PMID: 6399462Dec 1, 1984Paper

Comprehensive behavioral management of complex tinnitus: a case illustration

Biofeedback and Self-regulation
P N DuckroL Scheiter

Abstract

This paper describes a comprehensive program for behavioral management of complex tinnitus. The clinical characteristics and typical treatment of tinnitus are reviewed. Psychosocial sequelae are discussed in terms of their exacerbation of the symptom and their potential as foci of treatment. The management problems of tinnitus are considered analogous to those of chronic pain. A case illustration is provided with a description of the treatment process. The comprehensive behavioral program discussed in the present paper included biofeedback therapy, pain management training, social skills training, assertion training, in vivo exposure to being alone, cognitive treatment of depression, and marital therapy. Outcomes were monitored multidimensionally. Self-report of tinnitus severity decreased after the 6th treatment day and stabilized at a "mild" rating after the 9th day. Skin temperature readings at baseline increased and stabilized after the 8th day, and the patient was able to reliably increase skin temperature on request. Scores on the Beck Depression Inventory and the Willoughby Personality Schedule, and a self-rating of Fear of Being Alone dropped markedly by the end of treatment. Follow-up data at 3 months indicated mainten...Continue Reading

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Citations

Jan 15, 2008·Journal of Behavioral Medicine·Kristin HeineckeWinfried Rief
Jan 10, 2006·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Robert L Folmer, Jennifer R Carroll
Oct 26, 2007·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Mehdi BakhshaeeMohammadreza Tale
Aug 26, 2009·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Charles E ArgoffFrank Rice
Jun 7, 2003·The Laryngoscope·Robert L Folmer, Susan E Griest
Dec 1, 1986·Journal of Behavior Therapy and Experimental Psychiatry·C A PollardH J Obermeier
Oct 16, 2015·Applied Psychophysiology and Biofeedback·Rafał MilnerHenryk Skarżyński
Nov 1, 1989·The Annals of Otology, Rhinology, and Laryngology·M D SullivanW J Katon
Dec 1, 1995·Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine·G AnderssonP Lindberg
Sep 18, 2002·BMC Ear, Nose, and Throat Disorders·Robert L Folmer
Jul 10, 2018·Scandinavian Journal of Occupational Therapy·Catherine SwiftMargaret Jones

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