Emotional self-states and coping responses in patients with chronic tinnitus: a schema mode model approach
Frontiers in Psychiatry,
Год журнала:
2024,
Номер
15
Опубликована: Фев. 21, 2024
Background
Amongst
“third-wave”
cognitive
behavioural
therapies,
schema
therapy
demonstrates
encouraging
efficacy
across
various
mental
health
conditions.
Within
this
field,
clinical
interest
has
begun
to
converge
on
the
“schema-mode-model”
–
a
conceptualization
framework
for
affective,
and
behavioral
states
that
guide
individuals’
perceptions
behaviours
at
given
point
in
time.
Schema
mode
expressions
patients
with
chronic
tinnitus
are
as-yet
unexamined.
Methods
The
present
study
reports
self-report
data
from
N
=
696
who
completed
Mode-
Tinnitus
Handicap
Inventories
alongside
measures
of
perceived
stress,
anxiety
depression.
Mode
Inventory
assesses
so-called
maladaptive
“parent”,
“child”
“coping”
modes.
Parent
modes
can
be
understood
as
self-states
which
characterized
by
self-critical
hostile
beliefs;
child
biographically
unmet
emotional
needs;
coping
inflexible
attempts
regulate
emotion
stabilize
one’s
sense
self.
Descriptive,
correlational
mediation
analyses
investigated
(1)
tinnitus,
(2)
compared
published
reference
values
healthy
control
sample,
(3)
their
relation
other
psychological
constructs,
(4)
regarding
potential
role
driving
tinnitus-related
distress.
Results
Patients
reported
mild-to-moderate
levels
Compared
controls,
showed
high
relative
child-,
detachment
compliant
conspicuously
low
expression
‘punitive
parent’
mode.
Correlational
patterns
suggested
strong
associations
parent
well
angry
stress
anxiety,
vulnerable
all
measured
constructs
distress
-
intrapersonally
interpersonally
alleged
compliance.
Mediation
demonstrated
was
driven
significant
interactions
between
Conclusions
provides
initial
evidence
relevance
applicability
schema-mode
based
formulation
treatment
planning
tinnitus.
Язык: Английский
Chronischer Tinnitus aus psychologischer Sicht
HNO,
Год журнала:
2025,
Номер
unknown
Опубликована: Апрель 10, 2025
Язык: Английский
Lipid parameters and depression in patients with chronic tinnitus: A cross-sectional observation
Journal of Psychosomatic Research,
Год журнала:
2024,
Номер
179, С. 111613 - 111613
Опубликована: Март 13, 2024
Pathophysiological
theories
assume
importance
of
metabolic
abnormalities
in
patients
with
major
depression
-
and
possibly
chronic
tinnitus.
Although
tinnitus
frequently
correlates
depression,
links
between
high-density
lipoprotein
(HDL)
are
uninvestigated.
Two-hundred
(Mage
=
55;
51%
female)
were
examined.
Serum
levels
total
cholesterol
(TC),
triglycerides
(TGs),
HDL,
low-density
(LDL),
non-HDL,
as
well
LDL/HDL
TC/HDL
ratios
analysed.
Questionnaires
included
subscales
the
ICD-10
Symptom
Rating,
Hospital
Anxiety
Depression
Scale
(HADS_D),
Berlin
Mood
Questionnaire
(BSF).
Multivariate
analyses
covariance
linear
regression
models
which
controlled
age,
tinnitus-related
distress
perceived
stress
investigated
between-subgroup
differences
(p
<
0.05)
associations
HDL
indices
0.01).
did
not
differ
for
tinnitus-symptom
duration,
smoking
alcohol
use
levels,
statin
or
antihypertensive
drug
use,
body-mass
indices.
Relative
to
non-to-mildly
depressed
tinnitus,
moderate-to-severe
(n
45;
23%)
had
significantly
lower
(d
−0.35)
higher
0.39)
0.40).
Across
participants,
HDL-levels
negatively
associated
measured
by
HADS_D
BSF_indifference
scales.
In
line
general
research,
low
serum
correlate
depressive
symptomatology
This
association
may
be
influenced
proximal
(e.g.
modulations
HPA-axis
activity)
distal
factors
maladaptive
coping
behaviours)
–
both
should
conceptualized
within
psychological
stimulus-processing
frameworks.
Язык: Английский
Alexithymia in Patients with Somatization Difficulties and Tinnitus-Related Distress: A Systematic Review
Journal of Clinical Medicine,
Год журнала:
2023,
Номер
12(21), С. 6828 - 6828
Опубликована: Окт. 29, 2023
Chronic
tinnitus,
the
perception
of
sound
without
an
external
source,
can
significantly
affect
individuals’
well-being.
As
often
medically
unexplained
symptom,
chronic
tinnitus
present
as
a
“somatoform”
or
“functional”
difficulty.
Some
evidence
has
pointed
to
alexithymia
transdiagnostically
relevant
risk
factor
for
both
symptom
clusters.
Using
two-part
rapid
review—searching
within
EBSCO,
Embase
by
Ovid,
PubMed,
Web
Science—we
summarize
psychological
studies
regarding
alexithymia,
i.e.,
difficulties
in
recognizing
and
expressing
emotions
(1)
somatoform
conditions
(2)
tinnitus.
