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Ericksonian hypnosis in tinnitus therapy: effects of a 28-day inpatient multimodal treat- ment concept measured by Tinnitus-Questionnaire and Health Survey SF-36. Eur Arch Otorhinolaryngol. 2007 Jan 6. Ross UH, Lange O, Unterrainer J, Laszig R Practice for Otorhinolaryngology and Psychotherapy, Luisenstrasse 6, 79098, Freiburg, Germany, Dr- Ross@web.de.

For the first time, the therapeutic effects on subacute and chronic tinnitus of an inpatient multimodal treatment concept based on principles of Ericksonian hypnosis (EH) were examined by standardized criteria of the Tinnitus Questionnaire (TQ) and Health Survey (SF-36) within a controlled prospective, longitudinal study. A total of 393 patients were treated within an inpatient closed-group 28-day-setting based on a resource-oriented, hypnotherapeutic concept. The severity of tinnitus was assessed by TQ at times of admission, discharge and also at a 6- and 12-month follow-up. Health-related quality of life was evaluated before and after therapy using the SF-36. After therapy, a decrease in TQ score was seen in 90.5% of the patients with subacute tinnitus and in 88,3% of those with chronic tinnitus. Assessment of the TQ score at the end of therapy revealed highly significant improvements of 15.9/14.1 points in mean. Effect sizes in the treatment groups (0.94/0.80) were superior to those in the waiting-list controls (0.14/0.23). The TQ score remained stable in the follow-up controls. Significant improvement in health- related quality of life has been observed within the treatment groups depending on initial level of tinnitus serverity I-IV according to TQ. Using a multimodal treatment concept with emphasis on resource-activa- ting approaches of EH the annoyance of tinnitus can be significantly reduced while health-related quality of life is enhanced within a comparatively short treatment period of 28 days.

V Diagnostics

Acoustic shock. J Laryngol Otol. 2007 Feb 19;:1-5. McFerran DJ, Baguley DM Department of Otolaryngology and Head and Neck Surgery, Essex County Hospital, Colchester, UK.

Acoustic shock is a recently recognised clinical entity: following an abrupt, intense and unanticipated acoustic stimulus, usually delivered by a telephone handset or headset, some individuals report a sym- ptom cluster that includes otalgia, altered hearing, aural fullness, imbalance, tinnitus, dislike or even fear of loud noises, and anxiety and/or depression. Symptoms start shortly after the triggering acoustic incident and can be short-lived or can last for a considerable time. If persistent, the condition can lead to significant disability. Proposed mechanisms include involvement of the tensor tympani muscle, hyperex- citability of central auditory pathways, and a precursive state of raised anxiety or arousal. A formal treat- ment programme has not yet been proposed, but the potential utility of modern therapeutic techniques for tinnitus and hyperacusis are considered. Given the large number of UK residents working in telepho- ne call centres, this condition is of considerable clinical importance.

Anxiety and Depressive Symptoms in Tinnitus Patients. (Abstract of ARO Meeting Denver, Colorado) Andrea Crocetti1, Stella Forti1,2 1Fondazione Ascolta e Vivi, 2Fondazione IRCCS Ospedale Maggiore Policlinico, Mangiagalli e Regina Elena

Our clinical knowledge of tinnitus is based on treatment of over 1500 tinnitus patients. We have observed

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