[Tinnitus and cognitive-behavioral therapy: results after 1 year].

INTRODUCTION Tinnitus is a common auditory symptom that interferes with activities of daily living and is often associated with anxiety and depression. METHOD This study included consecutive patients with chronic intense tinnitus for more than six months who were treated with Tinnitus Retraining Therapy (TRT), a cognitive-behavioral therapy, after previous treatment failed and after a clinical evaluation based on standardized questionnaires, including the Tinnitus Handicap Questionnaire (THQ). One year after the end of the TRT, the treatment was evaluated by the same standardized questionnaires. RESULTS This prospective study included 96 consecutive patients (49 women, 47 men, mean age: 48 years). Tinnitus improved significantly in 75%, where significant improvement was defined as a final THQ score of less than 500 after CBT. This improvement varied according to initial THQ scores and was seen in: all patients with moderate (THQ<500), 70.3% of the patients with intermediate (5001001), and 34.8% of patients with severe (THQ>1000) tinnitus. CONCLUSION CBT shows promise as a treatment of tinnitus-related distress.

[1]  R. Dauman,et al.  Étude de 603 patients acouphéniques chroniques au moyen d'un autoquestionnaire. Epidémiologie, sémiologie de l'acouphène et personnalité des patients , 2001 .

[2]  Margaret M. Jastreboff,et al.  Tinnitus Retraining Therapy (TRT) as a method for treatment of tinnitus and hyperacusis patients. , 2000, Journal of the American Academy of Audiology.

[3]  Richard S. Hallam,et al.  Relaxation and cognitive therapy: A controlled trial in chronic tinnitus , 1995 .

[4]  S. Chéry-croze,et al.  Psychopathological Profile of Tinnitus Sufferers: Evidence Concerning the Relationship between Tinnitus Features and Impact on Life , 1998, Audiology and Neurotology.

[5]  R. Dauman,et al.  Further Validation of the Iowa Tinnitus Handicap Questionnaire , 2003, Acta oto-laryngologica.

[6]  J. Svedlund,et al.  Psychiatric Disorders in Tinnitus Patients without Severe Hearing Impairment: 24 Month Follow-up of Patients at an Audiological Clinic: Alteraciones psiquiátricas en pacientes con tinnitus sin hipoacusia severa: Seguimiento durante 24 meses en una clínica audiólogica , 2001, Audiology : official organ of the International Society of Audiology.

[7]  Kim,Jung-Bum The Evolution of Cognitive-Behavioral Therapy , 2000 .

[8]  F K Kuk,et al.  The psychometric properties of a tinnitus handicap questionnaire. , 1990, Ear and hearing.

[9]  Gerhard Andersson,et al.  Psychological aspects of tinnitus and the application of cognitive-behavioral therapy. , 2002, Clinical psychology review.

[10]  P. Wilson,et al.  Tinnitus reaction questionnaire: psychometric properties of a measure of distress associated with tinnitus. , 1991, Journal of speech and hearing research.

[11]  J. Puel,et al.  m‐Chlorophenylpiperazine exacerbates perception of salicylate‐induced tinnitus in rats , 2005, The European journal of neuroscience.