Application of autogenic training in patients with Me´nie`re disease
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Fumiyuki Goto Kimiko Nakai Kaoru Ogawa
- چاپ و سال / کشور: 2011
Description
Data are limited on the role of psychotherapy in the treatment of Me´nie`re disease. We sought to document the effect of a psychotherapeutic technique known as autogenic training on clinical outcome in Me´nie`re disease. Six patients with Me´nie`re disease were studied. Retrospective chart review was conducted. All patients were refractory to conventional therapy and completed a course of autogenic training, which was offered as a complementary treatment. Autogenic training with initial psychological counseling was conducted by a clinical psychologist during 45-min sessions. Outcome measures assessed were the frequency of vertigo and functional levels 2 years after initiation of autogenic training. Functional levels were evaluated according to the 1995 guidelines of the American Academy of Otolaryngology-Head Neck Surgery (AAO-HNS). As a personality measure, we used the Maudsley Personality Inventory (MPI), devised by Eysenck, which measures neuroticism (N), extraversion (E), and propensity to lie (L). Five of six patients showed improved functional level after three to eight sessions of psychotherapy; hearing level did not change. The score of the N scale of the MPI was closely related to the number of psychotherapy sessions. Prognosis was evaluated based on the AAO-HNS reporting guidelines, as follows: A = 3, B = 1, C = 1, F = 1. The value of N in MPI was closely related to the number of psychological counseling sessions (R = 0.97, P\0.05). In conclusion, autogenic training may enhance the mental well-being of patients with Me´nie`re disease and improve clinical outcome.
Eur Arch Otorhinolaryngol DOI 10.1007/s00405-011-1530-1, Received: 24 September 2010 / Accepted: 3 February 2011
