Three Years Later: Report on the State of Well-Being of Patients with Chronic Tinnitus Who Underwent Modified Tinnitus Retraining Therapy

2014 ◽  
Vol 20 (1) ◽  
pp. 26-38 ◽  
Author(s):  
Claudia Seydel ◽  
Heidemarie Haupt ◽  
Agnieszka J. Szczepek ◽  
Anne Hartmann ◽  
Matthias Rose ◽  
...  
Keyword(s):  
Management Strategies ◽  
Well Being ◽  
The State ◽  
Chronic Tinnitus ◽  
Tinnitus Retraining Therapy ◽  
Psychometric Instruments ◽  
Important Health ◽  
Retraining Therapy ◽  
Treatment Onset ◽  
A Minor

Successful management of patients with chronic tinnitus is an important health issue. One of the tinnitus management strategies used at our Tinnitus Center is a combination of tinnitus retraining therapy (TRT) with physiotherapy and psychological management [called modified TRT (MTRT)]. We have used this type of management for over a decade and have described the protocol in detail elsewhere. In the present study, we wanted to determine the effect of MTRT on the well-being of tinnitus patients 3 years after treatment onset. One hundred and thirty patients with chronic tinnitus were assessed using psychometric instruments immediately before 7-day MTRT, immediately after the therapy and 3 years later. Patients with very severe tinnitus-related distress associated with major depression and a risk of suicide were excluded from this study. MTRT resulted in a sustained reduction of tinnitus-related distress. Moreover, the quality of life of patients had increased, as assessed by a separate questionnaire. The effect of MTRT was influenced by the degree of tinnitus-related distress and by the patients' age, the latter being gender dependent. Hearing loss and tinnitus duration had only a minor influence on the therapeutic effect. Taken together, we report a positive change in the state of well-being of patients with chronic tinnitus measurable with various psychometric instruments 3 years after the onset of MTRT. i 2014 S. Karger AG, Basel

scholarly journals Small-Group Counseling in a Modified Tinnitus Retraining Therapy for Chronic Tinnitus

2013 ◽  
Vol 6 (4) ◽  
pp. 214 ◽  
Author(s):  
Shi-Nae Park ◽  
Seong-Cheon Bae ◽  
Dong-Kee Kim ◽  
Yong-Soo Park ◽  
Sang-Won Yeo ◽  
...  
Keyword(s):  
Small Group ◽  
Group Counseling ◽  
Chronic Tinnitus ◽  
Tinnitus Retraining Therapy ◽  
Retraining Therapy

scholarly journals Reflections on How Tinnitus Impacts the Lives of Children and Adolescents

2021 ◽  
pp. 1-13
Author(s):  
Susan Tegg-Quinn ◽  
Robert H. Eikelboom ◽  
Christopher G. Brennan-Jones ◽  
Syndon Barabash ◽  
Wilhelmina H. A. M. Mulders ◽  
...  
Keyword(s):  
Children And Adolescents ◽  
Cognitive Processing ◽  
Management Strategies ◽  
Well Being ◽  
Chronic Tinnitus ◽  
Childhood And Adolescence ◽  
Moderate Degree ◽  
Group Level ◽  
Individual Assessment ◽  
The Impact

Objectives The aim of this study was to generate a conceptual framework describing which aspects of children and adolescents' lives are affected by chronic tinnitus. Design Views and experiences of 32 participants from two participant groups informed this study: (a) a tinnitus group, consisting of adults who had experienced tinnitus during childhood and/or adolescence and primary carers of children/adolescents with tinnitus, and (b) a clinicians' group, consisting of clinicians who provided care for children/adolescents with tinnitus. Participants produced statements describing aspects of children/adolescents' lives that may be affected by chronic tinnitus. Key concepts were identified through the processes of sorting the statements and rating them for degree of associated impact. Result Participants identified 118 unique aspects of the lives of children/adolescents who may be affected by chronic tinnitus. These were clustered into four concepts: (a) emotional well-being, (b) academic performances, (c) social/relationa, and (d) auditory/cognitive processing. At a group level, participants rated the impact of tinnitus as above a slight degree but below a moderate degree of impact. However, individual participant's ratings indicated a range of perceived impact for each statement. Conclusions The experience of chronic tinnitus during childhood and adolescence extends beyond the mere perception of sound. The perception of tinnitus may impact a child's emotional well-being, academic performances, social/relational, and auditory/cognitive processing. The impact of tinnitus in one aspect of a child's life may influence other aspects of their life. While at a group level, participants regarded the impact of tinnitus as “somewhat more than mild” to “less than moderate”; individual participant's ratings indicate that the impact from chronic tinnitus may be highly individual and highlighted the importance of individual assessment and management. Clinically, tinnitus management during childhood and adolescence may be improved if clinicians consider the impact and manifestation of tinnitus within each child's daily life and tailor tinnitus education and management strategies accordingly.

