이명 재훈련 치료에서의 지도 상담의 효과 = The Effectiveness of the Directive Counseling in Tinnitus Retraining Therapy

다국어 초록 (Multilingual Abstract)

Background and Objectives：Tinnitus retraining therapy (TRT) was introduced as a new method for tinnitus management, and it is curently an efficacious therapy in use. In this article, we would like to show the effectivenes of directive counseling in TRT on tinnitus management. Materials and Method：Hospital from 1999 to 2002 were included in this study. Their characteristics and negative asociations of tinnitus were investigated. Forty-six patients who were managed with directive counseling were evaluated with questionnaires about the psychoacoustic characteristics of tinnitus and the subjective changes in tinnitus. Results：Tinnitus was developed after stres (35.6%), fatigue (32.0%) and exposure to noise (21.4%), and it was negatively asociated with hearing loss (51.8%)(51.6%) and sleep disorder (17.5%). Factors such as awarenes, loudnes, annoyance, the efect on life tinnitus had were de-creased after directive counseling. And the tinnitus handicap inventory (THI) score was also significantly decreased. Conclusion：Directive counseling in TRT which includes explanation of neurophysiology of tinnitus should be tried preferentially before habituation occurs.

참고문헌 (Reference)

1 "Tinnitus retraining therapy (TRT) as amethod for treatment of tinnitus and hyperacusis patients." 11 : 162-177, 2000

2 "Tinnitus retraining therapy" 6 : 71-75, 2002

3 "Tinnitus" 347 : 904-910, 2002

4 "Retraining therapy for chronic tinnitus:A critical analysisof its status" 29 : 67-78, 2000

5 "Reliabilityand validity of a Korean adaptation of the tinnitus handicapinventory" 45 : 328-334, 2002

6 "Phantom auditory perception (tinnitus) Mechanismsof generation and perception." 8 : 221-254, 1990

7 "Patientbasedoutcomes in patients with primary tinntus undergoing tinnitusretraining therapy" 128 : 1153-1157, 2002

8 "Neurophysiological model oftinnitus:Dependence of the minimal masking level on treatment outcome" 80 : 216-22, 1994

9 "Neurophysiologic mechanisms of tinnitus" 11 : 125-137, 2000

10 "Masking of tinnitus andmental activity" 27 : 270-27, 2002

11 "Effects of tinnitus retrainingtherapy (TRT) for patients with tinnitus and subjective hearing lossversus tinnitus only." 30 : 206-208, 2001

12 "Development of the tinnitushandicap inventory" 122 : 143-148, 1996

13 "Clinicalimplication and therapeutic efficacy of tinnitus retraining therapy" 45 : 231-237, 2002

14 "An animal model of tinnitus:A decade ofdevelopment" 15 : 19-27, 1994

15 "A consideration of the effect ofear canal resonance and hearing loss upon white noise generatorsfor tinnitus retraining therapy" 111 : 810-3, 1997