Evaluation of 5536 patients treated in an integrative outpatient tinnitus treatment center-immediate effects and a modeling approach for sustainability.

In contrast the subscales “Cognitive distress” and “Sleep disturbances” failed to reach significance although a trend for improvement after 6 month was visible (d = −0.60 (CI: −1.05 to −1.01) and d = −0.33 (CI: −1.05 to −1.01) resp.).

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While for the end of treatment, all subscales showed highly significant improvements with standardised effect sizes between –d = 0.31 for “somatic complaints” and d = −1.03 for “cognitive distress”, follow-up results were more heterogeneous: the scales “Emotional distress” and “Intrusiveness” still remained significant with d = −0.67 (CI: −1.05 to −1.01) and d = −0.90 (CI: −1.05 to −1.01) respectively.

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