In:
PPmP - Psychotherapie · Psychosomatik · Medizinische Psychologie, Georg Thieme Verlag KG, Vol. 72, No. 03/04 ( 2022-04), p. 148-154
Abstract:
Limitations of a Specialized, Neuro-otological,
Psychosomatic, Tinnitus Outpatient Clinic When a specialized, neuro-otological, psychosomatic, tinnitus outpatient clinic didn't help either Goal Patients who suffer from a tinnitus disorder often feel
that their problem is not sufficiently understood and complain that neither a doctor or nor a therapist was able to help them. One problem with tinnitus
is the connection between the physiological causes of tinnitus and the numerous psychological factors that contribute to maintaining the tinnitus
symptoms. In a specialized, outpatient clinic, it should be possible to treat both the neuro-otological and the psychosomatic components of tinnitus
appropriately, so that the tinnitus patients get the desired relief. In this paper we want to investigate why these methods of treatment in such clinics
sometimes do not work. Material and Methods We carried out
additional checkups on 295 of 699 one-time outpatients with tinnitus symptoms who sought treatment at a specialized outpatient clinic. We
evaluated results of hearing tests and used the Mini-Tinnitus Questionnaire (TF 12) according to Hiller and Goebel 1 to determine to what extent tinnitus diminished each
patient’s quality of life and the German-language version of the Hospitality Anxiety and Depression Score (HADS) 2 for assessing elements of anxiety
and depression. After six months at the earliest, on the average after 32 months, we asked the patients again to complete a questionnaire sent to
them, including the question: “The clinic did not help me” as well as the Mini-TF (TF 12) and the HADS. Results: 42 patients
(14%) stated that the clinic had not helped them. Despite the counseling they received, these patients showed no improvement in TF12 or
HADS. They felt significantly less well understood and implemented significantly fewer recommendations than the patients who stated that the
clinic had helped them. We suspect the main reasons that the treatment in the clinic didn't help these patients were these patients'
insistence on somatic solutions (40%) and their failure to implement indicated psychotherapeutic interventions
(26%). Conclusion The basis for a successful
tinnitus treatment is counseling based on neuro-otology. However, this may not perceived by the patients as helpful, due to the patient, the therapist,
and/or their interactions.
Type of Medium:
Online Resource
ISSN:
0937-2032
,
1439-1058
Language:
German
Publisher:
Georg Thieme Verlag KG
Publication Date:
2022
detail.hit.zdb_id:
800571-0
SSG:
2,1
SSG:
5,2
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