Sustained Benefit of Mindfulness-Based Tinnitus Stress Reduction (MBTSR) in Adults with Chronic Tinnitus: a Pilot Study

Gans, Jennifer J.; Greenberg, Benjamin

doi:10.1007/s12671-015-0403-x

Cited by 10 publications

(5 citation statements)

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“…Title/abstract screening resulted in 10 articles. Three articles were excluded: one was a duplicate (33), one was a letter to the editor (34), and one did not use a validated outcome measure in addition to including supplementary therapy to a MBI (35). We included 7 studies in this review ( n = 425 patients, range of 8–182 patients per study) published between 2007 and 2017 (13, 24, 36–40) (Table 2).…”

Section: Resultsmentioning

confidence: 99%

“…A persistent statistically significant decrease in tinnitus distress scores was observed after 6 months, compared to pre- and directly posttreatment scores (36). In an additional letter to the editor, Gans et al reported a sustained effect of the MB (T) SR therapy 1 year after treatment in a small set of patients attending, subsequent follow-up assessment (34). This limited insight in the long term results of MBI on tinnitus distress hinders strong conclusions and needs further exploration.…”

Section: Discussionmentioning

confidence: 99%

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The Effect of Mindfulness-Based Interventions on Tinnitus Distress. A Systematic Review

et al. 2019

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Objectives: With this systematic review we aim to provide an overview of the evidence of the effect of Mindfulness Based Interventions (MBIs) on (1) tinnitus distress and (2) anxiety and/or depression in tinnitus patients.Methods: We conducted a systematic search in PubMed Medline, EMBASE and PsycInfo combining the terms and synonyms of “Tinnitus” and “Mindfulness.” The most recent search was performed on December 4th 2018. We wrote this systematic review according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Two independent authors identified studies, assessed the risk of bias and extracted data. Studies were considered eligible if they included adults with tinnitus, performed a protocolled MBI and measured tinnitus distress with validated questionnaires. Studies were appraised with either the Cochrane Risk of Bias tool or the MINORS criteria, depending on their design.Results: The systematic search yielded seven articles (425 patients). Three randomized controlled trials (RCTs), three cohort studies and one comparative controlled trial. Different types of MBIs, including MBCT and MBSR, were assessed with various questionnaires. Two of three RCTs showed a statistically significant decrease in tinnitus distress scores directly after treatment in the mindfulness group compared to the control group. Six of seven studies showed statistically significant decrease in tinnitus distress scores directly after mindfulness therapy. One of three RCTs showed a statistically significant improvement of depression questionnaire scores after MBI compared to the control group directly post treatment.Conclusions: A decrease of tinnitus distress scores in MBIs can be observed directly post-therapy based on moderate to high quality studies. This was found regardless of the heterogeneity of patients, study design, type of MBI and outcome assessment. Two out of three RCTs found clinically relevant decreases in tinnitus distress scores. No effect of MBIs was observed for depression and anxiety in tinnitus patients. Long term effects remain uncertain. Mindfulness may have a place in tinnitus therapy, although the long term effects need to be studied.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The Effect of Mindfulness-Based Interventions on Tinnitus Distress. A Systematic Review

et al. 2019

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“…The search identified 1,827 records: 18 publications relating to 15 separate studies are included in the review after screening for inclusion criteria (see Figure 1). Three studies reported two publications each, in the form of the main publication and secondary data analyses (Hesser et al, 2012(Hesser et al, , 2014Husain et al, 2019 andZimmerman et al, 2019) or follow-up data (Gans et al, 2014(Gans et al, , 2015. No potentially eligible studies reported in non-English were found.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…All seven studies reported statistically significant pre-post changes in hearing-related distress measures: four of these examined MBIs (Gans et al, 2014;Husain et al, 2019;McKenna et al, 2018;Roland et al, 2019), two examined ACT (Drey, 2017;Hesser et al, 2009), and one examined MT (Ferraro et al, 2019). Four out of six studies reported maintenance of treatment gains at followup: three examined MBIs (Gans et al, 2015;McKenna et al, 2018;Roland et al, 2015) and one examined MT (Ferraro et al, 2019).…”

