Cognitive behavioural therapy for tinnitus

Martinez‐Devesa, Pablo; Perera, Romain S; Theodoulou, Megan; Waddell, A. W.

doi:10.1002/14651858.cd005233

Cited by 74 publications

(110 citation statements)

References 51 publications

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“…The telephone intervention was based on the educational counseling that is used with PTM, with the addition of components of cognitive-behavioral therapy (CBT). CBT is an evidence-based psychotherapy commonly used for pain, depression, anxiety, and tinnitus that also can be effective in individuals with a history of TBI, particularly mild TBI [19][20][21].…”

Section: Traumatic Brain Injury (Tbi)mentioning

confidence: 99%

“…Psychological techniques had already been developed and used with patients who experience tinnitus. Multiple trials support CBT as an effective psychological method for managing tinnitus [20]. Thus, CBT was incorporated into the PTM method and was expected to be useful for patients both with and without TBI.…”

Section: Cognitive-behavioral Therapymentioning

confidence: 99%

“…Martinez Devesa et al conducted a meta-analysis of six randomized controlled studies (285 participants) of CBT for tinnitus [20]. They found significant improvement in quality of life (decrease of global tinnitus severity) for those receiving CBT compared with those who did not receive CBT.…”

Section: Cognitive-behavioral Therapymentioning

confidence: 99%

“…Almost two-thirds (63.9%) of the participants scored abnormally high (11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21) on the anxiety portion of the HADS. Those with TBI were more likely to have abnormal anxiety scores than those without TBI (noTBI: 41.7%, mTBI: 73.3%, m-sTBI: 77.8%).…”

Section: Hospital Anxiety and Depression Scalementioning

confidence: 99%

See 3 more Smart Citations

Pilot study to develop telehealth tinnitus management for persons with and without traumatic brain injury

Henry¹,

Zaugg²,

Myers³

et al. 2012

JRRD

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Abstract-Tinnitus, or "ringing in the ears," affects 10%-15% of adults; cases can be problematic and require lifelong management. Many people who have experienced traumatic brain injury (TBI) also experience tinnitus. We developed Progressive Tinnitus Management (PTM), which uses education and counseling to help patients learn how to self-manage their reactions to tinnitus. We adapted PTM by delivering the intervention via telephone and by adding cognitive-behavioral therapy. A pilot study was conducted to evaluate the feasibility and potential efficacy of this approach for individuals with and without TBI. Participants with clinically significant tinnitus were recruited into three groups: probable symptomatic mild TBI (n = 15), moderate to severe TBI (n = 9), and no symptomatic TBI (n = 12). Participants received telephone counseling (six sessions over 6 months) by an audiologist and a psychologist. Questionnaires were completed at baseline, 12 weeks, and 24 weeks. All groups showed trends reflecting improvement in self-perceived functional limitations due to tinnitus. A follow-up randomized clinical study is underway.Key words: blast injury, clinical trial, cognitive-behavioral therapy, education, hearing disorders, military Veterans, rehabilitation, telehealth, tinnitus, traumatic brain injury.Abbreviations: CBT = cognitive-behavioral therapy, ESS = Epworth Sleepiness Scale, HADS = Hospital Anxiety and Depression Scale, ICF = informed consent form, IED = improvised explosive device, IRB = institutional review board, LOC = loss of consciousness, m-sTBI = moderate to severe traumatic brain injury (group), mTBI = probable symptomatic mild traumatic brain injury (group), NCRAR = National Center for Rehabilitative Auditory Research, noTBI = no symptomatic traumatic brain injury (group), OIF = Operation Iraqi Freedom, PC-PTSD =

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Section: Traumatic Brain Injury (Tbi)mentioning

confidence: 99%

Section: Cognitive-behavioral Therapymentioning

confidence: 99%

Section: Cognitive-behavioral Therapymentioning

confidence: 99%

Section: Hospital Anxiety and Depression Scalementioning

confidence: 99%

See 2 more Smart Citations

Pilot study to develop telehealth tinnitus management for persons with and without traumatic brain injury

Henry¹,

Zaugg²,

Myers³

et al. 2012

JRRD

View full text Add to dashboard Cite

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“…Established neuromodulation therapies for epilepsy and affective disorders, such as vagus nerve stimulation, have been used as novel approaches for tinnitus but without convincing results 7 . The commonly tested and clinically used devices, techniques and therapies for treating tinnitus are: cognitive behavioural therapy (CBT) 8 , which uses relaxation, cognitive restructuring of the thoughts and exposure to exacerbating situations to promote habituation. and is commonly used in moderate to severe cases of tinnitus; tinnitus retraining therapy (TRT) 9 , which is based on a neurophysiological model and consists of a combination of directive counselling and sound therapy in a strict framework and is one of the most commonly used treatment modalities for tinnitus; sound therapy (masking) [10][11][12] , which is built upon the belief that increasing customized extrinsic sound driven activity of the auditory system results in reduced tinnitus; and repetitive transcranial magnetic stimulation (rTMS) 13 , which is a non-invasive method used to induce electrical currents in the brain, and has received increasing attention in recent years for the treatment of many neuropsychiatric disorders, including tinnitus.…”

