Rilana F F Cima1, Gerhard Andersson2, Caroline J Schmidt3, James A Henry4. 1. Department of Clinical Psychological Science, Maastricht University, the Netherlands; Adelante, Centre of Expertise in Rehabilitation and Audiology, Hoensbroek, the Netherlands. 2. Department of Behavioural Sciences and Learning, Linnaeus Centre HEAD, Swedish Institute for Disability Research, Linköping University, Sweden; Department of Clinical Neuroscience, Psychiatry Section, Karolinska Institute, Stockholm, Sweden. 3. Psychology Service, VA Connecticut Healthcare System, West Haven, CT; Department of Psychiatry, Yale School of Medicine, New Haven, CT. 4. VA RR&D National Center for Rehabilitative Auditory Research (NCRAR), VA Medical Center, Portland, OR; Department of Otolaryngology/Head and Neck Surgery, Oregon Health and Science University, Portland, OR.
Abstract
BACKGROUND: Tinnitus can be defined as the perception of an auditory sensation, perceivable without the presence of an external sound. PURPOSE: The aim of this article is to systematically review the peer-reviewed literature on treatment approaches for tinnitus based on cognitive-behavioral therapy (CBT) and to provide a historical overview of developments within these approaches. RESEARCH DESIGN: Experimental studies, (randomized) trials, follow-up assessments, and reviews assessing educational, counseling, psychological, and CBT treatment approaches were identified as a result of an electronic database metasearch. RESULTS: A total of 31 (of the initial 75 studies) were included in the review. Results confirm that CBT treatment for tinnitus management is the most evidence-based treatment option so far. Though studied protocols are diverse and are usually a combination of different treatment elements, and tinnitus diagnostics and outcome assessments vary over investigations, a common ground of therapeutic elements was established, and evidence was found to be robust enough to guide clinical practice. CONCLUSIONS: Treatment strategy might best be CBT-based, moving toward a more multidisciplinary approach. There is room for the involvement of different disciplines, using a stepped-care approach. This may provide brief and effective treatment for a larger group of tinnitus patients, and additional treatment steps can be provided for those suffering on a more severe level. American Academy of Audiology.
BACKGROUND:Tinnitus can be defined as the perception of an auditory sensation, perceivable without the presence of an external sound. PURPOSE: The aim of this article is to systematically review the peer-reviewed literature on treatment approaches for tinnitus based on cognitive-behavioral therapy (CBT) and to provide a historical overview of developments within these approaches. RESEARCH DESIGN: Experimental studies, (randomized) trials, follow-up assessments, and reviews assessing educational, counseling, psychological, and CBT treatment approaches were identified as a result of an electronic database metasearch. RESULTS: A total of 31 (of the initial 75 studies) were included in the review. Results confirm that CBT treatment for tinnitus management is the most evidence-based treatment option so far. Though studied protocols are diverse and are usually a combination of different treatment elements, and tinnitus diagnostics and outcome assessments vary over investigations, a common ground of therapeutic elements was established, and evidence was found to be robust enough to guide clinical practice. CONCLUSIONS: Treatment strategy might best be CBT-based, moving toward a more multidisciplinary approach. There is room for the involvement of different disciplines, using a stepped-care approach. This may provide brief and effective treatment for a larger group of tinnituspatients, and additional treatment steps can be provided for those suffering on a more severe level. American Academy of Audiology.
Authors: Richard S Tyler; A J Keiner; Kurt Walker; Aniruddha K Deshpande; Shelley Witt; Matthijs Killian; Helena Ji; Jim Patrick; Norbert Dillier; Pim van Dijk; Wai Kong Lai; Marlan R Hansen; Bruce Gantz Journal: Am J Audiol Date: 2015-09 Impact factor: 1.493
Authors: Vinaya Manchaiah; George Vlaescu; Srinivas Varadaraj; Elizabeth Parks Aronson; Marc A Fagelson; Maria F Munoz; Gerhard Andersson; Eldré W Beukes Journal: Am J Audiol Date: 2020-07-28 Impact factor: 1.493
Authors: H-P Zenner; W Delb; B Kröner-Herwig; B Jäger; I Peroz; G Hesse; B Mazurek; G Goebel; C Gerloff; R Trollmann; E Biesinger; H Seidler; B Langguth Journal: HNO Date: 2015-06 Impact factor: 1.284