Cognitive Behavioral Therapy for Tinnitus: Evidence and Efficacy

Tinnitus is defined as auditory perception without external sound. There is currently no cure for tinnitus. Cognitive behavioral therapy (CBT) is a tinnitus treatment that addresses the affected individual's reaction to tinnitus. It aims not to eliminate auditory perception as sound but to reduce or correct one's negative response to tinnitus. CBT identifies negative automatic thought and then evaluates its validity with the patient. It also aims to change negative automatic thought to more positive and realistic thought. In this way, tinnitus sufferers can function well despite the presence of tinnitus. Many studies have supported the efficacy of CBT for treating tinnitus. A meta-analysis of CBT for tinnitus also concluded that CBT is effective in treating tinnitus. Thus, CBT is considered a good option for treating tinnitus. We herein discuss the use of CBT for tinnitus with a literature review.

[1]  W. Rief,et al.  Biofeedback-based behavioral treatment for chronic tinnitus: results of a randomized controlled trial. , 2008, Journal of consulting and clinical psychology.

[2]  G. Andersson,et al.  Use of a self-help book with weekly therapist contact to reduce tinnitus distress: a randomized controlled trial. , 2007, Journal of psychosomatic research.

[3]  R. Sweetow.  Cognitive aspects of tinnitus patient management. , 1986, Ear and hearing.

[4]  W. Rief,et al.  Psychophysiologic Treatment of Chronic Tinnitus: A Randomized Clinical Trial , 2005, Psychosomatic medicine.

[5]  G. Andersson,et al.  Treatment of tinnitus in the elderly: a controlled trial of cognitive behavior therapy , 2005, International journal of audiology.

[6]  G. Andersson,et al.  A systematic review and meta-analysis of randomized controlled trials of cognitive-behavioral therapy for tinnitus distress. , 2011, Clinical psychology review.

[7]  N. Birbaumer,et al.  Tinnitus Sensitization: Sensory and Psychophysiological Aspects of a New Pathway of Acquired Centralization of Chronic Tinnitus , 2006, Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology.

[8]  Andrew J Heller,et al.  Classification and epidemiology of tinnitus. , 2003, Otolaryngologic clinics of North America.

[9]  R Perera,et al.  [Cognitive behavioural therapy for tinnitus]. , 2010, Archivos de prevencion de riesgos laborales.

[10]  B. Kröner-Herwig,et al.  The management of chronic tinnitus--comparison of a cognitive-behavioural group training with yoga. , 1995, Journal of psychosomatic research.

[11]  B. Kröner-Herwig,et al.  The management of chronic tinnitus: comparison of an outpatient cognitive-behavioral group training to minimal-contact interventions. , 2003, Journal of psychosomatic research.

[12]  K. Dobson,et al.  Cognitive therapy of depression: pretreatment patient predictors of outcome. , 2002, Clinical psychology review.

[13]  Richard S. Hallam,et al.  A comparison of different methods for assessing the 'intensity' of tinnitus. , 1985, Acta oto-laryngologica.

[14]  S. Rachman.  Contributions to medical psychology , 1980 .

[15]  J. Henry,et al.  The Psychological Management of Tinnitus: Comparison of a Combined Cognitive Educational Program, Education Alone and a Waiting-List Control. , 1996, The international tinnitus journal.

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

[17]  J. Beck.  Cognitive behavior therapy: Basics and beyond, 2nd ed. , 2011 .

[18]  A. Beck,et al.  Cognitive behavior therapy : basics and beyond , 2011 .

[19]  A. Møller,et al.  Textbook of Tinnitus , 2011 .

[20]  P M Higgins,et al.  COGNITIVE BEHAVIOUR THERAPY FOR PSYCHIATRIC PROBLEMS: A practical guide , 1990 .

[21]  Richard S. Hallam,et al.  Cognitive variables in tinnitus annoyance. , 1988, The British journal of clinical psychology.

[22]  M. Kovács.  Cognitive therapy in depression. , 1980, The Journal of the American Academy of Psychoanalysis.

[23]  Cognitive Behavioral Treatment (CBT) , 2011 .

[24]  P. Antoine.  Cognitive therapy for chronic pain - A step-by-step guide , 2005 .

[25]  A Axelsson,et al.  Tinnitus--a study of its prevalence and characteristics. , 1989, British journal of audiology.

[26]  G. Andersson,et al.  A meta-analytic review of psychological treatments for tinnitus. , 1999, British journal of audiology.

[27]  Richard S. Hallam,et al.  Tinnitus impairs cognitive efficiency , 2004, International journal of audiology.

[28]  Z. Segal,et al.  A randomized controlled trial of mindfulness-based cognitive therapy for treating tinnitus. , 2012, Clinical psychology & psychotherapy.

[29]  G. Andersson,et al.  Acceptance and commitment therapy versus tinnitus retraining therapy in the treatment of tinnitus: a randomised controlled trial. , 2011, Behaviour research and therapy.