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Mindfulness

Gepubliceerd in:

01-06-2014 | ORIGINAL PAPER

Mindfulness Based Tinnitus Stress Reduction Pilot Study

A Symptom Perception-Shift Program

Auteurs: Jennifer J. Gans, Patricia O’Sullivan, Vallena Bircheff

Gepubliceerd in: Mindfulness | Uitgave 3/2014

Abstract

This pilot study aims to investigate whether a novel mind–body intervention, Mindfulness Based Tinnitus Stress Reduction (MBTSR), may be a beneficial treatment for chronic tinnitus. Eight tinnitus patients who had previously received Tinnitus Counseling (standard of care) at the University of California, San Francisco (UCSF) Audiology Clinic participated in the MBTSR program. The program included 8 weeks of group instruction on mindfulness practice, a 1-day retreat, supplementary readings, and home-based practice using meditation CDs. Using a pre–post intervention design, mean differences (paired t-tests) were calculated. Benefits were measured by a reduction in clinical symptoms, if present, and a tinnitus symptom perception shift. Tinnitus symptom activity and discomfort as well as psychological outcomes were assessed by self-report questionnaires. Both quantitative and qualitative data were gathered. Results indicate that Effect Sizes, if supported by a larger study, may be clinically significant and demonstrate a substantial decrease for items measuring perceived annoyance and perception of handicap of tinnitus. Change scores on study measures all moved in the hypothesized direction, with the exception of negligible change found for the Acting with Awareness (d = −0.05) factor of mindfulness. This pilot study provides preliminary evidence that an 8-week MBTSR program may be an effective intervention for treating chronic tinnitus and its comorbid symptoms, and may help reduce depression and phobic anxiety while improving social functioning and overall mental health. These promising findings warrant further investigation with a randomized controlled trial.

vorige artikel The Importance of Non-reactivity to Posttraumatic Stress Symptoms: A Case for Mindfulness

volgende artikel The Challenge of a Life’s Time—and a Lifetime

Andersson, G., Baguley, D. M., McKenna, L., & McFerran, D. J. (2005). Tinnitus: a multidisciplinary approach. London: Whurr.

Axelsson, A., Coles, R. R. A., Erlandsson, S. E., Meikle, M., & Vernon, J. (1993). Evaluation of tinnitus treatment: methodological aspects. Journal of Audiological Medicine, 2, 141–150.

Baer, R. A., Smith, G. T., Hopkins, T., Krietemeyer, J., & Toney, L. (2006). Using self- report assessment methods to explore facets of mindfulness. Assessment, 13(1), 27–45.PubMedCrossRef

Baer, R. A., Smith, G. T., Lykins, E., Button, D., Krietemeyer, J., Sauer, S., et al. (2008). Construct validity of the Five Facet Mindfulness Questionnaire in meditating and nonmeditating samples. Assessment, 15, 329–342.PubMedCrossRef

Baguley, D. M. (2002). Mechanisms of tinnitus. British Medical Bulletin, 63, 195–212.PubMedCrossRef

Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979). Cognitive therapy of depression. New York: Guilford.

Beddoe, A., & Murphy, S. (2004). Does mindfulness decrease stress and foster empathy among nursing students? The Journal of Nursing Education, 43(7), 305–312.PubMed

Brazier, J. E., Harper, R., Jones, N. M. B., O'Cathain, A., Thomas, K. J., Usherwood, T., et al. (1992). Validating the SF-36 health survey: a new measure for primary care. British Medical Journal, 305, 160–164.PubMedCentralPubMedCrossRef

Brown, K. W., & Ryan, R. M. (2003). The benefits of being present: mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology, 84(4), 822–848.PubMedCrossRef

Caldwell, K., Harrison, M., Adams, M., Quin, R., & Greeson, J. (2010). Developing mindfulness in college students through movement based classes: effects on mood, self-regulatory self-efficacy, stress, and sleep quality. Journal of American College Health, 58, 433–442.PubMedCentralPubMedCrossRef

Carlson, L. E., & Garland, S. N. (2005). Impact of mindfulness-based stress reduction (MBSR) on sleep, mood, stress and fatigue symptoms in cancer outpatients. International Journal of Behavioral Medicine, 12, 278–285.PubMedCrossRef

Carlson, L. E., Speca, M., Patel, K. D., & Goodey, E. (2004). Mindfulness-based stress reduction in relation to quality of life, mood, symptoms of stress and levels of cortisol, dehydroepiandrosterone sulfate (DHEAS) and melatonin in breast and prostate cancer outpatients. Psychoneuroendocrinology, 29(4), 448–474.PubMedCrossRef

Chiesa, A., & Serretti, A. (2009). Mindfulness based cognitive therapy for psychiatric disorders: a systematic review and meta-analysis. Psychiatry Research, 187, 441–453.CrossRef

Cohen, J. (1977). Statistical power analysis for the behavioral sciences (2nd ed.). New York: Academic Press.