For
former
(inclusion
criteria:
adult
human
beings
with
different
kinds
somatization,
longitudinal
study
designs,
(3)
publication
between
2001
2021,
(4)
full-text
English
German)
we
identified
eight
that
revealed
significant
links
conditions.
Psychotherapy
improved
most
studies.
Additionally,
was
associated
broader
treatment
outcomes
such
improvements
pain
intensity,
gastrointestinal
symptoms,
patient-therapist
alliance.
The
‘Risk
Of
Bias
In
Non-randomized
Studies—of
Interventions’
tool
(ROBINS-I)
‘Revised
Cochrane
risk-of-bias
randomized
trials’
(RoB
2)
were
used
bias
assessment.
Summarizing
all
available
on
three
Inclusion
criteria
were:
German.
Risk
assessed
‘JBI
Critical
Appraisal
Checklist
Analytical
Cross
Sectional
Studies’.
suggested
high
rate
(65.7%)
patients
Tinnitus-related
distress
two
studies,
one
which,
however,
found
no
differences
bothersome
versus
non-bothersome
Conversely,
reported
levels
low
tinnitus-related
distress.
Overall,
may
be
transdiagnostic
indicator
somatization
phenomena,
which
might
include
some
presentations.
likely
improves
well
Язык: Английский
“I feel [so alone] nothing” – emotional vulnerability and detachment as transdiagnostic key characteristics of patients with chronic tinnitus: a schema mode model approach
Frontiers in Psychiatry,
Год журнала:
2024,
Номер
15
Опубликована: Июнь 18, 2024
Background
Gold-standard
approaches
for
chronic
tinnitus
involve
hearing
amplification
measures
and
psychological
therapy,
where
applicable.
Whilst
schema
therapy
is
accumulating
evidence
as
a
transdiagnostically
useful
treatment
framework,
its
applicability
patients
with
has
not
yet
been
examined.
The
present
study
(a)
explores
latent
dimensions
of
distress
in
sample
patients,
(b)
examines
whether
the
mode
model
might
explain
these
–
thus
constituting
potentially
helpful
conceptualization
framework.
Methods
N
=
696
completed
Tinnitus
Questionnaire,
Handicap
Inventory,
Hospital
Anxiety
Depression
Scale,
Perceived
Stress
Questionnaire
ICD-10
Symptom
Rating.
As
criterion,
further
Schema
Mode
Inventory
(SMI-r)
which
assesses
constructs
linked
to
negative
self-beliefs
(“parent
modes”),
primary
emotions
resulting
from
unmet
needs
(“child
secondary
emotional
or
behavioral
attempts
reinstate
maintain
equilibrium
(“coping
modes”).
A
varimax
-rotated
principal
axis
factor
analysis
grouped
item
pool.
Factor
scale
scores
were
then
correlated
SMI-r.
Results
three-factor
solution
explained
37.4%
variance
represented
78%
included
items.
Following
content
examination,
factors
(1)
General
distress,
(2)
Tinnitus-attributed
(3)
Socio-audiological
impairment.
Factors
1|2
highly
(
r
0.70),
2|3
moderately
0.62).
Linked
model,
1
“vulnerable
child”
0.78),
“parent”,
“angry
child”,
“detached
protector”
modes
(0.53
<
0.65).
2
0.53).
3
was
largely
uncorrelated
SMI-r
although
low
correlation
warrants
examination.
Conclusion
“General”
“tinnitus-attributed”
correlate
warranting
holistic
(not
symptom-specific)
case
planning.
Viewed
perspective,
explains
substantial
across
both
dimensions.
Consequently,
autobiographically
anchored,
detachment
constitute
key
targets.
Social-audiological
impairment
should
be
multimodally
conceptualised
treated
aids
support
measures,
Язык: Английский
Aging Makes the Heart Grow Fonder: Age Influences Hearing Ability and Interactions between Psychological Phenomena in Patients with Chronic Tinnitus
Journal of Personalized Medicine,
Год журнала:
2023,
Номер
14(1), С. 23 - 23
Опубликована: Дек. 23, 2023
(1)
Background:
Risk
factors
for
chronic
tinnitus
comprise
interactions
of
individuals'
hearing
difficulties
and
psychological
distress-including
anxiety,
depression,
perceived
stress
levels.
Both
groups
likely
become
more
pronounced
with
age,
although
mixed
literature
has
also
suggested
increases
in
resilience
over
time.
To
this
end,
only
a
few
studies
have
delineated
direct
indirect
effects
age
on
audiological
variables
that
might
influence
tinnitus-related
distress
patients
tinnitus.
(2)
Methods:
N
=
678
completed
assessments
alongside
self-report
measures
distress.
Path
analyses
investigated
the
effect
patients'
via
both
variables.
(3)
Results:
Age
was
significantly
associated
ability
indices,
anxiety
decreasing
aging.
Different
mediation
models
revealed
association
between
mediated
completely
by
partly
anxiety.
(4)
Conclusions:
Whilst
levels
maintain
across
span,
weighting
these
may
shift
age.
Treatment
approaches
should
consider
lifespan.
Psychological
be
individually
conceptualized,
considering
distress-related
potential
old
Язык: Английский