The management of chronic tinnitus—Comparison of a cognitive-behavioural group training with yoga

Kröner‐Herwig, Birgit; Hebing, G.; Rijn-Kalkmann, U. Van; Frenzel, Anne C.; Schilkowsky, G.; Esser, Günter

doi:10.1016/0022-3999(94)00098-p

Cited by 111 publications

(119 citation statements)

References 15 publications

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“…In our sample, a lower rate of female participants (39.4%) was found. Other tinnitus studies show an approximately equal distribution of gender (e.g., 46.9% females in the meta-analysis by Hesser et al), however, some trials conducted in Germany also report lower rates of female participants, i.e., 33 -38% (Kröner-Herwig, Hebing et al, 1995;Weise, Heinecke et al, 2008;Zachriat & Kröner-Herwig, 2004). In addition, a high level of education was found.…”

Section: M=4024 Sd=1223)mentioning

confidence: 86%

Acceptance of Tinnitus: Validation of the Tinnitus Acceptance Questionnaire

Weise

Kleinstäuber

Hesser

et al. 2013

Cognitive Behaviour Therapy

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The concept of acceptance has recently received growing attention within tinnitus research due to the fact that tinnitus acceptance is one of the major targets of psychotherapeutic treatments. Accordingly, acceptance-based treatments will most likely be increasingly offered to tinnitus patients and assessments of acceptance-related behaviours will thus be needed. The current study investigated the factorial structure of the Tinnitus Acceptance Questionnaire (TAQ) and the role of tinnitus acceptance as mediating link between sound perception (i.e., subjective loudness of tinnitus) and tinnitus distress.In total, 424 patients with chronic tinnitus completed the TAQ and validated measures of tinnitus distress, anxiety and depression online. Confirmatory factor analysis provided support to a good fit of the data to the hypothesised bifactor model (RMSEA = .065; CFI = .974; TLI = .958; SRMR = .032). In addition, mediation analysis, using a nonparametric joint coefficient approach, revealed that tinnitus specific acceptance partially mediated the relation between subjective tinnitus loudness and tinnitus distress (path ab=5.96; 95% CI: 4.49, 7.69). In a multiple mediator model, tinnitus acceptance had a significantly stronger indirect effect than anxiety.The results confirm the factorial structure of the TAQ and suggest the importance of a general acceptance factor that contributes important unique variance beyond that of the firstorder factors activity engagement and tinnitus suppression. Tinnitus acceptance as measured with the TAQ is proposed to be a key construct in tinnitus research and should be further implemented into treatment concepts to reduce tinnitus distress.

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Section: M=4024 Sd=1223)mentioning

confidence: 86%

Acceptance of Tinnitus: Validation of the Tinnitus Acceptance Questionnaire

Weise

Kleinstäuber

Hesser

et al. 2013

Cognitive Behaviour Therapy

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“…Another issue could be the level of distress in the HDT group, since most of the participants in this group had only moderate levels of tinnitus distress. However, moderately distressed tinnitus patients often take part in studies on the effect of cognitive-behavioral therapies that aim to reduce tinnitus-related distress [87][88][89]. This indicates that moderately distressed tinnitus patients differ from LDT in their help seeking behavior.…”

Section: Limitationsmentioning

confidence: 99%

Neural correlates of tinnitus related distress: An fMRI-study

et al. 2013

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Background: Chronic tinnitus affects 5 % of the population, 17 % suffer under the condition. This distress seems mainly to be dependent on negative cognitive-emotional evaluation of the tinnitus and selective attention to the tinnitus. A well-established paradigm to examine selective attention and emotional processing is the Emotional Stroop Task (EST). Recent models of tinnitus distress propose limbic, frontal and parietal regions to be more active in highly distressed tinnitus patients. Only a few studies have compared high and low distressed tinnitus patients. Thus, this study aimed to explore neural correlates of tinnitus-related distress.

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“…Due to the close connection of the tinnitus and the negative emotional associations related to it, there is an attentional focus on the tinnitus. Therefore, the most effective therapeutic approaches in decompensated (high distress) tinnitus patients focus on dysfunctional emotionally biased cognitions in relation to tinnitus in order to reduce the attentional focus on the tinnitus (Andersson et al 2005;Delb et al 2002;Hazell and Jastreboff 1990;Kröner-Herwig et al 1995).…”

Section: Introductionmentioning

confidence: 99%

Alterations in Event Related Potentials (ERP) Associated with Tinnitus Distress and Attention

Delb

Strauß

Low³

et al. 2008

Appl Psychophysiol Biofeedback

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Tinnitus related distress corresponds to different degrees of attention paid to the tinnitus. Shifting attention to a signal other than the tinnitus is therefore particularly difficult for patients with high tinnitus related distress. As attention effects on Event Related Potentials (ERP) have been shown this should be reflected in ERP measurements (N100, phase locking). In order to prove this hypothesis single sweep ERP recordings were obtained in 41 tinnitus patients as well as 10 control subjects during a period of time when attention was shifted to a tone (attended) and during a second phase (unattended) when they did not focus attention to the tone. Whereas tinnitus patients with low distress showed a significant reduction in both N100 amplitude and phase locking when comparing the attended and unattended measurement condition a group of patients with high tinnitus related distress did not show such ERP alterations. Using single sweep ERP measurements the results of our study show, that attention in high tinnitus related distress patients is captured by their tinnitus significantly more than in low distress patients. Furthermore our results provide the basis for future neurofeedback based tinnitus therapies aiming at maximizing the ability to shift attention away from the tinnitus.

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The management of chronic tinnitus—Comparison of a cognitive-behavioural group training with yoga

Cited by 111 publications

References 15 publications

Acceptance of Tinnitus: Validation of the Tinnitus Acceptance Questionnaire

Acceptance of Tinnitus: Validation of the Tinnitus Acceptance Questionnaire

Neural correlates of tinnitus related distress: An fMRI-study

Alterations in Event Related Potentials (ERP) Associated with Tinnitus Distress and Attention

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