Intra-individual variability in tinnitus patients
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- 作者：Prof. Dr. N. Dauman (1)
S. Erlandsson (2)
L. Lundlin (2)
R. Dauman (3)
1. CAPS-EA4050 ; Department of Psychology ; University of Poitiers ; Poitiers ; France
2. Department of Social and Behavioural Studies ; University West ; Trollh盲ttan ; Sweden
3. Tinnitus Clinic ; Department of ORL-HNS ; University of Bordeaux and CHU of Bordeaux ; CNRS-UMR 5287 ; Bordeaux ; France - 关键词：Tinnitus ; Inter ; individual variability ; Intra ; individual variability ; Psychotherapy ; Sociocultural factors ; Tinnitus ; Interindividuelle Variabilit盲t ; Intraindividuelle Variabilit盲t ; Psychotherapie ; Soziokulturelle Faktoren
- 刊名：HNO
- 出版年：2015
- 出版时间：April 2015
- 年：2015
- 卷：63
- 期：4
- 页码：302-306
- 全文大小：256 KB
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- 刊物主题：Medicine & Public Health
Otorhinolaryngology
Neurosurgery - 出版者：Springer Berlin / Heidelberg
- ISSN：1433-0458
文摘
Most tinnitus studies have attempted to compare groups of individuals, thus revealing inter-individuals differences, i.e., variations between compared subjects. For methodological reasons, inter-individual studies cannot take into account the variability of tinnitus experience, which has been known for decades to be relevant in daily practice with tinnitus patients. The concept of intra-individual variability has been promoted in the research literature, in order to shed light on this aspect of individual perception. In previous studies, unrelated to hearing, the concept of intra-individual variability implied inclusion of the environment (i.e., physical and social interactions) as a factor of individual performance. In tinnitus research, we believe that the concept of variability (within a person) could find a place beside the concept of variation (between groups of subjects). In this paper, four perspectives of tinnitus experiences from the clinical and research fields are described: (1) ENT consultation; (2) short-term group psychotherapy; (3) psychodynamic psychotherapy; and (4) clinical psychological research. Intra-individual variability stresses the importance of defining tinnitus in a dynamic way, contrary to the current definition of tinnitus as the perception of sound(s). In clinical practice, it is useful to embrace the perspective of the perceiver of tinnitus, and to include social and cultural circumstances as well as audiological/physical changes.