Effect Analysis Of Cognitive Behavioral Therapy Combined With Sound Therapy On Tinnitus

Objective: To explore the therapeutic effects of cognitive behavioural therapy combined with sound therapy on tinnitus patients,and to analyse the efficacy of tinnitus in terms of severity and quality of life for tinnitus patients,in order to provide new ideas for tinnitus treatment.Methods: From October 2020 to June 2022,patients with complaints of tinnitus including tinnitus with or without hearing loss of more than 3 months duration who attended The First Affiliated Hospital of Wannan Medical College,and patients with acute stage tinnitus with clear causes,short duration(<3 months),using medication,difficult to accept this study and difficult to cooperate with this study were excluded.A total of 235 patients with tinnitus were included,and the questionnaire was completed after signing the informed consent form.1.The patients were divided into three groups by random grouping,one group was treated with sound therapy,the second group was treated with cognitive behavioral therapy,and the third group was treated with cognitive behavioral therapy combined with sound therapy for tinnitus patients.2.Self-assessment:for tinnitus patients,the general situation questionnaire,Tinnitus Evaluation Questionnaire scale(TEQ),Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS),and Tinnitus Handicap Inventory scale(THI)were completed.3.After half a year,the Tinnitus Handicap Inventory scale(THI),Tinnitus Anxiety Scale(SAS),Tinnitus Evaluation Questionnaire Scale(TEQ)and Self-rating Depression Scale(SDS).Results: 1.The difference in age between the three groups was not statistically significant(F=0.154,p=0.858);the difference in tinnitus loudness between the three groups was not statistically significant(H=0.427,p=0.808);and the differences in gender and duration of illness between the three groups were not statistically significant when compared(p>0.05).2.The THI score in the sound therapy group was 51.80±24.63 before treatment and 34.34±20.57 after treatment,which showed a statistically significant lower THI score after treatment than before treatment(Z=7.377,p<0.001).For the F functional and E(affective)scores,the comparison showed that the post-treatment scores were lower than the pre-treatment scores,which was statistically significant(p<0.05);for the C(severity)scores,the difference before and after treatment was not statistically significant when compared(Z=0.600,p=0.548).3.The THI score for the cognitive behavioural therapy treatment group was51.88±25.67 before treatment and 29.46±19.99 after treatment,with comparisons showing statistically significant lower THI scores after treatment than before treatment(Z=7.885,p<0.001).For F-score,E-score and C-score,the comparison showed lower post-treatment scores than pre-treatment,all of which were statistically significant(p<0.05).4.The THI score for the combined group was 49.78±24.63 before treatment and19.95±15.39 after treatment,with the comparison showing a statistically significant lower THI score after treatment than before treatment(Z=7.921,p<0.001).For F-score,E-score and C-score,comparisons showed lower post-treatment scores than pre-treatment,all statistically significant(p<0.05).5.The amount of change in the THI scale before and after treatment in the three treatment groups.For F scores,the difference in the amount of change before and after treatment between the three groups was statistically significant when compared(H=16.971,p<0.001),and further two-by-two comparison showed that the amount of change in F scores in the combined group was higher than that in the sound therapy and cognitive behavioural therapy groups(p<0.05);for E scores,the difference in the amount of change before and after treatment between the three groups was statistically significant when compared(H=28.674,p< 0.001),and further two-by-two comparisons showed that the amount of change in E scores was higher in the combined group than in the acoustic and cognitive behavioural therapy groups(p<0.05);for C scores,the difference in the amount of change between the three groups before and after treatment was statistically significant when compared(H=133.015,p<0.001),and further two-by-two comparisons showed that the amount of change in C scores was higher in the combined group than in the acoustic and cognitive behavioural therapy groups(For THI scores,the difference between the three groups before and after treatment was statistically significant(H=63.042,p<0.001),and a further two-by-two comparison showed that the change in THI scores was higher in the combined group than in the acoustic and cognitive behavioural therapy groups(p<0.05),and in the cognitive behavioural therapy group than in the sound therapy(p<0.05).the amount of change was higher in the cognitive behavioural therapy group than in the acoustic therapy group(p<0.05).6.Comparing the TEQ scales before and after treatment in the three groups,the mean TEQ scores were 12.91±4.97 in the sound therapy group,13.17±5.00 in the cognitive behavioural therapy group and 12.60±5.02 in the combined group;after treatment,the mean TEQ scores were 11.07±4.15 in the sound therapy group,9.77±4.29 in the cognitive behavioural therapy group and All three groups had lower TEQ scores after treatment than before treatment,with statistically significant differences in all three groups(p<0.05).A further two-by-two comparison showed that TEQ scores in the combined group were lower than those in the acoustic and cognitive behavioural therapy groups,which was statistically significant(p<0.05),and TEQ scores in the cognitive behavioural therapy group were lower than those in the sound therapy group,but the difference was not statistically significant(p>0.05).Conclusion:Cognitive behavioural therapy combined with sound therapy is an effective intervention for tinnitus and is also effective in improving the functional,affective and severity aspects of tinnitus,whereas sound therapy alone is not effective in improving the severity of tinnitus.