在患有耳患者的认知行为疗法反应的预测因素
Lauren Mueller1,2, Dorina Kallogjeri1,3, Madelyn R Frumkin4
1Department of Otolaryngology-Head and Neck Surgery, Washington University in St Louis School of Medicine, St Louis, Missouri.
JAMA otolaryngology-- head & neck surgery
|August 1, 2024
概括
高焦虑和严重的耳困扰预测了对耳的认知行为疗法 (CBT) 的更好的反应. 这一发现可能有助于确定可能受益于CBT治疗的患者.
科学领域:
- 听力学 听力学是指听力学.
- 心理学 心理学 心理学
- 临床医学 临床医学
背景情况:
- 认知行为疗法 (CBT) 建议用于耳管理.
- 对于 tinnitus 的 CBT 患者的反应是可变的.
- 目前尚不清楚 tinnitus 患者中 CBT 反应的预测因素.
研究的目的:
- 确定患者对CBT治疗耳治疗的临床预测因子.
- 根据耳的严重程度和焦虑程度,开发一个用于预测CBT反应的分类系统.
主要方法:
- 一个单臂临床研究的二次队列分析.
- 88名患有慢性无聊耳的成年人参加了为期8周的团体CBT计划.
- 对CBT的反应被定义为耳功能指数 (TFI) 的≥13点下降.
主要成果:
- 60%的参与者 (53/88) 对CBT有反应.
- 高度至中度的焦虑和严重的 tinnitus 烦与治疗反应有关.
- 临床分层系统表现出良好的预测能力 (C统计 = 0.75).
结论:
- 评估 tinnitus 烦和焦虑水平可以确定可能对 CBT 有反应的患者.
- 在临床实施之前,需要在单独的人群中进行外部验证.
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