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Cited by 477Hearing, Cochlea, Tinnitus, GeneticsHearing Loss and RehabilitationNoise Effects and Management

Cognitive behavioural therapy for tinnitus

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Martinez-Devesa, Pablo, Perera, Rafael, Theodoulou, Megan, Waddell, Angus·2010·Cochrane Database of Systematic Reviews
DOI 10.1002/14651858.cd005233.pub3PMC PMC12529915
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Abstract

BACKGROUND: This is an update of a Cochrane Review originally published in Issue 1, 2007 of The Cochrane Library.Tinnitus is an auditory perception that can be described as the experience of sound, in the ear or in the head, in the absence of external acoustic stimulation. Cognitive behavioural therapy (CBT) uses relaxation, cognitive restructuring of the thoughts and exposure to exacerbating situations in order to promote habituation and may benefit tinnitus patients, as may the treatment of associated psychological conditions. OBJECTIVES: To assess whether CBT is effective in the management of patients suffering from tinnitus. SEARCH STRATEGY: We searched the Cochrane Ear, Nose and Throat Disorders Group Trials Register; the Cochrane Central Register of Controlled Trials (CENTRAL); PubMed; EMBASE; CINAHL; Web of Science; BIOSIS Previews; Cambridge Scientific Abstracts; PsycINFO; ISRCTN and additional sources for published and unpublished trials. The date of the most recent search was 6 May 2010. SELECTION CRITERIA: Randomised controlled trials in which patients with unilateral or bilateral tinnitus as their main symptom received cognitive behavioural treatment. DATA COLLECTION AND ANALYSIS: One review author (PMD) assessed every report identified by the search strategy. Three authors (PMD, AW and MT) assessed the methodological quality and applied inclusion/exclusion criteria. Two authors (PMD and RP) extracted data and conducted the meta-analysis. The four authors contributed to the final text of the review. MAIN RESULTS: Eight trials comprising 468 participants were included.For the primary outcome of subjective tinnitus loudness we found no evidence of a difference between CBT and no treatment or another intervention (yoga, education and 'minimal contact - education').In the secondary outcomes we found evidence that quality of life scores were improved in participants who had tinnitus when comparing CBT to no treatment or another intervention (education and 'minimal contact education'). We also found evidence that depression scores improved when comparing CBT to no treatment. We found no evidence of benefit in depression scores when comparing CBT to other treatments (yoga, education and 'minimal contact - education').There were no adverse/side effects reported in any trial. AUTHORS' CONCLUSIONS: In six studies we found no evidence of a significant difference in the subjective loudness of tinnitus.However, we found a significant improvement in depression score (in six studies) and quality of life (decrease of global tinnitus severity) in another five studies, suggesting that CBT has a positive effect on the management of tinnitus.

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  • Clinical psychologist-delivered CBT is superior to other treatments and waiting list control conditions for improving tinnitus-related distress, depression, and quality of life.

    “Research evidence consistently demonstrates a superiority of clinical psychologist-delivered CBT over other treatments and waiting list control conditions for improving tinnitus-related distress, depression, and quality of life (Martinez-Devesa et al. 2010; Hesser et al. 2011; Hoare et al. 2011).”

    From Psychological Therapy for People with Tinnitus: A Scoping Review of Treatment Components. (2017) · cites this paper as Martinez-Devesa et al. 2010

    The Background and Discussion (page not provided) report that CBT may reduce tinnitus-related impact and depression compared with waiting-list and some active controls. But the review does not establish these benefits specifically for clinical psychologist-delivered CBT: its Discussion says the evidence cannot determine whether the provider matters. It also distinguishes reduced tinnitus impact from improvement in general health-related quality of life, for which the evidence is uncertain. (LLM, conf=0.88)

    Experimental — accuracy not yet measured

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Cited by

Sorted by citations

Authors
Martinez-Devesa, P., Perera, R., Theodoulou, M., & Waddell, A.
Affiliations
  • John Radcliffe Hospital - West Wing; ENT Department; Headley Way Oxford UK OX3 9DU
  • University of Oxford (GB)
  • Great Western Hospital (GB)
ORCID
Perera, Rafael
Venue
Cochrane Database of Systematic Reviews
Publisher
Wiley
Published
2010-09-08
Volume
2010
Issue
9
Pages
CD005233-CD005233
ISSN
  • 1361-6137 (ISSN-L)
  • 1465-1858
DOI
10.1002/14651858.cd005233.pub3
PMC
PMC12529915
OpenAlex
W1597573646
Cited by
477
References
29
Citations by year
2026: 3 · 2025: 13 · 2024: 24 · 2023: 34 · 2022: 31 · 2021: 45 · 2020: 35 · 2019: 37 · 2018: 28 · 2017: 32 · 2016: 26 · 2015: 34 · 2014: 24 · 2013: 26 · 2012: 28
FWCI
3.27
Type
journal article
Language
en
Open access
Locations
  • Cochrane Database of Systematic Reviews (publishedVersion)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Life Sciences › Neuroscience › Sensory Systems › Hearing, Cochlea, Tinnitus, Genetics
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Hearing Loss and Rehabilitation
  • Health Sciences › Health Professions › Speech and Hearing › Noise Effects and Management
Keywords
tinnitus, cognitive behavioral therapy, tinnitus loudness, quality of life, depression, psychological comorbidity, yoga, patient education, habituation, treatment efficacy
MeSH terms
Humans, Quality of Life, Tinnitus, Cognitive Behavioral Therapy, Randomized Controlled Trials as Topic

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