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<title xml:lang="en">Long-term effects of the “Heidelberg Model of Music Therapy” in patients with chronic tinnitus</title>
<author>
<name sortKey="Argstatter, Heike" sort="Argstatter, Heike" uniqKey="Argstatter H" first="Heike" last="Argstatter">Heike Argstatter</name>
<affiliation>
<nlm:aff id="au1">
<institution>German Center for Music Therapy Research (Deutsches Zentrum für Musiktherapieforschung (Viktor Dulger Institut) DZM e.V.)</institution>
<addr-line>Heidelberg, Germany</addr-line>
</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Grapp, Miriam" sort="Grapp, Miriam" uniqKey="Grapp M" first="Miriam" last="Grapp">Miriam Grapp</name>
<affiliation>
<nlm:aff id="au1">
<institution>German Center for Music Therapy Research (Deutsches Zentrum für Musiktherapieforschung (Viktor Dulger Institut) DZM e.V.)</institution>
<addr-line>Heidelberg, Germany</addr-line>
</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Hutter, Elisabeth" sort="Hutter, Elisabeth" uniqKey="Hutter E" first="Elisabeth" last="Hutter">Elisabeth Hutter</name>
<affiliation>
<nlm:aff id="au1">
<institution>German Center for Music Therapy Research (Deutsches Zentrum für Musiktherapieforschung (Viktor Dulger Institut) DZM e.V.)</institution>
<addr-line>Heidelberg, Germany</addr-line>
</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Plinkert, Peter" sort="Plinkert, Peter" uniqKey="Plinkert P" first="Peter" last="Plinkert">Peter Plinkert</name>
<affiliation>
<nlm:aff id="au2">
<institution>University Hospital for Ear, Nose, and Throat, University of Heidelbergn</institution>
<addr-line>Germany</addr-line>
</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Bolay, Hans Volker" sort="Bolay, Hans Volker" uniqKey="Bolay H" first="Hans Volker" last="Bolay">Hans Volker Bolay</name>
<affiliation>
<nlm:aff id="au3">
<institution>Music Therapy Tinnitus Outpatient Department</institution>
<addr-line>Heidelberg, Germany</addr-line>
</nlm:aff>
</affiliation>
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<idno type="pmid">22993646</idno>
<idno type="pmc">3443887</idno>
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<idno type="RBID">PMC:3443887</idno>
<date when="2012">2012</date>
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<title xml:lang="en" level="a" type="main">Long-term effects of the “Heidelberg Model of Music Therapy” in patients with chronic tinnitus</title>
<author>
<name sortKey="Argstatter, Heike" sort="Argstatter, Heike" uniqKey="Argstatter H" first="Heike" last="Argstatter">Heike Argstatter</name>
<affiliation>
<nlm:aff id="au1">
<institution>German Center for Music Therapy Research (Deutsches Zentrum für Musiktherapieforschung (Viktor Dulger Institut) DZM e.V.)</institution>
<addr-line>Heidelberg, Germany</addr-line>
</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Grapp, Miriam" sort="Grapp, Miriam" uniqKey="Grapp M" first="Miriam" last="Grapp">Miriam Grapp</name>
<affiliation>
<nlm:aff id="au1">
<institution>German Center for Music Therapy Research (Deutsches Zentrum für Musiktherapieforschung (Viktor Dulger Institut) DZM e.V.)</institution>
<addr-line>Heidelberg, Germany</addr-line>
</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Hutter, Elisabeth" sort="Hutter, Elisabeth" uniqKey="Hutter E" first="Elisabeth" last="Hutter">Elisabeth Hutter</name>
<affiliation>
<nlm:aff id="au1">
<institution>German Center for Music Therapy Research (Deutsches Zentrum für Musiktherapieforschung (Viktor Dulger Institut) DZM e.V.)</institution>
<addr-line>Heidelberg, Germany</addr-line>
</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Plinkert, Peter" sort="Plinkert, Peter" uniqKey="Plinkert P" first="Peter" last="Plinkert">Peter Plinkert</name>
<affiliation>
<nlm:aff id="au2">
<institution>University Hospital for Ear, Nose, and Throat, University of Heidelbergn</institution>
<addr-line>Germany</addr-line>
</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Bolay, Hans Volker" sort="Bolay, Hans Volker" uniqKey="Bolay H" first="Hans Volker" last="Bolay">Hans Volker Bolay</name>
<affiliation>
<nlm:aff id="au3">
<institution>Music Therapy Tinnitus Outpatient Department</institution>
<addr-line>Heidelberg, Germany</addr-line>
</nlm:aff>
</affiliation>
</author>
</analytic>
<series>
<title level="j">International Journal of Clinical and Experimental Medicine</title>
<idno type="eISSN">1940-5901</idno>
<imprint>
<date when="2012">2012</date>
</imprint>
</series>
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<front>
<div type="abstract" xml:lang="en">
<sec>
<title>Objective</title>
<p>The “Heidelberg Model of Music Therapy for Chronic Tinnitus” is a manualized short term treatment (nine 50-minutes sessions of individualized therapy on five consecutive days). It has proven to be efficient in reducing tinnitus symptoms in the short run. Now the long-term impact of the treatment after up to 5.4 years should be explored.</p>
</sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<p>206 patients who had attended the neuro-music therapy were addressed in a structured follow-up questionnaire survey. 107 complete questionnaires entered analysis. Follow-up time was 2.65 (SD 1.1) years.</p>
</sec>
<sec>
<title>Results</title>
<p>76% of the patients achieved a reliable reduction in their tinnitus scores, the overall tinnitus distress as measured by the Mini-TQ diminished from 11.9 (SD = 4.9) to 7.4 (SD = 5.2) points, 87% of the patients were satisfied by the way they were treated during therapy, and 71% of the patients did not undergo any further treatment after. Evaluation of therapeutic elements displays, that only music therapy specific interventions were rated helpful by the patients. Tinnitus related factors (such as tinnitus pitch or loudness, time since onset) did not influence therapy outcome but female gender, positive therapeutic relationship, and higher initial Mini-TQ scores became apparent as factors predicting better chances for greater therapy success.</p>
