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

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.

journal_name

J Am Acad Audiol

authors

Cima RF,Andersson G,Schmidt CJ,Henry JA

doi

10.3766/jaaa.25.1.4

subject

Has Abstract

pub_date

2014-01-01 00:00:00

pages

29-61

issue

1

eissn

1050-0545

issn

2157-3107

journal_volume

25

pub_type

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