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Terapia cognitivo-conductual en el manejo del tinnitus

Terapia cognitivo-conductual en el manejo del tinnitus . Luisa Fernanda Prieto L Estudiante practicas profesionales Psicología X Semestre Universidad Del Rosario. TINNITUS. Luxon LM. Tinnitus: its causes, diagnosis, and treatment. BMJ 1993; 306:1490-1491 .

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Terapia cognitivo-conductual en el manejo del tinnitus

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  1. Terapia cognitivo-conductual en el manejo del tinnitus Luisa Fernanda Prieto L Estudiante practicas profesionales Psicología X Semestre Universidad Del Rosario

  2. TINNITUS Luxon LM. Tinnitus: its causes, diagnosis, and treatment. BMJ 1993; 306:1490-1491. Kröner‐Herwig, B., Frenzel, A., Fritsche, G., Schilkowsky, G., & Esser, G. (2003). The management of chronic tinnitus: Comparison of an outpatient cognitive–behavioral group training to minimal‐contact interventions. Journal of Psychosomatic Research, 54, 381–389.

  3. Luxon LM. Tinnitus: its causes, diagnosis, and treatment. BMJ 1993; 306:1490-1491. Kröner‐Herwig, B., Frenzel, A., Fritsche, G., Schilkowsky, G., & Esser, G. (2003). The management of chronic tinnitus: Comparison of an outpatient cognitive–behavioral group training to minimal‐contact interventions. Journal of Psychosomatic Research, 54, 381–389.

  4. TINITUS OBJETIVO Involucra la percepción del sonido que es generado en el cuerpo y conducido a la cóclea por los huesecillos del oído medio generando la vibración de la membrana oval. Kaldo-Sandstro¨ m, V., Larsen, H. C., & Andersson, G. (2004). Internet-basedcognitive-behavioralself-help treatment of tinnitus: Clinical effectiveness and predictors of outcome. American Journal of Audiology, 13, 185–192. Martinez-Devesa, P., Perera, R., Theodoulou, M., Waddell, A., 2010. Cognitivebehavioraltherapyfor tinnitus. Cochrane Libr. 9.

  5. TINNITUS SUBJETIVO • Se define como la percepción de sonidos sin sentido sin que ningún sonido físico este presente. • El oído. • El SNC. Kaldo-Sandstro¨ m, V., Larsen, H. C., & Andersson, G. (2004). Internet-basedcognitive-behavioralself-help treatment of tinnitus: Clinical effectiveness and predictors of outcome. American Journal of Audiology, 13, 185–192. Martinez-Devesa, P., Perera, R., Theodoulou, M., Waddell, A., 2010. Cognitivebehavioraltherapyfor tinnitus. Cochrane Libr. 9.

  6. MEDICIÓN DEL TINNITUS • Cuestionario para el tinnitus: 33 items que evalúan la severidad del tinnitus a nivel subjetivo (escala visual análoga- Cierto o falso). • Escala Visual análoga del tinnitus: Rango de 0 (ningún problema) a 100 (extremo problema); en respuesta a la pregunta: ¿Cuál es el efecto general de su tinnitus en la actualidad?. Kaldo-Sandstro¨ m, V., Larsen, H. C., & Andersson, G. (2004). Internet-basedcognitive-behavioralself-help treatment of tinnitus: Clinical effectiveness and predictors of outcome. American Journal of Audiology, 13, 185–192. Martinez-Devesa, P., Perera, R., Theodoulou, M., Waddell, A., 2010. Cognitivebehavioraltherapyfor tinnitus. Cochrane Libr. 9.

