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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2012
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Journal of Psychosomatic Research ; 73 (2012), 2. - S. 108-111. - ISSN 0022-3999. - eISSN 1879-1360
Zusammenfassung
Objective
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.
Methods
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).
Results
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.
Conclusion
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.
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.
Methods
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).
Results
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.
Conclusion
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.
Zusammenfassung in einer weiteren Sprache
Fachgebiet (DDC)
150 Psychologie
Schlagwörter
Tinnitus,Illness representations,Self-instructions,Adjustment,Coping,Common Sense Model (CSM) of self-regulation
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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. Available under: doi: 10.1016/j.jpsychores.2012.04.009BibTex
@article{Vollmann2012-08ringi-14122,
year={2012},
doi={10.1016/j.jpsychores.2012.04.009},
title={When the ringing in the earsgetsunbearable : Illness representations, self-instructions and adjustment to tinnitus},
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}
}
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<dcterms:abstract xml:lang="eng">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.</dcterms:abstract>
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