Hearing aid effectiveness on patients with chronic tinnitus and associated hearing loss

Simonetti, Patricia; Vasconcelos, Laura Garcia; Gândara, Mara Rocha; Lezirovitz, Karina; Medeiros, Ítalo Roberto Torres de; Oiticica, Jeanne

doi:10.1016/j.bjorl.2022.03.002

Cited by 2 publications

(4 citation statements)

References 34 publications

(40 reference statements)

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“…Simonetti, et al (2022) 12 contucted a study with 19 patients. Following the usage of hearing aid (HA) for a period of six months, a decrease in the reported severity of tinnitus as well as scores on hearing handicap ratings was found, both statistically and clinically.…”

Section: Resultsmentioning

confidence: 99%

Hearing Aid Effectiveness on Patients With Chronic Tinnitus and Associated Hearing Loss : Systematics Review

Triyanti

2023

JARMHS

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Tinnitus, the perception of sound in the absence of an obvious external source, is even more frequent, affecting around ten percent of adults in the United States. Tinnitus is defined as the sense of sound in the absence of an obvious external source. Tinnitus is typically accompanied by hearing loss, but this is not always the case. It is conceivable for it to occur either by itself or in conjunction with a loss of hearing of any type. Tinnitus and hearing loss are both caused by a wide variety of conditions, the most frequent of which is age-related hearing loss. Other, less common causes include malignancies of the brain and skull base. Hearing loss can be broken down into three basic categories: sensorineural, conductive, or mixed (where both conductive and sensorineural components are present). The perception of sound in the absence of external acoustic stimulation for an extended length of time (more than three months) is the hallmark of chronic tinnitus. Tinnitus is quite common, with an estimated incidence of 10–15% in the adult population; however, prevalence estimates can vary widely from study to study. Tinnitus is characterized by a buzzing or ringing sound in the ear. A minority of people may experience severe psychological distress as a direct result of the situation, despite the fact that the majority of people are able to adapt to the perception and report very mild emotional distress as a result of it. Tinnitus Questionnaire (abbreviated as TQ), Tinnitus Handicap Inventory (abbreviated as THI), and Tinnitus Functional Index (abbreviated as TFI) are the three self-report questionnaires that are used the most frequently for quantifying tinnitus-related suffering. The total scores of these measures properly capture both the suffering associated with tinnitus and the change that is attributable to treatments. In patients who have tinnitus and chronic hearing loss, the use of hearing aids is successful in suppressing the symptoms; however, the usage of the device must be carried out for at least six months in order for the treatment to take effect.

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Section: Resultsmentioning

confidence: 99%

Hearing Aid Effectiveness on Patients With Chronic Tinnitus and Associated Hearing Loss : Systematics Review

Triyanti

2023

JARMHS

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“…22 The PROMIS is a collection of PROMIS questionnaire items that captures information about different aspects of quality of life. Standardized T scores for each domain listed are computed with a mean (SD) score of 50 (10).…”

Section: Patient-reported Outcomes Measurement Information Systemmentioning

confidence: 99%

“…There are a variety of treatments for tinnitus. Hearing aids and sound maskers reduce tinnitus distress by redirecting auditory focus away from tinnitus . Several behavioral modification therapies, including cognitive behavioral therapy (CBT), mindfulness-based cognitive therapy, and acceptance and commitment therapy have demonstrated effectiveness in reducing tinnitus severity and symptom burden.…”

Section: Introductionmentioning

confidence: 99%

“…Hearing aids and sound maskers reduce tinnitus distress by redirecting auditory focus away from tinnitus. 10 Several behavioral modification therapies, including cognitive behavioral therapy (CBT), 11,12 mindfulness-based cognitive therapy, 13,14 and acceptance and commitment therapy 15 have demonstrated effectiveness in reducing tinnitus severity and symptom burden. A meta-analysis of 10 randomized clinical trials demonstrated the efficacy of CBT in reducing tinnitus distress.…”

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Predictors of Response to Cognitive Behavioral Therapy in Patients With Tinnitus

Mueller,

Kallogjeri,

Frumkin

et al. 2024

JAMA Otolaryngol Head Neck Surg

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ImportanceClinical guidelines recommend cognitive behavioral therapy (CBT) as a treatment for tinnitus. However, patient response to CBT is variable, and currently, there are no known predictors of response to CBT treatment for tinnitus.ObjectiveTo identify the clinical predictors of patient response to CBT for treatment of tinnitus.Design, Setting, and ParticipantsThis was a secondary cohort analysis of a single-arm clinical study including adults with chronic bothersome tinnitus recruited from Washington University School of Medicine in St Louis (Missouri) from September 2019 to February 2023. Participants completed an 8-week group CBT program with a licensed clinical psychologist. Each week consisted of 2.5 hours of CBT, amounting to 20 hours of total CBT participation, primarily delivered through a virtual platform. Conjunctive consolidation was used to create a predictive classification system for response to CBT based on tinnitus bother and anxiety levels.Main Outcome and MeasureResponse to CBT was predefined as a 13-point or greater decrease in the Tinnitus Functional Index (TFI) survey score.ResultsThe study sample included 88 adult patients (median [IQR] age, 59 [49-66] years; 47 [53%] females and 41 [47%] males) with chronic bothersome tinnitus, of whom 53 (60%) had at least 13-point decrease in TFI and were considered to be responders. In univariable and multivariable logistic regression analyses, high to moderate anxiety level and severe tinnitus bother were associated with treatment response (adjusted odds ratio: anxiety, 3.33; 95% CI, 0.90-12.30; tinnitus bother, 12.08; 95% CI, 1.48-98.35). The clinical stratification system showed good predictive and discriminative ability (χ2 for linear trend = 20.0; C statistic = 0.75; 95% CI, 0.65-0.85).Conclusions and RelevanceThe findings of this study show that assessment of bother and anxiety levels in patients with tinnitus may be useful for identifying those who are more likely to respond to CBT. Before incorporation into clinical practice, future research should externally validate this finding in a separate population.

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Hearing aid effectiveness on patients with chronic tinnitus and associated hearing loss

Cited by 2 publications

References 34 publications

Hearing Aid Effectiveness on Patients With Chronic Tinnitus and Associated Hearing Loss : Systematics Review

Hearing Aid Effectiveness on Patients With Chronic Tinnitus and Associated Hearing Loss : Systematics Review

Predictors of Response to Cognitive Behavioral Therapy in Patients With Tinnitus

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