Document Type : Original Article
Authors
1
Audio-vestibularDepartment,Banha Educational Hospital, Benha, Egypt.
2
Audio-vestibular Unit of Otolyrngology Department, Faculty of Medicine for Girls, Cairo, Al-Azhar University, Egypt.
3
Neuropsychiatry Department, Faculty of Medicine for Girls, Cairo, Al-Azhar University, Egypt.
Abstract
Background: Severe tinnitus causes many, often psychological symptoms (e.g., tension, frustration, impaired concentration, disrupted sleep). Tinnitus sufferers may benefit from cognitive behavioural therapy (CBT), which has been shown useful.
Objective: to assess whether cognitive behavioural therapy is effective in management of patients suffering from tinnitus.
Methodology: It was Randomized controlled clinical trial (RCT) that was conducted in Audio-vestibular units and psychiatric departments at Al-Zahraa university Hospital and Banha Educational Hospital. The study consisted of 60 participants, were divided into 2 groups: Group (1): study group: 30 tinnitus cases receiving CBT over 8 weeks, only 22 patients had complete sessions and the other refused completing sessions because they were not interested. Their mean age was (46.23 ± 13.98). They were 10 males (45.5%) and 12 females were (40.0%). Group (2): waitlist control group: 30 control subjects , their mean age (48.43 ± 13.64). They were 12 male (54.5%) and 18 female 60.0%). Basic audiological evaluation by using Pure tone audiometry(PTA) , tympanometry, speech audiometry and Psychophysical parameters (Tinnitus pitch • tinnitus loudness), Questionnaires (Tinnitus handicap inventory (Arabic version)General health questionnaire (GHQ). Beck depression inventory. PCASEE Quality of life questionnaire ).
Results: Study group showed significant improvement of tinnitus related symptoms after intervention when compared to control group evidenced by improvement in GHQ, BDI, PCASEE scores when compared to control group. Otherwise, no significant difference was found regarding THI score between the two groups.
Conclusion: Cognitive behavioural therapy (CBT) could be effective in reducing the impact of tinnitus on quality of life evidenced by improvement in PCASEE Quality of life scores. Nevertheless, we are fully aware that the sample size is too small to draw a definitive conclusion out of our study.
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