Abstract
SummaryAlthough group therapy for tinnitus is a well documented field in the international literature, as far as we know it has never been held in Brazil. This study represents a successful experience of a group therapy for tinnitus based on the tinnitus retraining therapy associated with behavioral cognitive techniques. The goal of the present study is to assess patients with tinnitus before and after the group therapy based on the tinnitus retraining therapy and the behavioral cognitive therapy.Materials and MethodsProspective cohort study: 27 subjects signed in for the study, and answered the Tinnitus Handicap Inventory (THI) and the Hospital Depression and Anxiety Scale (HAD), before and after the treatment. We held six structured sessions according to the principles of tinnitus retraining therapy associated with behavioral cognitive techniques.Results27 patients started and 19 finished the treatment (8 were taken off). 47.4% men, mean age of 47.6. THI results before and after treatment were respectively: functional: 29 and 14, emotional 24 and 10 and catastrophic 12 and 5 and the HAD scale: anxiety 2 and 9 and depression 10 and 6.ConclusionThe treatment described is effective in improving tinnitus symptoms.
Highlights
Tinnitus is the sound perceived by the person without a sound source in the environment
Despite the small number of patients, the results show an important reduction in the mean scores of tinnitus-related aspects - Tinnitus Handicap Inventory (THI) - and the psychological ones - Hospital Depression and Anxiety Scale (HAD) scale - which confirms the efficacy of associating both techniques (TRT and Behavioral Cognitive Therapy (BCT)). (Graphs 1 and 2)
The present study suggests that the group treatment for tinnitus, based on Tinnitus Retraining Therapy (TRT) and BCT is a good option for tinnitus treatment in public hospitals
Summary
Tinnitus is the sound perceived by the person without a sound source in the environment. Jastreboff was the first to describe a neurophysiological model to explain tinnitus, which involves auditory and non-auditory pathways[3]. In this model we have the participation of the limbic system and the autonomous nervous system as determinants of the disorder called tinnitus. According to the neurophysiological model, the links between the auditory and the limbic systems are responsible for the emotional reaction triggered by the tinnitus, affecting the autonomous nervous system, causing anxiety, depression and sleep disorders[5]
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