American journal of audiology · 2018
Effectiveness of Audiologist-Delivered Cognitive Behavioral Therapy for Tinnitus and Hyperacusis Rehabilitation: Outcomes for Patients Treated in Routine Practice.
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Aazh Hashir, Moore Brian C J
Аннотация
OBJECTIVE: The aim was to assess the effectiveness of cognitive behavioral therapy (CBT) for tinnitus and/or hyperacusis delivered by audiologists working in the National Health Service in the United Kingdom.
DESIGN: This was a retrospective study, based on questionnaires assessing tinnitus and hyperacusis and insomnia before and after CBT.
STUDY SAMPLE: Data were gathered for 68 consecutive patients (average age = 52.5 years) who enrolled for CBT.
RESULTS: All measures showed significant improvements after CBT. Effect sizes for patients who completed CBT were 1.13 for Tinnitus Handicap Inventory scores; 0.76 for Hyperacusis Questionnaire scores; 0.71, 0.95, and 0.93 for tinnitus loudness, annoyance, and effect on life, respectively, measured using the Visual Analog Scale; and 0.94 for the Insomnia Severity Index score. An analysis including those who dropped out also showed significant improvements for all measures.
CONCLUSION: Audiologist-delivered CBT led to significant improvements in self-report measures of tinnitus and hyperacusis handicap and insomnia. The methods described here may be used when designing future randomized controlled trials of efficacy.
DESIGN: This was a retrospective study, based on questionnaires assessing tinnitus and hyperacusis and insomnia before and after CBT.
STUDY SAMPLE: Data were gathered for 68 consecutive patients (average age = 52.5 years) who enrolled for CBT.
RESULTS: All measures showed significant improvements after CBT. Effect sizes for patients who completed CBT were 1.13 for Tinnitus Handicap Inventory scores; 0.76 for Hyperacusis Questionnaire scores; 0.71, 0.95, and 0.93 for tinnitus loudness, annoyance, and effect on life, respectively, measured using the Visual Analog Scale; and 0.94 for the Insomnia Severity Index score. An analysis including those who dropped out also showed significant improvements for all measures.
CONCLUSION: Audiologist-delivered CBT led to significant improvements in self-report measures of tinnitus and hyperacusis handicap and insomnia. The methods described here may be used when designing future randomized controlled trials of efficacy.