  7. MEDICIÓN DEL TINNITUS • Escala de satisfacción con la vida: 5 preguntas, proporcionando cada pregunta una puntuación entre 1 y 7. (5-9 Extremadamente insatisfecha, 10-14 insatisfecha, 15-19 debajo de la media, 20-24 media, 25-29 satisfecha, 30-35 altamente satisfecha). • Cuestionario triggers del tinnitus: Se le pregunta a los pacientes si existen algunos eventos específicos/estresores asociados con la exacerbación del tinnitus. Kaldo-Sandstro¨ m, V., Larsen, H. C., & Andersson, G. (2004). Internet-basedcognitive-behavioralself-help treatment of tinnitus: Clinical effectiveness and predictors of outcome. American Journal of Audiology, 13, 185–192. Martinez-Devesa, P., Perera, R., Theodoulou, M., Waddell, A., 2010. Cognitivebehavioraltherapyfor tinnitus. Cochrane Libr. 9.

  8. TRATAMIENTO Farmacológico: • Lidocaína. • Benzodiacepinas. • Anticonvulsivos. Otros tratamientos: • Implantes cocleares pueden también proveer alivio en el tratamiento del tinnitus • Estimulación eléctrica y magnética de la corteza auditiva. Martinez-Devesa, P., Perera, R., Theodoulou, M., Waddell, A., 2010. Cognitivebehavioraltherapyfor tinnitus. Cochrane Libr. 9. Wilson, P.H., & Henry, J.L. (2000). Psychological management of tinnitus. In R.S. Tyler (Ed.), Tinnitus handbook. San Diego, CA: Singular/Thomson Learning. Kröner‐Herwig, B., Frenzel, A., Fritsche, G., Schilkowsky, G., & Esser, G. (2003). The management of chronic tinnitus: Comparison of an outpatient cognitive–behavioral group training to minimal‐contact interventions. Journal of Psychosomatic Research, 54, 381–389.

  9. TERAPIA COGNITIVO-CONDUCTUAL Familiar Martinez-Devesa, P., Perera, R., Theodoulou, M., Waddell, A., 2010. Cognitivebehavioraltherapyfor tinnitus. Cochrane Libr. 9. Wilson, P.H., & Henry, J.L. (2000). Psychological management of tinnitus. In R.S. Tyler (Ed.), Tinnitus handbook. San Diego, CA: Singular/Thomson Learning. Kröner‐Herwig, B., Frenzel, A., Fritsche, G., Schilkowsky, G., & Esser, G. (2003). The management of chronic tinnitus: Comparison of an outpatient cognitive–behavioral group training to minimal‐contact interventions. Journal of Psychosomatic Research, 54, 381–389.

  10. Cognitivo 1. Asesoramiento: • Informar a los pacientes de la posibilidad de recuperación del tinnitus. • Informar a los pacientes de la utilidad de los grupos de apoyo. • Actividades = Tinnitus. • Evitación a exposición a ruido excesivo. 2. Reestruturación cognitiva. Martinez-Devesa, P., Perera, R., Theodoulou, M., Waddell, A., 2010. Cognitivebehavioraltherapyfor tinnitus. Cochrane Libr. 9. Wilson, P.H., & Henry, J.L. (2000). Psychological management of tinnitus. In R.S. Tyler (Ed.), Tinnitus handbook. San Diego, CA: Singular/Thomson Learning. Kröner‐Herwig, B., Frenzel, A., Fritsche, G., Schilkowsky, G., & Esser, G. (2003). The management of chronic tinnitus: Comparison of an outpatient cognitive–behavioral group training to minimal‐contact interventions. Journal of Psychosomatic Research, 54, 381–389.

  11. Conductual • Imaginería: Pensamientos placenteros relacionados con imágenes agradables (visuales-auditivas). • Control de la atención: atención selectiva a estímulos placenteros cuando la presencia del tinnitus sea poco llevadera (imágenes – sonidos). • Relajación: Tensar y relajar músculos (brazos, cara, cuello, hombros, abdomen, piernas y pies). Martinez-Devesa, P., Perera, R., Theodoulou, M., Waddell, A., 2010. Cognitivebehavioraltherapyfor tinnitus. Cochrane Libr. 9. Wilson, P.H., & Henry, J.L. (2000). Psychological management of tinnitus. In R.S. Tyler (Ed.), Tinnitus handbook. San Diego, CA: Singular/Thomson Learning. Kröner‐Herwig, B., Frenzel, A., Fritsche, G., Schilkowsky, G., & Esser, G. (2003). The management of chronic tinnitus: Comparison of an outpatient cognitive–behavioral group training to minimal‐contact interventions. Journal of Psychosomatic Research, 54, 381–389.

