Tinnitus rehabilitation: a mindfulness meditation cognitive behavioural therapy approach

Sadlier, M; Stephens, S. D. G.; Kennedy, Veronica

doi:10.1017/s0022215107007438

Cited by 62 publications

(54 citation statements)

References 44 publications

(39 reference statements)

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“…Commonly used strategies are for instance attention shift from the tinnitus to enable habituation, exposure to noises and/or to silence to reduce avoidance behaviour, or identification and modification of dysfunctional beliefs to enhance tinnitus acceptance. In recent years, newer psychotherapeutic developments, i.e., Acceptance and Commitment Therapy (ACT; Hayes, Luoma, Bond, Masuda, & Lillis, 2006) or Mindfulness-Based Cognitive Therapy (MBCT; Segal, Williams, & Teasdale, 2001) have been adapted to chronic tinnitus and have also been incorporated into standard CBT tinnitus treatments (Gans, 2010;Philippot, Nef, Clauw, Romree, & Segal, 2011;Sadlier, Stephens, & Kennedy, 2008;Zetterqvist Westin, Schulin et al, 2011). One of the main purposes of these techniques is to encourage psychological acceptance.…”

Section: Introductionmentioning

confidence: 99%

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: Introductionmentioning

confidence: 99%

Acceptance of Tinnitus: Validation of the Tinnitus Acceptance Questionnaire

Weise

Kleinstäuber

Hesser

et al. 2013

Cognitive Behaviour Therapy

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“…According to the studies in the literature, the depression incidence rate of patients with tinnitus is about 30%, and tinnitus is observed in 50% of those who receive psychological treatments 35 . Therefore, studies on tinnitus treatment are not only limited with familiar subjects on auditory system, but also include subjects such as the preparation of rehabilitation and treatment program intended for eliminating social and psychological negative effects caused by tinnitus 36 .…”

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confidence: 99%

Masking Treatment and its Effect on Tinnitus Parameters

Aytaç¹,

Baysal²,

Gülşen³

et al. 2017

The International Tinnitus Journal

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Objective: Tinnitus is described as the perception of sound without any external acoustic stimulation. Any pathology of auditory pathways or any system of the human body may result with tinnitus. The pathophysiology of tinnitus accompanying the disorders of auditory system is not fully understood and there is not any particular effective treatment method has been specified. Tinnitus masking therapy has been reported as an effective treatment modality in the treatment of tinnitus. In this study, the results of tinnitus masking treatment on the parameters were evaluated prospectively. Patients and methods: Patients with normal physical examination was enrolled in the study. Blood tests (complete blood count, biochemical analysis of lipid profile, and thyroid hormones), pure tone audiometry, tympanometric measurement of the middle ear pressure and stapedial reflexes were performed, Sixty six patients with normal results of blood tests and normal hearing thresholds with type A tympanogram were included. Tinnitus sufferers questionnaires (socio-demographics, clinical information, Tinnitus Handicap Inventory (THI), Beck Depression Inventory (BDI) was filled, audiological tests were performed, tinnitus parameters (frequency, intensity, minimal masking levels, residual inhibition) were measured. After four weeks of the treatment the questionnaires were repeated. Results: Masking treatment for tinnitus patients resulted with significant decrease in Tinnitus Handicap Inventory and VAS scores. After four weeks of the masking treatment the questionnaire was repeated. Twenty patients did not respond to treatment. Conclusion: Masking therapy is one of the most effective methods of treatment for tinnitus patients. Masking therapy, that is not invasive and cost-effective has an important place in the treatment of tinnitus. Especially in a short time provides a significant reduction in tinnitus parameters.

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“…Indeed, mindfulness practice has emerged as a new avenue for psychological treatment approaches for tinnitus (e.g., Refs. [8,9]). Such practice may theoretically contain several potentially helpful procedures in dealing with the intrusiveness of tinnitus, such as interoceptive exposure to the sounds, relaxation, attention control, acceptance training, and cognitive and emotional regulation strategies.…”

mentioning

confidence: 99%