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이명 재훈련 치료에서의 지도 상담의 효과

Other Titles
 The Effectiveness of the Directive Counseling in Tinnitus Retraining Therapy 
 이호기  ;  김창우  ;  김희남  ;  정명현 
 Korean Journal of Otolaryngology (대한이비인후과학회지), Vol.47(3) : 217-221, 2004 
Journal Title
Korean Journal of Otolaryngology(대한이비인후과학회지)
Issue Date
Tinnitus ; Retraining therapy ; Directive counseling
Background and Objectives:Tinnitus retraining therapy (TRT) was introduced as a new method for tinnitus management, and it is currently an efficacious therapy in use. In this article, we would like to show the effectiveness of directive counseling in TRT on tinnitus management.

Materials and Method:A total of 1,100 patients who visited tinnitus clinic at the Severance Hospital from 1999 to 2002 were included in this study. Their characteristics and negative associations 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 stress (35.6%), fatigue (32.0%) and exposure to noise (21.4%), and it was negatively associated with hearing loss (51.8%), continuation of tinnitus (51.6%) and sleep disorder (17.5%). Factors such as awareness, loudness, annoyance, the effect on life tinnitus had were decreased 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.
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Otorhinolaryngology (이비인후과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Chang Woo(김창우)
Kim, Hee Nam(김희남)
Lee, Ho Ki(이호기)
Chung, Myung Hyun(정명현)
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