Investigation on chronic tinnitus efficacy of combination of non-repetitive preferred music and educational counseling:
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OTOLOGY
Investigation on chronic tinnitus efficacy of combination of non‑repetitive preferred music and educational counseling: a preliminary study Jiemei Chen1 · Ping Zhong2 · Zhaoli Meng2 · Fan Pan1 · Leiyu Qi1 · Tiantian He1 · Jingzhe Lu2 · Peiyu He1 · Yun Zheng2 Received: 23 July 2020 / Accepted: 28 August 2020 © Springer-Verlag GmbH Germany, part of Springer Nature 2020
Abstract Purpose To improve the efficacy of music therapy on tinnitus relief, specific music that was not repetitively played and satisfies individualized preference was developed. The aim of this study was to investigate effects of combination of the specific music and educational counseling on tinnitus relief in short term. Methods Sixty patients suffering from chronic tinnitus were included. The non-randomized controlled study was designed with two intervention groups: educational counseling (EC, which included a 1-h individualized instruction) and preferred music therapy [PMT, which included EC plus 15, 30-min preferred music sessions (PMS)]. Three assessments—the ChineseMandarin version of Tinnitus Handicap Inventory (THI-CM), Tinnitus Evaluation Questionnaire (TEQ), and Visual Analogue Scale (VAS) were administered before and 1, 2, 3 weeks after initiation of treatment to evaluate the efficacy. Results Twenty-six patients in PMT group attained a clinically meaningful improvement in THI compared to 15 in the EC group, though both groups achieved a statistically relevant reduction in the 3 assessments. Conclusion The PMT had a positive impact on chronic tinnitus and related distress in a short term. It outperformed the separate EC, which is an appropriate treatment option in clinic. Therefore, it presents a possible complement to the therapeutic spectrum in chronic tinnitus. Trial registration Chinese Clinical Trial Registry, ChiCTR1900022624. Registered on 19 April 2019. Keywords Chronic tinnitus · Preference · Non-repetitive · Educational counseling · Music therapy
Introduction Tinnitus is an involuntary perception of sound(s) without an external acoustic stimulation [1]. It affects most aspects of tinnitus patients’ life [1], especially emotion [2, 3]. Although a variety of therapies can be applied to tinnitus relief, none is universally effective. Music stimulation is a * Peiyu He [email protected] * Yun Zheng [email protected] 1
College of Electronics and Information Engineering, Sichuan University, Chengdu, China
Hearing Center/Hearing and Speech Science Laboratory, Department of Otolaryngology/Head and Neck Surgery, West China Hospital of Sichuan University, Chengdu, China
2
noninvasive form of therapy and has been demonstrated to modulate emotion [4]. Therefore, music therapy for tinnitus, which is usually backed up by educational counseling (EC), has gradually become a research focus of tinnitus treatment. It is thought to provide relief from tinnitus, reduce the emotional consequence of tinnitus [1], and evoke positive and relaxed feelings [5]. However, from current tinnitus music therapies [6–10], we found that
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