  12. Conclusiones • Intervención psicológica, específicamente la terapia cognitivo conductual (TCC), se ha defendido con firmeza para el tinnitus. • La base de pruebas para la TCC no es sólida, yprocede de estudios sobre un número reducido de con tinnitus. • El objetivo final de las intervenciones clínicas para el tinnitus debe ser la inhibición de la tinnitus, en lugarde mejora la sintomatología asociada. Martinez-Devesa, P., Perera, R., Theodoulou, M., Waddell, A., 2010. Cognitivebehavioraltherapyfor tinnitus. Cochrane Libr. 9. Wilson, P.H., & Henry, J.L. (2000). Psychological management of tinnitus. In R.S. Tyler (Ed.), Tinnitus handbook. San Diego, CA: Singular/Thomson Learning. Kröner‐Herwig, B., Frenzel, A., Fritsche, G., Schilkowsky, G., & Esser, G. (2003). The management of chronic tinnitus: Comparison of an outpatient cognitive–behavioral group training to minimal‐contact interventions. Journal of Psychosomatic Research, 54, 381–389.

  13. REFERENCIAS Rilana, F. F; et al. (2012). Specialised treatment based on cognitive behaviourtherapy versus usual care for tinnitus: a randomised controlled trial. Thelancet. 37(1): 1951-1957. Zachriat C, Kroner-Herwig B. Treating chronic tinnitus: comparison of cognitive-behavioural and habituation-based treatments. CognBehavTher2004; 33: 187–98. Martinez Devesa P, Waddell A, Perera R, Theodoulou M. Cognitivebehaviouraltherapyfor tinnitus. Cochrane DatabaseSystRev2007;1. Kaldo-Sandstro¨ m, V., Larsen, H. C., & Andersson, G. (2004). Internet-basedcognitive-behavioralself-help treatment of tinnitus: Clinical effectiveness and predictors of outcome. American Journal of Audiology, 13, 185–192.

  14. REFERENCIAS Martinez-Devesa, P., Perera, R., Theodoulou, M., Waddell, A., 2010. Cognitivebehavioraltherapyfor tinnitus. Cochrane Libr. Wilson, P.H., & Henry, J.L. (2000). Psychological management of tinnitus. In R.S. Tyler (Ed.), Tinnitus handbook. San Diego, CA: Singular/Thomson Learning. Luxon LM. Tinnitus: its causes, diagnosis, and treatment. BMJ 1993; 306:1490-1491. Andersson G, Kaldo V. Cognitive-behavioral therapy with applied relaxation. In: Tyler RS. Tinnitus treatment. New York: Thieme, 2006; 96-115. Stephens SD, Hallam RS, Jakes SC. Tinnitus: a managementmodel. ClinOtolaryngol 1986;11:227–38

  15. REFERENCIAS McKenna, L. (2004). Models of tinnitus suffering and treatment compared and contrasted. Audiological Medicine, 2, 1-14. Murphy, C. (2007). The effect of social support on quality of life for tinnitus sufferers. Unpublished anuscript, University of New England, Armidale, Australia. Delb, W., D’Amelio, R., Boisten, C. J., & Plinkert, P. K. (2002). Evaluation of the tinnitus retraining therapy as combined with a cognitive behavioral group therapy. HNO, 50, 997–1004. Kröner‐Herwig, B., Frenzel, A., Fritsche, G., Schilkowsky, G., & Esser, G. (2003). The management of chronic tinnitus: Comparison of an outpatient cognitive–behavioral group training to minimal‐contact interventions. Journal of Psychosomatic Research, 54, 381–389.

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