Tinnitus retraining therapy: mixing point and total masking are equally effective.

Abstract:

OBJECTIVES:Habituation to tinnitus cannot occur with total masking, an argument made by proponents of "tinnitus retraining therapy." We also compared the effectiveness of retraining therapy with mixing-point masking, total masking, and with counseling alone. DESIGN:Forty-eight tinnitus patients were randomly assigned to one of three groups: counseling, counseling plus bilateral noise generators set to completely mask the tinnitus, or counseling plus bilateral noise generators with a focus on the mixing point (partial masking just below total masking). A picture-based counseling protocol was used to assist in providing similar counseling among all three groups. The Tinnitus Handicap Questionnaire was administered before and after about 12 months of treatment. RESULTS:After 12 months, in the counseling group, three of 18 patients benefited significantly, in the mixing-point group, six of 19 patients benefited, and in the total masking group, four of 11 patients benefited from the treatment. The average decrease in the questionnaire was 16.7% for the counseling group, 31.6% for the retraining group, and 36.4% for the total masking group. No significant average differences among groups were observed. CONCLUSIONS:One premise of retraining therapy is incorrect; a focus on mixing-point masking is not required for habituation.

journal_name

Ear Hear

journal_title

Ear and hearing

authors

Tyler RS,Noble W,Coelho CB,Ji H

doi

10.1097/AUD.0b013e31824f2a6e

subject

Has Abstract

pub_date

2012-09-01 00:00:00

pages

588-94

issue

5

eissn

0196-0202

issn

1538-4667

journal_volume

33

pub_type

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