Section: Hearing-related Distressmentioning

confidence: 99%

A Systematic Review and Meta-Analysis Exploring Effects of Third-Wave Psychological Therapies on Hearing-Related Distress, Depression, Anxiety, and Quality of Life in People With Audiological Problems

et al. 2022

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Purpose: There is growing evidence supporting the use of third-wave psychological therapies, such as mindfulness-based interventions (MBIs) and acceptance and commitment therapy (ACT), for people with long-term or chronic physical health conditions. We conducted a systematic review and meta-analysis to critically evaluate the effectiveness of third-wave interventions for improving hearing-related distress and psychological well-being in people with audiological problems. Method: We searched online bibliographic databases and assessed study quality. We conducted random-effects meta-analyses if at least two randomized controlled trials (RCTs) examined hearing-related distress, depression, anxiety, or quality of life in people with audiological problems. Findings of pre–post studies were summarized narratively. Results: We identified 15 studies: six RCTs and nine pre–post studies. The methodological quality of studies was mostly poor to moderate, and sample sizes were typically small (overall n = 750). Most studies focused on tinnitus ( n = 12), MBIs ( n = 8), and ACT ( n = 6). Statistically significant improvements in hearing-related distress were found with ACT and MBIs versus controls and other treatments at post-intervention in people with tinnitus, while improvements in depression and anxiety were only found for ACT versus controls at post-intervention. However, gains were either not maintained or not examined at follow-up, and there was no evidence for improvements in quality of life. Conclusions: At present, there is insufficient evidence to recommend the use of third-wave interventions for improving hearing-related distress or psychological well-being in people with audiological problems. There is some evidence that ACT and MBIs may be useful in addressing hearing-related distress in people with tinnitus, but only in the short term. However, findings should be interpreted with caution given the small number of studies with generally small sample sizes and mostly poor-to-moderate methodological quality. More high-quality, adequately powered, double-blind RCTs, particularly in audiological problems other than tinnitus, are needed to draw firm conclusions and meaningful clinical recommendations. Supplemental Material: https://doi.org/10.23641/asha.19735975

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“…One study demonstrated results at 6 months after therapy in which this positive result remained significant 28. In a letter to the editor, Gans et al additionally described a sustained positive effect of their MBI in terms of tinnitus distress relief 1 year after treatment in seven patients 37…”

Section: Introductionmentioning

confidence: 99%

MinT-trial: Mindfulness versus cognitive behavioural therapy in Tinnitus patients: protocol for a randomised controlled, non-inferiority trial

Rademaker¹,

Stegeman²,

Lieftink

et al. 2020

BMJ Open

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IntroductionChronic subjective tinnitus is a condition that affects 5.1% to 42.7% of the population, depending on the definition and studied population. Evidence-based treatment options are limited. Cognitive Behavioural Therapy (CBT) has been proven effective to improve quality of life and to diminish tinnitus distress. Positive short-term effects of mindfulness-based interventions on tinnitus distress have been reported; however, the longer term effects remain to be studied.Methods and analysisWe designed a monocentre randomised controlled, non-inferiority trial to compare the effectiveness of mindfulness-based cognitive therapy (MBCT) and CBT in chronic tinnitus patients. Fifty-four patients (≥32 on the Tinnitus Functional Index (TFI), suffering from tinnitus for at least 6 months) will be included in the trial and randomised into one of two intervention groups. One group will receive MBCT, the other group will receive CBT. Our primary objective is to determine whether MBCT is non-inferior to (as good as) CBT on tinnitus distress (TFI) in chronic tinnitus patients at 12 months follow-up after end of therapy. Non-inferiority will be declared if the mean decrease in TFI score for MBCT is no worse than the mean decrease in TFI score in CBT, with statistical variability, with a margin of 13 points. Most secondary objectives (tinnitus severity of problem, tinnitus intrusiveness, quality of life, anxiety, depression, symptoms of psychopathology, perceived tinnitus complaints, coping style (mostly validated questionnaires)) are expected to show non-inferiority to MBCT compared with CBT. We expect a significant difference between MBCT and CBT for mindfulness awareness.Ethics and disseminationThis research protocol was approved by the Institutional Review Board of the UMC Utrecht (NL67838.041.18, V.4, April 2019). The trial results will be made accessible to the public in a peer-review journal.Trial registration numberNL7745.

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Sustained Benefit of Mindfulness-Based Tinnitus Stress Reduction (MBTSR) in Adults with Chronic Tinnitus: a Pilot Study

Cited by 10 publications

References 9 publications

The Effect of Mindfulness-Based Interventions on Tinnitus Distress. A Systematic Review

The Effect of Mindfulness-Based Interventions on Tinnitus Distress. A Systematic Review

A Systematic Review and Meta-Analysis Exploring Effects of Third-Wave Psychological Therapies on Hearing-Related Distress, Depression, Anxiety, and Quality of Life in People With Audiological Problems

MinT-trial: Mindfulness versus cognitive behavioural therapy in Tinnitus patients: protocol for a randomised controlled, non-inferiority trial

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