Davis, C. G., & Morgan, M. S. (2008). Finding meaning, perceiving growth, and acceptance of tinnitus. Rehabilitation Psychology, 53, 128–138.CrossRef

Department of Veterans Affairs, Veterans Benefits Administration, Annual Benefits Report, FY 2010,5.

Derogatis, L. R. (1983). SCL–90–R: Administration, scoring, and procedures manual II. Baltimore, MD: Clinical Psychometric Research.

Folmer, R. L. (2002). Long-term reductions in tinnitus severity. Biomedical Central Ear, Nose and Throat Disorders, 2, 3.

Goleman, D. (1988). The meditative mind: The varieties of meditative experience. New York: Putnam.

Grossman, P., Tiefenthaler-Gilmer, U., Raysz, A., & Kesper, U. (2007). Mindfulness training as an intervention for fibromyalgia: evidence of postintervention and 3-year follow-up benefits in well-being. Psychotherapy and Psychosomatics, 76(4), 226–233.PubMedCrossRef

Grossman, P., Kappos, L., Mohr, D. C., Gensicke, H., D'Souza, M., Penner, I. K., et al. (2010). MS quality of life, depression and fatigue improve after mindfulness training: a randomized trial. Neurology, 75, 1141–1149.PubMedCentralPubMedCrossRef

Harrop-Griffiths, J., Katon, W., Dobie, R., Sakai, C., & Russo, J. (1987). Chronic tinnitus: association with psychiatric diagnoses. Journal of Psychosomatic Research, 31, 613–622.PubMedCrossRef

Hebert, S., & Lupien, S. J. (2007). The sound of stress: blunted cortisol reactivity to psychosocial stress in tinnitus sufferers. Neuroscience Letters, 411(2), 138–142.PubMedCrossRef

Heller, A. J. (2003). Classification and epidemiology of tinnitus. Otolaryngologic Clinics of North America, 36(2), 239–248.PubMedCrossRef

Herrmann, C. (1997). International experiences with the Hospital Anxiety and Depression Scale — a review of validation data and clinical results. Journal of Psychosomatic Research, 42, 17–41.PubMedCrossRef

Hofmann, S. G., Sawyer, A. T., Witt, A. A., & Oh, D. (2010). The effect of mindfulness based therapy on anxiety and depression: a meta-analytic review. Journal of Consulting and Clinical Psychology, 78, 169–183.PubMedCentralPubMedCrossRef

Hojat, M., & Xu, G. (2004). A visitor's guide to effect sizes: statistical significance versus practical (clinical) importance of research findings. Advances in Health Science Education, 9, 241–249.CrossRef

Holmes, S., & Padgham, N. (2009). Review paper: more than ringing in the wars: a review of tinnitus and its psychosocial impact. Journal of Clinical Nursing, 18(21), 2927–2937.PubMedCrossRef

Kabat-Zinn, J. (1982). An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation: theoretical considerations and preliminary results. General Hospital Psychiatry, 4, 33–47.PubMedCrossRef

Kabat-Zinn, J. (1994). Wherever you go, there you are. New York: Hyperion.

Kabat-Zinn, J. (2005). Full catastrophe living: Using the wisdom of your body and mind to face stress, pain, and illness: Fifteenth (anniversaryth ed.). New York: Bantam Dell.

