The Changeability and Predictive Value of Dysfunctional Cognitions in Cognitive Behavior Therapy for Chronic Tinnitus
Abstract
Background Multidimensional tinnitus models describe dysfunctional cognitions as a complicating factor in the process of tinnitus habituation. However, this concept has rarely been investigated in previous research.Purpose The present study investigated the effects of two cognitive-behavioral treatments on dysfunctional tinnitus-related cognitions in patients with chronic tinnitus. Furthermore, dysfunctional cognitions were examined as possible predictors of the therapeutic effect on tinnitus distress.Method A total of 128 patients with chronic tinnitus were randomly assigned to either an Internet-delivered guided self-help treatment (Internet-based cognitive-behavioral therapy, ICBT), a conventional face-to-face group therapy (cognitive-behavioral group therapy, GCBT), or an active control group in the form of a web-based discussion forum (DF). To assess tinnitus-related dysfunctional thoughts, the Tinnitus Cognitions Scale (T-Cog) was used at pre- and post-assessment, as well as at the 6- and 12-month follow-up.Results Multivariate ANOVAs with post hoc tests revealed significant and comparable reductions of dysfunctional tinnitus-related cognitions for both treatments (GCBT and ICBT), which remained stable over a 6- and 12-month period. Negative correlations were found between the catastrophic subscale of the T-Cog and therapy outcome for ICBT, but not for GCBT. This means a higher degree of catastrophic thinking at baseline was associated with lower benefit from ICBT directly after the treatment. Hierarchical regression analysis confirmed catastrophizing as a predictor of poorer therapy outcome regarding emotional tinnitus distress in ICBT. No associations were detected in the follow-up assessments.Conclusion Both forms of CBT are successful in reducing dysfunctional tinnitus-related cognitions. Catastrophizing significantly predicted a less favorable outcome regarding emotional tinnitus distress in ICBT. Clinical implications of these results are described. Dysfunctional cognitions could be targeted more intensively in therapy and in future research on tinnitus.
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CBT-based programs seem to help reduce distress symptoms and cognitive dysfunctions, improve pain management, and increase well-being in AP-ROD.
“Programs based on a CBT approach seem to help reduce distress symptoms and cognitive dysfunctions, improve pain management, and increase well-being [19–21].”
From Connect-ROD – development and qualitative evaluation of a community-based group intervention to support well-being in patients with a rare or orphan disease (2024) · cites this paper as [19]
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BackgroundTHE DIAGNOSIS AND ASSESSMENT OF THE QUALITY OF LIFE IN TINNITUS PATIENTS. A LITERATURE REVIEW
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- Authors
- Conrad, I., Kleinstäuber, M., