Display Settings:

Format

Send to:

Choose Destination
See comment in PubMed Commons below
J Am Acad Audiol. 2014 Jan;25(1):29-61. doi: 10.3766/jaaa.25.1.4.

Cognitive-behavioral treatments for tinnitus: a review of the literature.

Author information

  • 1Department of Clinical Psychological Science, Maastricht University, the Netherlands; Adelante, Centre of Expertise in Rehabilitation and Audiology, Hoensbroek, the Netherlands.
  • 2Department of Behavioural Sciences and Learning, Linnaeus Centre HEAD, Swedish Institute for Disability Research, Link√∂ping University, Sweden; Department of Clinical Neuroscience, Psychiatry Section, Karolinska Institute, Stockholm, Sweden.
  • 3Psychology Service, VA Connecticut Healthcare System, West Haven, CT; Department of Psychiatry, Yale School of Medicine, New Haven, CT.
  • 4VA 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.

PMID:
24622860
[PubMed - indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Loading ...
    Write to the Help Desk