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The Psychological Management of Tinnitus : Comparison of a Combined Cognitive Educational Program, Education Alone and a Waiting-List Control

HENRY JL; WILSON PH
INT TINNITUS J , 1996, vol. 2, p. 9-20
Doc n°: 169140
Localisation : Documentation IRR
Descripteurs : XA - DIVERS

Sixty subjects with chronic tinnitus were randomly allocated to one of three
experimental conditions: (1) cognitive coping skills training (attention
diversion, imagery training and thought management skills) combined with
education. (2) education-only, or (3) waiting-list control. The two treatment
groups improved significantly more than the waiting-list control on measures of
frequency of use of coping strategies, benefits derived from the use of coping
strategies, irrational beliefs and knowledge about tinnitus. Subjects who
received the combined cognitive/education intervention demonstrated significantly
greater reductions in distress and handicaps associated with tinnitus, and
engagement in dysfunctional cognitions, than the subjects who received education
alone. No significant effects were obtained on measures of depression, locus of
control, or on daily ratings of subjective loudness, noticeability or
bothersomeness of the tinnitus. At the 12-month follow-up, the differential
treatment effects had dissipated. Although the treatment resulted in
statistically significant effects, the size of the clinical effects is rather
modest. Implications for the further development of treatment techniques are discussed.
- Bourdonnement d'oreilles
- Sifflement d'oreilles

Langue : ANGLAIS

Tiré à part : OUI

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