An evaluation of relaxation training in the treatment of tinnitus

Ireland, Christine E.; Wilson, Peter H.; Tonkin, John; Platt-Hepworth, Sarah

doi:10.1016/0005-7967(85)90170-6

Cited by 45 publications

(14 citation statements)

References 10 publications

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“…Some of these studies assessed tinnitus severity before treatment was initiated and assessed it again immediately after the treatment program was concluded [10-12]. Other studies included a follow-up assessment of tinnitus severity (usually in the form of a questionnaire) two weeks [13], four weeks [14], six weeks [15], three months [16] or six months [17] after the conclusion of a treatment program.…”

Section: Introductionmentioning

confidence: 99%

Long-term reductions in tinnitus severity

Folmer

2002

BMC Ear Nose Throat Disord

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BackgroundThis study was undertaken to assess long-term changes in tinnitus severity exhibited by patients who completed a comprehensive tinnitus management program; to identify factors that contributed to changes in tinnitus severity within this population; to contribute to the development and refinement of effective assessment and management procedures for tinnitus.MethodsDetailed questionnaires were mailed to 300 consecutive patients prior to their initial appointment at the Oregon Health & Science University Tinnitus Clinic. All patients were then evaluated and treated within a comprehensive tinnitus management program. Follow-up questionnaires were mailed to the same 300 patients 6 to 36 months after their initial tinnitus clinic appointment.ResultsOne hundred ninety patients (133 males, 57 females; mean age 57 years) returned follow-up questionnaires 6 to 36 months (mean = 22 months) after their initial tinnitus clinic appointment. This group of patients exhibited significant long-term reductions in self-rated tinnitus loudness, Tinnitus Severity Index scores, tinnitus-related anxiety and prevalence of current depression. Patients who improved their sleep patterns or Beck Depression Inventory scores exhibited greater reductions of tinnitus severity scores than patients who continued to experience insomnia and depression at follow-up.ConclusionsIndividualized tinnitus management programs that were designed for each patient contributed to overall reductions in tinnitus severity exhibited on follow-up questionnaires. Identification and treatment of patients experiencing anxiety, insomnia or depression are vital components of an effective tinnitus management program. Utilization of acoustic therapy also contributed to improvements exhibited by these patients.

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Section: Introductionmentioning

confidence: 99%

Long-term reductions in tinnitus severity

Folmer

2002

BMC Ear Nose Throat Disord

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“…Nonpharmacologic therapeutic approaches include use of biofeedback, a tinnitus masker, hearing aids, and electrical stimulation. Although benefits of these treatments may be realized by some patients, overall results have proven disappointing (3,4). Surgical therapy can be quite successful in few select cases where a vascular lesion or tumor causes the tinnitus, but no such anatomic cause exists in most of tinnitus patients.…”

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confidence: 97%

Treatment of Tinnitus With Gabapentin

Witsell

Hannley

Stinnet

et al. 2007

Otology &Amp; Neurotology

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“…Assessment of subjective tinnitus severity, sleep difficulties, depression and anxiety was done on 30 tinnitus patients receiving either relaxation training with counter demand instructions and no treatment by Ireland et al 54 Results showed no significant effect for relaxation training on any measure. Beck Depression Inventory also showed degree of changes to be equivalent for both treated and untreated groups.…”

Section: Relaxation Training In Tinnitus Treatmentmentioning

confidence: 99%

Treatment of Tinnitus: A Scoping Review

Makar¹,

Mukundan²,

Gore³

2017

The International Tinnitus Journal

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Background: Tinnitus is a perception of an auditory sensation without the presence of an external sound. It has devastating impact on the quality of life and psychosocial aspect of the sufferer. Mechanisms of tinnitus not clear; however, its management include counselling, hearing aids, tinnitus masking, relaxation therapy, cognitive behaviour therapy and tinnitus retraining therapy. Objective: To conduct a scoping review to explore the role of counselling, hearing aids, tinnitus masking, relaxation therapy, cognitive-behavioural therapy and tinnitus retraining therapy in India. To also provide an overview of efficacy of these approaches in tinnitus management. Research Design: Scoping review. Study Sample: Experimental studies, follow-up assessments, and reviews assessing tinnitus treatment approaches were identified as a result of an electronic database met search. Results: The evidence suggests that all tinnitus management programs have their unique benefits in the treatment of tinnitus. Given the confounding variables that include length of therapy, tinnitus severity and subject population, the overall level of evidence is equivocal. Nonetheless, the efficacy of CBT appears reasonably established and combined approach (masking + counselling + attention diversion) appears to be most promising for audiologists for future tinnitus management. A common ground of therapeutic elements was established and evidence was found to be robust enough to guide clinical practice. Conclusion: The use of more robust methodology with well-defined control groups, as well as randomization of clinical trials in future studies would increase the quality of evidence in the study of tinnitus management. Clinical recommendation: Combined therapies (masking + counselling + attention diversion) appear more appropriate in the treatment of tinnitus as the evidence is not sufficient to support a specific treatment method.

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An evaluation of relaxation training in the treatment of tinnitus

Cited by 45 publications

References 10 publications

Long-term reductions in tinnitus severity

Long-term reductions in tinnitus severity

Treatment of Tinnitus With Gabapentin

Treatment of Tinnitus: A Scoping Review

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