The effectiveness of neuro-music therapy according to the Heidelberg model compared to a single session of educational counseling as treatment for tinnitus

• Verfasst von: Argstatter, Heike [VerfasserIn]
• Verfasst von: Grapp, Miriam [VerfasserIn]
• Verfasst von: Hutter, Elisabeth [VerfasserIn]
• Verfasst von: Plinkert, Peter K. [VerfasserIn]
• Verfasst von: Bolay, Hans Volker [VerfasserIn]
• Titel: The effectiveness of neuro-music therapy according to the Heidelberg model compared to a single session of educational counseling as treatment for tinnitus
• Titelzusatz: A controlled trial
• Verf.angabe: Heike Argstatter, Miriam Grapp, Elisabeth Hutter, Peter K. Plinkert, Hans-Volker Bolay
• Jahr: 2015
• Umfang: 8 S.
• Fussnoten: Online 3 September 2014 ; Gesehen am 27.07.2020
• Titel Quelle: Enthalten in: Journal of psychosomatic research
• Ort Quelle: Amsterdam [u.a.] : Elsevier Science, 1956
• Jahr Quelle: 2015
• Band/Heft Quelle: 78(2015), 3, Seite 285-292
• ISSN Quelle: 1879-1360
• DOI: doi:10.1016/j.jpsychores.2014.08.012
• Datenträger: Online-Ressource
• Sprache: eng
• Sach-SW: Counseling
• Sach-SW: Music therapy
• Sach-SW: Psycho-education
• Sach-SW: Tinnitus
• K10plus-PPN: 1725583828

Abstract

Objectives - Tinnitus is a very common symptom, yet the quest for an effective treatment is challenging. Results from several clinical trials support the notion that neuro-music therapy is an effective means to reduce tinnitus distress with short duration and long lasting effect. However, until now, the effectiveness has not been tested in a controlled trial against an active comparator. - Methods - The trial was designed as two-center, parallel intervention group controlled study with two intervention groups: Counseling (50minute individualized personal instruction) or neuro-music therapy (counseling plus eight 50-minute sessions of individualized music therapy). Data of n=290 patients suffering from chronic tinnitus were analyzed. Outcome measure was the change in Tinnitus Questionnaire Total Scores (TQ) from baseline (admission) to end of treatment. - Results - Both treatment groups achieved a statistically relevant reduction in TQ scores, though 66% of patients in the music therapy group attained a clinically meaningful improvement compared to 33% in the counseling group. A binary logistic regression revealed two variables significantly influencing therapy outcome: initial tinnitus score and type of therapy with an OR for the music therapy compared to the counseling of 4.34 (CI 2.33-8.09). - Conclusions - Counseling is an appropriate treatment option with well above chance of improvement. The neuro-music therapy outperformed the counseling. This treatment targets the tinnitus sound itself, is short in duration, intrinsically motivating and easy to operate and thus presents a possible complement to the therapeutic spectrum in chronic tinnitus. The trial was registered at the ClinicalTrials.gov registry (ID: NCT01845155).