Kabat-Zinn, J., Lipworth, L., & Burney, R. (1985). The clinical use of mindfulness meditation for the self-regulation of chronic pain. Journal of Behavioral Medicine, 8, 163–190.PubMedCrossRef

Kabat-Zinn, J., Lipworth, L., Burney, R., & Sellers, W. (1987). Four-year follow up of a meditation based program for the self regulation of chronic pain: treatment outcomes and compliance. The Clinical Journal of Pain, 2, 159–17.CrossRef

Kabat-Zinn, J., Massion, A. O., Kristeller, J., & Peterson, L. G. (1992). Effectiveness of a meditation-based stress reduction program in the treatment of anxiety disorders. The American Journal of Psychiatry, 149, 936–943.PubMed

Kabat-Zinn, J., Wheeler, J. E., Light, T., Skillings, Z., Scharf, M. J., Cropley, T. G., et al. (2003). Part II: Influence of a mindfulness meditation-based stress reduction intervention on rates of skin clearing in patients with moderate to severe psoriasis undergoing phototherapy (UVB) and photochemo-therapy (PUVA). Constructivism in the Human Sciences, 8, 85–106.

Kaplan, K. H., Goldenberg, D. L., & Galvin-Nadeau, M. (1993). The impact of a meditation- based stress reduction program on fibromyalgia. General Hospital Psychiatry, 15(5), 284–289.PubMedCrossRef

Lockwood, A. H., Salvi, R. J., & Burkard, R. F. (2002). Tinnitus. The New England Journal of Medicine, 347, 904–910.PubMedCrossRef

Ludwig, D. S., & Kabat-Zinn, J. (2008). Mindfulness in medicine. Journal of the American Medical Association, 300, 1350–1352. doi:10.1001/jama.300.11.1350.PubMedCrossRef

Ma, S. H., & Teasdale, J. D. (2004). Mindfulness-based cognitive therapy for depression: replication and exploration of differential relapse prevention effects. Journal of Consulting and Clinical Psychology, 72, 31–40.

Majumdar, M., Grossman, P., Dietz-Waschkowski, B., Kersig, S., & Walach, H. (2002). Does mindfulness meditation contribute to health? Outcome evaluation of a German sample. Journal of Alternative and Complementary Medicine, 8(6), 719.CrossRef

Martinez Devesa, P., Perera, R., Theodoulou, M., & Waddell, A. (2010). Cognitive behavioural therapy for tinnitus. Cochrane Database of Systematic Reviews, 9, CD005233.

Mason, O., & Hargreaves, I. (2001). A qualitative study of mindfulness-based cognitive therapy for depression. The British Journal of Medical Psychology, 74(2), 197–212.CrossRef

Mazurek, B., Stöver, T., Haupt, H., Klapp, B. F., Adli, M., Gross, J., et al. (2010). The significance of stress: its role in the auditory system and the pathogenesis of tinnitus. Hals-, Nasen-, Ohren-Heilkunde, 58, 162–172.

Megwalu, U. C., Finnell, J. E., & Picirillo, J. F. (2006). The effects of melatonin on tinnitus and sleep. Otolaryngology and Head and Neck Surgery, 134(2), 210–213.CrossRef

Meikle, M. B., Stewart, B. J., Griest, S. E., Martin, W. H., Henry, J. A., Abrams, H. B., et al. (2007). Assessment of tinnitus: measurement of treatment outcomes. Progress in Brain Research, 166, 511–521.PubMedCrossRef

Miller, J. J., Fletcher, K., & Kabat-Zinn, J. (1995). Three-year follow-up and clinical implications of a mindfulness meditation-based stress reduction intervention in the treatment of anxiety disorders. General Hospital Psychiatry, 17, 192–200.PubMedCrossRef

Møller, A. R. (2000). Similarities between severe tinnitus and chronic pain. Journal of the American Academy of Audiology, 11, 115–124.PubMed

Morone, N. E., Lynch, C. S., Greco, C. M., Tindle, H. A., & Weiner, D. K. (2008). "I felt like a new person." the effects of mindfulness meditation on older adults with chronic pain: qualitative narrative analysis of diary entries. The Journal of Pain, 9(9), 841–848.PubMedCentralPubMedCrossRef

Newman, C. W., Jacobson, G. P., & Spitzer, J. B. (1996). Development of the tinnitus handicap inventory. Archives of Otolaryngology – Head & Neck Surgery, 122, 143–148.CrossRef

Philippot, P., Nef, F., Clauw, L., de Romrée, M., & Segal, Z. (2011). A randomized controlled trial of mindfulness based cognitive therapy for treating tinnitus. Clinical Psychology & Psychotherapy. doi:10.1002/cpp.756.

Randolph, P. D., Caldera, Y. M., Tacone, A. M., & Greak, M. L. (1999). The long-term combined effects of medical treatment and a mindfulness-based behavioral program for the multidisciplinary management of chronic pain in west Texas. Pain Digest, 9, 103–112.

