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

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,...

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Main Authors: Argstatter, Heike (Author) , Grapp, Miriam (Author) , Hutter, Elisabeth (Author) , Plinkert, Peter K. (Author) , Bolay, Hans Volker (Author)
Format: Article (Journal)
Language:English
Published: 2015
In: Journal of psychosomatic research
Year: 2015, Volume: 78, Issue: 3, Pages: 285-292
ISSN:1879-1360
DOI:10.1016/j.jpsychores.2014.08.012
Online Access:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1016/j.jpsychores.2014.08.012
Verlag, lizenzpflichtig, Volltext: http://www.sciencedirect.com/science/article/pii/S0022399914003146
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Author Notes:Heike Argstatter, Miriam Grapp, Elisabeth Hutter, Peter K. Plinkert, Hans-Volker Bolay
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Summary: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).
Item Description:Online 3 September 2014
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Physical Description:Online Resource
ISSN:1879-1360
DOI:10.1016/j.jpsychores.2014.08.012