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When the ringing in the earsgetsunbearable : Illness representations, self-instructions and adjustment to tinnitus

When the ringing in the earsgetsunbearable : Illness representations, self-instructions and adjustment to tinnitus

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VOLLMANN, Manja, Natallia KALKOUSKAYA, Berthold LANGGUTH, Margreet SCHARLOO, 2012. When the ringing in the earsgetsunbearable : Illness representations, self-instructions and adjustment to tinnitus. In: Journal of Psychosomatic Research. 73(2), pp. 108-111. ISSN 0022-3999. eISSN 1879-1360

@article{Vollmann2012-08ringi-14122, title={When the ringing in the earsgetsunbearable : Illness representations, self-instructions and adjustment to tinnitus}, year={2012}, doi={10.1016/j.jpsychores.2012.04.009}, number={2}, volume={73}, issn={0022-3999}, journal={Journal of Psychosomatic Research}, pages={108--111}, author={Vollmann, Manja and Kalkouskaya, Natallia and Langguth, Berthold and Scharloo, Margreet} }

2012-08 deposit-license Scharloo, Margreet 2012-07-11T09:04:28Z Scharloo, Margreet When the ringing in the earsgetsunbearable : Illness representations, self-instructions and adjustment to tinnitus Langguth, Berthold Langguth, Berthold Objective<br /><br /><br /><br />Chronic tinnitus can severely impair a person's quality of life. The degree of impairment, however, is not closely related to tinnitus loudness. Applying the common sense model (CSM) of self-regulation of health and illness, this study investigated to what extent psychological factors, i.e. illness representations and positive/negative self-instructions, are associated with the degree of tinnitus-related complaints.<br /><br /><br />Methods<br /><br /><br /><br />In this cross-sectional study, 118 patients diagnosed with chronic tinnitus filled in questionnaires assessing illness representations (IPQ-R), positive and negative self-instructions (TRSS), and tinnitus-related complaints (TQ).<br /><br /><br />Results<br /><br /><br /><br />The regression analysis yielded a number of significant associations between illness representations and tinnitus-related complaints, particularly for the IPQ-R dimensions identity, consequences, coherence, and emotional representations. With regard to self-instructions and tinnitus-related complaints, significant effects were found only for negative self-instructions. Moreover, multiple mediation analyses revealed that the effects of consequences and emotional representations on tinnitus-related complaints were (partially) due to the use of negative self-instructions.<br /><br /><br />Conclusion<br /><br /><br /><br />Psychological factors are strongly related to the extent of tinnitus-related complaints. The findings provide an indication of which aspects should be targeted in psychological and psychotherapeutic tinnitus treatment. eng Kalkouskaya, Natallia Vollmann, Manja Journal of Psychosomatic Research ; 73 (2012), 2. - S. 108–111 Kalkouskaya, Natallia Vollmann, Manja

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