Rosenzweig, S., Reibel, D. K., Greeson, J. M., Brainard, G. C., & Hojat, M. (2003). Mindfulness-based stress reduction lowers psychological distress in medical students. Teaching and Learning in Medicine, 15, 88–92.PubMedCrossRef

Sadlier, M., Stephens, S., & Kennedy, V. (2008). Tinnitus rehabilitation: a mindfulness meditation cognitive behavioural therapy approach. The Journal of Laryngology and Otology, 122(1), 31–37.PubMedCrossRef

Sanchez, L., & Stephens, D. (1997). A tinnitus problem questionnaire in a clinic population. Ear and Hearing, 18, 210–217.PubMedCrossRef

Shapiro, S. L., Schwartz, G. E., & Bonner, G. (1998). Effects of mindfulness-based stress reduction on medical and premedical students. Journal of Behavioral Medicine, 21(6), 581–599.PubMedCrossRef

Shargorodsky, J., Curhan, G., & Wildon, R. (2010). Prevalence and characteristics of tinnitus among US adults. The American Journal of Medicine, 123(8), 711–718.PubMedCrossRef

Smith, B. W., Ortiz, J. A., Steffen, L. E., Tooley, E. M., Wiggins, K. T., Yeater, E. A., et al. (2011). Mindfulness is associated with fewer PTSD symptoms, depressive symptoms, physical symptoms, and alcohol problems in urban firefighters. Journal of Consulting and Clinical Psychology, 79, 613–617.PubMedCrossRef

Speca, M., Carlson, L. E., Mackenzie, M. J., & Angen, M. (2006). Mindfulness-based stress reduction (MBSR) as an intervention for cancer patients. In R. A. Baer (Ed.), Mindfulness-based treatment approaches: Clinician's guide to evidence base and applications (pp. 239–261). CA, Elsevier Academic Press: San Diego.CrossRef

Surawy, C., Roberts, J., & Silver, A. (2005). The effect of mindfulness training on mood and measures of fatigue, activity, and quality of life in patients with chronic fatigue syndrome on a hospital waiting list: a series of exploratory studies. Behavioural and Cognitive Psychotherapy, 33, 103–109.CrossRef

Sweetow, R. (1986). Cognitive aspects of tinnitus patient management. Ear and Hearing, 7, 390–396.PubMedCrossRef

Teasdale, J. D., Segal, Z. V., Williams, J. M. G., Ridgeway, V. A., Soulsby, J. M., & Lau, M. A. (2000). Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. Journal of Consulting and Clinical Psychology, 68(4), 615–623.PubMedCrossRef

Teasdale, J. D., Moore, R. G., Hayhurst, H., Pope, M., Williams, S., & Segal, Z. V. (2002). Metacognitive awareness and prevention of relapse in depression: empirical evidence. Journal of Consulting and Clinical Psychology, 70(2), 275–287.PubMedCrossRef

Tonndorf, J. (1987). The analogy between tinnitus and pain: A suggestion for a physiological basis of chronic tinnitus. Hear Research, 28, 271–275.CrossRef

Tyler, R. S., & Baker L. J. (1983). Difficulties experienced by tinnitus sufferers. Journal of Speech and Hearing Disorders, 48, 150–154.

Weiss, M., Nordlie, J. W., & Siegel, E. P. (2005). Mindfulness-based stress reduction as an adjunct to outpatient psychotherapy. Psychotherapy and Psychosomatics, 74(2), 108–112.PubMedCrossRef

Zigmond, A. S., & Snaith, R. P. (1983). The Hospital Anxiety and Depression Scale. Acta Psychiatrica Scandinavica, 67, 361–370.PubMedCrossRef

Zoger, S., Svedlund, J., & Holgers, K. M. (2001). Psychiatric disorders in tinnitus patients without severe hearing impairment: 24 month follow-up of patients at an audiological clinic. Audiology, 40, 133–140.PubMedCrossRef

Titel: Mindfulness Based Tinnitus Stress Reduction Pilot Study
A Symptom Perception-Shift Program
Auteurs: Jennifer J. Gans
Patricia O’Sullivan
Vallena Bircheff
Publicatiedatum: 01-06-2014
Uitgeverij: Springer US
Gepubliceerd in: Mindfulness / Uitgave 3/2014
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI: https://doi.org/10.1007/s12671-012-0184-4

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