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新的超声障疗法结合了精神教育,声音暴露和咨询
Sandrien Thieren1, Paula van Dommelen2, Michel R Benard1
1Department of Audiology, Pento Speech and Hearing Centers, Apeldoorn, the Netherlands.
American journal of audiology
|May 20, 2024
概括
认知声音暴露疗法 (CSET) 有效地减少了超声障症状,降低了声音敏感性,并改善了患者的耐受性. 益处扩展到日常声音,显示持久的积极影响.
科学领域:
- 听力学 听力学是指听力学.
- 临床心理学 临床心理学
- 治疗干预 治疗干预
背景情况:
- 超声障是一种使人衰弱的疾病,其特点是对日常声音有异常的不耐受.
- 目前对超声障的管理策略通常涉及声疗法,但需要新的综合方法.
研究的目的:
- 研究一种新的认知声暴露疗法 (CSET) 的短期和长期疗效,用于诊断为超声障的患者.
- 评估CSET后的声音耐受性,主观痛苦和声音敏感性的变化.
主要方法:
- CSET将声音暴露与接受和承诺疗法 (ACT) 和认知行为疗法 (CBT) 的原则相结合.
- 30名患有超声障的成年患者每两周接受一次CSET会议,直到达到70-80dB SPL的声暴露水平.
- 使用可容忍的声音暴露水平,主观阻碍超声障碍以及在基线,治疗结束和治疗后6个月的超声障碍问卷 (HQ) 来测量结果.
主要成果:
- 在短期结果中观察到显著的改善,包括增加的声音暴露耐受性 (+23.7dB),降低主观声音障碍 (-1.6在HQ上) 和降低超音量严重程度 (-9.8在HQ上).
- 在治疗结束和6个月的随访期间,没有发现HQ得分的显著变化,这表明持续的益处.
- 该疗法在改善对治疗和日常声音的耐受性方面表现出有效性.
结论:
- 作为一种有效的治疗方法,CSET在患有超声障的个体中降低了短期和长期的声音敏感性.
- 在CSET的精神教育,声音暴露和咨询的综合方法产生了积极的结果.
- 需要进一步的研究来验证这些发现,并探索CSET的更广泛适用性.
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