gms | German Medical Science

79. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

30.04. - 04.05.2008, Bonn

Quality management in tinnitus therapy

Meeting Abstract

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German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. 79th Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. Bonn, 30.04.-04.05.2008. Düsseldorf, Köln: German Medical Science; 2008. Doc08hno09

Die elektronische Version dieses Artikels ist vollständig und ist verfügbar unter: http://www.egms.de/de/meetings/hno2008/08hno09.shtml

Veröffentlicht: 8. Juli 2008

© 2008 Pilgramm et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielf&aauml;ltigt, verbreitet und &oauml;ffentlich zug&aauml;nglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Introduction: The Tinnituscentre Detmold (TZD) instructs its participants in several strategies to overcome tinnitus during a weekend-seminar [1]. It was found that a small part of the participants (5-7%) did not show a long-term reduction or even had a higher psychological strain of tinnitus than before.

Method: 29 patients (10 female; mean age: 49 years) completed the CFT 20-R [2] during a one-weekend-seminar in the TZD. Additionally to the CFT 20-R the participants completed the tinnitus-questionnaire [3] and the audiological-strain-inventory [4]. The latter two were assessed four times (pre and post therapy and catamnestic after 6 and 12 months).The results of the CFT20-R were compared with the data collected with the other two questionnaires.

Results: An IQ of 100 is average in the German population. We used this mark to split our participants in two groups. There were 9 participants with an IQ of less than 100 (mean: 91.7) and a group of 20 participants with an IQ of more than 100 (mean: 111.7).

If you compare the pre- and post- therapy data of the two groups, you can see that the group of patients with the higher IQ suffers more prior to therapy but has a stronger reduction of the suffering under tinnitus after the therapy.

You can see, that after 12 months both groups show the same suffering under tinnitus.

Conclusion:

  • The IQ of patients that have a higher psychological strain of tinnitus seems to be above average.
  • Patients with an IQ above average have more success in following strategies to overcome tinnitus; more intelligent patients are more successful in accepting post-therapeutic advices.

These results show that it is important to put more effort in the individual tinnitus-education of every patient.


References

1.
Pilgramm M, Lebisch H. Tinnituskompaktkur – integrierte Versorgung bei chronischen Tinnituspatienten – erste Ergebnisse, Tagung – CD. 9. Jahrestag Dt. Gesellsch. für Audiologie Köln. ISBN 3-9809969-5-0.
2.
Weiß H, Weiß B. CFT 20-R Grundintelligenztest. Göttingen: Hofgräfe Verlag; 2006.
3.
Göbel G, Hiller G. Verhaltensmedizinische Diagnostik bei chronsichem Tinnitus mit Hilfe des Tinnitusfragebogens (TF). Diagnostika. 1994;2:155-67.
4.
Pilgramm M, Lebisch H, Pehle W. Ein neues Frageninventar zur Schwerpunktbestimmung des Leidensdruckes bei chronischen Tinnituspatienten. Z Audiol. 2001;Suppl.II:191-2.