When the ringing in the ears gets unbearable: Illness representations, self-instructions and adjustment to tinnitus

Vollmann, Manja and Kalkouskaya, Natallia and Langguth, Berthold and Scharloo, Margreet (2012) When the ringing in the ears gets unbearable: Illness representations, self-instructions and adjustment to tinnitus. JOURNAL OF PSYCHOSOMATIC RESEARCH, 73 (2). pp. 108-111. ISSN 0022-3999,

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Abstract

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. (c) 2012 Elsevier Inc. All rights reserved.

Item Type: Article
Uncontrolled Keywords: EMOTIONAL DISTRESS; COPING STYLE; SEVERITY; ACCEPTANCE; SUFFERERS; BELIEFS; Tinnitus; Illness representations; Self-instructions; Adjustment; Coping; Common Sense Model (CSM) of self-regulation
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Psychiatrie und Psychotherapie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 08 May 2020 06:07
Last Modified: 08 May 2020 06:07
URI: https://pred.uni-regensburg.de/id/eprint/18395

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