Tuesday, November 25, 2008

Psychological treatment for tinnitus

Patients with tinnitus will benefit from a psychological treatment and neurosimulitatie. This is clear from examination of Hilke Bartels of University Medical Center Groningen. They PhD tomorrow (November 26) to the University of Groningen in the investigation "Tinnitus, new insights into pathophysiology, diagnosis and treatment."

Lang was assumed that the cause of tinnitus was in the hearing. It is clear that over-active brain area in the hearing continuous signals that the "phantom sound" cause. Activity that usually occurs after hearing loss, or after noise (after concert tour, for example), operating in the hearing or inflammation or nbij jaw or nekproblemen. Through the imaging techniques PET and fMRI Bartels has the theory of over-active brain confirmed.

Psychological discomfort
Many patients with tinnitus (tinnitus) experienced psychological discomfort. They exhibit withdrawal behavior and have a negative outlook on life, as evidenced by Bartels research. By anxiety and depression experienced patients the disease as a major attack on their quality of life, but that they dare not share. As they experienced little social support, leading to withdrawal behavior. Bartels came this (type D personality ") to 94 of the 265 patients tested against.

Treat
Derpessie reinforce the fear and psychological discomfort in the ears. Therefore, especially in people with type D personality treatment therefore aims at reducing anxiety and depression, said Bartels.
An estimated 10 to 30 percent of Dutch people hear sounds from the body.

Neurostimulation
The treatment of tinnitus with a pulse generator (a type of pacemaker) works very beneficial in the long term, says a eveluatie from experimental treatment. The patients indicated that the "noise" was reduced to a pleasant level. Also neurostimulation with a magnet outside the skull seems an interesting treatment option. By 5 of the 24 patients in whom this experimental treatment was applied, tinnitus could be temporarily suppressed.

Recommendations
To date there is no treatment for the large group of tinnitus patients is effective. Current treatment options have a medical, audio logical or psychological basis. A multi-disciplinary approach is essential, says Bartels. It also calls for the use of validated questionnaires to the nature and impact of tinnitus mapping.

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