Section: Introductionmentioning

confidence: 99%

A Randomized, Placebo-Controlled, Double-Blind, Parallel Groups Study Evaluating the Performance and Safety of a Steady State Coherent Biomodulator Patch in the Treatment of Subjective Tinnitus

Ahnblad¹,

Nordkvist²

2017

The International Tinnitus Journal

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Objective: The objectives of this study were to evaluate the performance and safety of an innovative passive light photon driven microscopic biomodulator patch as an alternative medical device for tinnitus relief. Materials and Methods: Eighty-two (82) patients were randomized to receive either an active (biomodulator) patch or a placebo patch, for a 3-week treatment period. Patch performance (evaluated with questionnaires related to tinnitus and quality-of-life) and safety were assessed after 3 weeks of treatment (Week 3) and at a follow-up visit 4-weeks after end of treatment (Week 7). Results: The biomodulator patch was safe and well-tolerated and was efficacious, with significant difference (p < 0.05) between the groups at Week 7; active patch had 30% responders compared to 10% for placebo, measured as a decrease from baseline in at least 2 points in tinnitus annoyance visual analogue scale (VAS, 0-10). Tinnitus handicap inventory (THI, 0-100) improved by mean -16 points significantly (p = 0.0005) for the active responder group, but with no statistically significant changes for the placebo group or between the groups. Well-being questionnaire also improved for the active responder group, but not statistically significant. The placebo responder group did not improve in well-being. Other tinnitus related symptoms did not show significant changes. There was no statistically significant difference in performance between the active (biomodulator) and placebo groups directly at the end of treatment (Week 3). Conclusion: In a cost-risk-benefit rationale according to this study it can be reasonable to recommend the biomodulator patch for treatment of tinnitus. Improvements were shown at Week 7 (4 weeks after the end of treatment period).

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Prevalence, Severity, Exposures, and Treatment Patterns of Tinnitus in the United States

Bhatt

Lin

Bhattacharyya

2016

JAMA Otolaryngol Head Neck Surg

350

270

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Importance Largest analysis to date of tinnitus epidemiology in the American adult population Objectives To quantify the epidemiology and impact of tinnitus and to analyze its management in the United States relative to the 2014 American Academy of Otolaryngology-Head and Neck Surgery Foundation (AAO-HNSF) clinical practice guideline on tinnitus. Design Cross sectional analysis of a nationally representative health survey. Methods The 2007 National Health Interview Survey (raw N=75,764) was analyzed, identifying adults reporting tinnitus in the preceding 12 months. Main Outcomes In addition to quantifying duration, regularity, and severity of the tinnitus, specific data regarding noise exposure and tinnitus management during health care visits for tinnitus were analyzed. Results Among 222.1±3.4 million American adults, 21.4±3.4 million (9.6±0.3%) experienced tinnitus in the past 12 months. Among tinnitus sufferers, 27.0% had symptoms greater than 15 years; 36.0% had near constant symptoms. Higher rates of tinnitus were reported in those with consistent work (OR 3.3; CI: 2.9-3.7) and recreational time (OR 2.6; CI: 2.3-2.9) loud noise exposure. Years of work-related noise exposure correlated with increasing prevalence of tinnitus r=0.130 (95% CI, 0.103 to 0.157). 7.2% reported their tinnitus as a “big” or “very big” problem versus 41.6% reporting it as a “small” problem. Only 49.4% had discussed their tinnitus with a physician, where medications were the most frequently discussed recommendation (45.5%). Other interventions, such as hearing aids (9.2%), masking devices (4.9%), and cognitive-behavioral therapy (0.2%) were less frequently discussed. Conclusions and Relevance The contemporary national prevalence of tinnitus is approximately one in 10 adults. Durations of occupational and leisure time noise exposures correlated with rates of tinnitus and are likely targetable risk factors. Management options suggested by recently published guidelines were quite infrequently followed.

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Cognitive behavioural therapy for tinnitus

Cited by 74 publications

References 51 publications

Pilot study to develop telehealth tinnitus management for persons with and without traumatic brain injury

Pilot study to develop telehealth tinnitus management for persons with and without traumatic brain injury

A Randomized, Placebo-Controlled, Double-Blind, Parallel Groups Study Evaluating the Performance and Safety of a Steady State Coherent Biomodulator Patch in the Treatment of Subjective Tinnitus

Prevalence, Severity, Exposures, and Treatment Patterns of Tinnitus in the United States

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