Evaluation and Management of Severe Tinnitus: An Evidence-Based Case Report

2021 ◽  
Vol 6 (1) ◽  
pp. 130-142
Author(s):  
Lori Zitelli
Keyword(s):  
Quality Of Life ◽  
Case Report ◽  
Negative Impact ◽  
Well Being ◽  
Tinnitus Retraining Therapy ◽  
Sound Therapy ◽  
Retraining Therapy ◽  
The Impact ◽  
Severe Tinnitus

Purpose Tinnitus is reported by millions of Americans and is significantly problematic for many people. Commonly, individuals suffering from tinnitus report disturbances in the areas of sleep, hearing, emotional well-being, and so forth. This case report presents the evaluation and treatment of an adult female with severe tinnitus and multiple relevant comorbidities. This case includes the onset, evaluation, and management of significantly bothersome tinnitus in a 60-year-old woman. Tinnitus was first reported after she was treated with an Epley maneuver intended to resolve benign paroxysmal positional vertigo. An evaluation of tinnitus (including a comprehensive audiometric evaluation, an assessment of the impact of tinnitus on her life, and psychoacoustic measures of tinnitus perception) was completed. The tinnitus was reported to have a severely negative impact on her overall health, mental state, and quality of life. Method This patient opted to manage her tinnitus with a combination of pharmaceuticals, sound therapy, and education (the latter two in the form of tinnitus retraining therapy). Results The course of her active treatment spanned approximately 18 months, and, at the completion of her treatment, she demonstrated significant improvements in all areas of her life that had been impacted by tinnitus. She has become an active advocate for tinnitus management and has made herself available as a resource for other individuals who are struggling to cope with intrusive tinnitus. Conclusion Tinnitus retraining therapy is a treatment option that may significantly improve the quality of life of individuals suffering from severely bothersome tinnitus.

scholarly journals The effect of tinnitus retraining therapy on chronic tinnitus: A controlled trial

2017 ◽  
Vol 2 (4) ◽  
pp. 166-177 ◽  
Author(s):  
Carol A. Bauer ◽  
Jennifer L. Berry ◽  
Thomas J. Brozoski
Keyword(s):  
Controlled Trial ◽  
Chronic Tinnitus ◽  
Tinnitus Retraining Therapy ◽  
Retraining Therapy

Tinnitus Retraining Therapy

2004 ◽  
Author(s):  
Pawel J. Jastreboff ◽  
Jonathan W. P. Hazell
Keyword(s):  
Tinnitus Retraining Therapy ◽  
Retraining Therapy

The Open Society and the Democracy to Come: Bergson, Deleuze and Guattari

2016 ◽  
Vol 10 (3) ◽  
pp. 352-366 ◽  
Author(s):  
Bruce Baugh
Keyword(s):  
Political Philosophy ◽  
The State ◽  
Open Society ◽  
Minor Literature ◽  
Deleuze And Guattari ◽  
The People ◽  
To Come ◽  
Polar Opposite ◽  
A Minor ◽  
Gain Access

In Bergsonism, Deleuze refers to Bergson's concept of an ‘open society’, which would be a ‘society of creators’ who gain access to the ‘open creative totality’ through acting and creating. Deleuze and Guattari's political philosophy is oriented toward the goal of such an open society. This would be a democracy, but not in the sense of the rule of the actually existing people, but the rule of ‘the people to come,’ for in the actually existing situation, such a people is ‘lacking’. When the people becomes a society of creators, the result is a society open to the future, creativity and the new. Their openness and creative freedom is the polar opposite of the conformism and ‘herd mentality’ condemned by Deleuze and Nietzsche, a mentality which is the basis of all narrow nationalisms (of ethnicity, race, religion and creed). It is the freedom of creating and commanding, not the Kantian freedom to obey Reason and the State. This paper uses Bergson's The Two Sources of Morality and Religion, and Deleuze and Guattari's Kafka: For a Minor Literature, A Thousand Plateaus and What is Philosophy? to sketch Deleuze and Guattari's conception of the open society and of a democracy that remains ‘to come’.

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