</sec>
<sec>
<title>Discussion</title>
<p>The “Heidelberg Model of Music Therapy for Chronic Tinnitus” seems to be effective in the long run. The outcome effect size of d’ = 0.89, can be accounted for as “large” effect and falls into the upper range value compared to established treatments.</p>
</sec>
</div>
</front>
</TEI>
<pmc article-type="research-article">
<pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Int J Clin Exp Med</journal-id>
<journal-id journal-id-type="iso-abbrev">Int J Clin Exp Med</journal-id>
<journal-id journal-id-type="publisher-id">ijcem</journal-id>
<journal-title-group>
<journal-title>International Journal of Clinical and Experimental Medicine</journal-title>
</journal-title-group>
<issn pub-type="epub">1940-5901</issn>
<publisher>
<publisher-name>e-Century Publishing Corporation</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">22993646</article-id>
<article-id pub-id-type="pmc">3443887</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Original Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Long-term effects of the “Heidelberg Model of Music Therapy” in patients with chronic tinnitus</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Argstatter</surname>
<given-names>Heike</given-names>
</name>
<xref ref-type="aff" rid="au1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Grapp</surname>
<given-names>Miriam</given-names>
</name>
<xref ref-type="aff" rid="au1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Hutter</surname>
<given-names>Elisabeth</given-names>
</name>
<xref ref-type="aff" rid="au1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Plinkert</surname>
<given-names>Peter</given-names>
</name>
<xref ref-type="aff" rid="au2">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Bolay</surname>
<given-names>Hans Volker</given-names>
</name>
<xref ref-type="aff" rid="au3">3</xref>
</contrib>
<aff id="au1">
<label>1</label>
<institution>German Center for Music Therapy Research (Deutsches Zentrum für Musiktherapieforschung (Viktor Dulger Institut) DZM e.V.)</institution>
<addr-line>Heidelberg, Germany</addr-line>
</aff>
<aff id="au2">
<label>2</label>
<institution>University Hospital for Ear, Nose, and Throat, University of Heidelbergn</institution>
<addr-line>Germany</addr-line>
</aff>
<aff id="au3">
<label>3</label>
<institution>Music Therapy Tinnitus Outpatient Department</institution>
<addr-line>Heidelberg, Germany</addr-line>
</aff>
</contrib-group>
<author-notes>
<corresp>
<bold>Address correspondence to:</bold>
Dr. Heike Argstatter, German Center for Music Therapy Research (Deutsches Zentrum für Musiktherapieforschung (Viktor Dulger Institut) DZM e.V.), Maaßstraße 32/1, 69123 Heidelberg, Germany Tel: (+49)- 6221 - 79 63 960; E-mail:
<email>heike.argstatter@dzm-heidelberg.de</email>
</corresp>
</author-notes>
<pub-date pub-type="collection">
<year>2012</year>
</pub-date>
<pub-date pub-type="epub">
<day>22</day>
<month>8</month>
<year>2012</year>
</pub-date>
<volume>5</volume>
<issue>4</issue>
<fpage>273</fpage>
<lpage>288</lpage>
<history>
<date date-type="received">
<day>09</day>
<month>7</month>
<year>2012</year>
</date>
<date date-type="accepted">
<day>31</day>
<month>7</month>
<year>2012</year>
</date>
</history>
<permissions>
<copyright-statement>IJCEM Copyright © 2012</copyright-statement>
<copyright-year>2012</copyright-year>
</permissions>
<abstract>
<sec>
<title>Objective</title>
<p>The “Heidelberg Model of Music Therapy for Chronic Tinnitus” is a manualized short term treatment (nine 50-minutes sessions of individualized therapy on five consecutive days). It has proven to be efficient in reducing tinnitus symptoms in the short run. Now the long-term impact of the treatment after up to 5.4 years should be explored.</p>
</sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<p>206 patients who had attended the neuro-music therapy were addressed in a structured follow-up questionnaire survey. 107 complete questionnaires entered analysis. Follow-up time was 2.65 (SD 1.1) years.</p>
</sec>
<sec>
<title>Results</title>
<p>76% of the patients achieved a reliable reduction in their tinnitus scores, the overall tinnitus distress as measured by the Mini-TQ diminished from 11.9 (SD = 4.9) to 7.4 (SD = 5.2) points, 87% of the patients were satisfied by the way they were treated during therapy, and 71% of the patients did not undergo any further treatment after. Evaluation of therapeutic elements displays, that only music therapy specific interventions were rated helpful by the patients. Tinnitus related factors (such as tinnitus pitch or loudness, time since onset) did not influence therapy outcome but female gender, positive therapeutic relationship, and higher initial Mini-TQ scores became apparent as factors predicting better chances for greater therapy success.</p>
</sec>
<sec>
<title>Discussion</title>
<p>The “Heidelberg Model of Music Therapy for Chronic Tinnitus” seems to be effective in the long run. The outcome effect size of d’ = 0.89, can be accounted for as “large” effect and falls into the upper range value compared to established treatments.</p>
</sec>
</abstract>
<kwd-group>
<kwd>Music Therapy</kwd>
<kwd>tinnitus</kwd>
<kwd>long-term outcome</kwd>
<kwd>tinnitus questionnaire</kwd>
<kwd>odds ratio</kwd>
<kwd>logistic regression</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>

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