam, RS (1984) Psychological aspects of tinnitus. In: Contributions to Medical Psychology 31–53 Ed S Rachmann. Pergamon: OxfordGoogle Scholar
  9. 9.
    Kroener-Herwig, B (1997) Die Psychologische Behandlung des chronischen Tinnitus. Beltz: WeinheimGoogle Scholar
  10. 10.
    Hallam, RS (1987) Psychological Aroaches to the evaluation and management oftinnitus distress. In: Tinnitus 156–175 Ed J Hazell. Churchill Livingstone: EdinburghGoogle Scholar
  11. 11.
    McFadden, D (1982) Tinnitus: Facts, Theories and Treatments. National Academy: Washington, DCGoogle Scholar
  12. 12.
    Kilgard, MP and Merzenich, MM (1998) Plasticity of ­temporal information processing in the primary auditory cortex. Nat Neurosci 1, 727–731PubMedCrossRefGoogle Scholar
  13. 13.
    Rauschecker, JP (1999) Auditory cortical plasticity: a comparison with other sensory systems. Trends Neurosci 22, 74–80PubMedCrossRefGoogle Scholar
  14. 14.
    Møller, AR (2003) Pathophysiology of tinnitus Otolaryngol. Clin North Am 36, 249–266PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  1. 1.Salzburg University HospitalSalzburgAustria

Personalised recommendations