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Randomized Controlled Trial
. 2006 Aug;54(8):599-604.
doi: 10.1007/s00106-005-1350-y.

[Counselling versus a self-help manual for tinnitus outpatients: a comparison of effectiveness]

[Article in German]
T A Konzag  1 , D Rübler, M Bloching, U Bandemer-Greulich, E Fikentscher, J Frommer
Affiliations
Randomized Controlled Trial

[Counselling versus a self-help manual for tinnitus outpatients: a comparison of effectiveness]

[Article in German]
T A Konzag et al. HNO. 2006 Aug.

Abstract

Background: Counselling is a basic psychological intervention for chronic tinnitus the effectiveness of which has not yet been evaluated.

Scientific question: The therapeutic effect of counselling was compared to that of a self-help manual. Outcome was analysed for tinnitus disability, tendency to become chronic, and accompanying psychiatric disorders.

Methods: A total of 75 tinnitus outpatients were randomly assigned to group counselling (n=35) and self-help (n=40). Tinnitus disability, general psychological disturbances, depression, anxiety, coping and illness beliefs were measured using questionnaires (TQ, SCL-90-R, BDI, BAI, FKV, KKG) administered before and after treatment and at a 6-month follow-up. Psychiatric disorders (DSM-IV) were assessed using the CIDI.

Results: Counselling and the self-help manual had a significant effect on tinnitus disability, showing most profit for participants with a high level of tinnitus distress. The significant reduction in tinnitus distress was maintained at the 6-month follow-up. There was, however, no difference between the two treatment-groups. Effect-sizes for patients with DSM-IV-diagnoses were smaller.

Conclusion: For tinnitus outpatients without psychiatric comorbidity, self-help manuals can be an effective first treatment.

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References

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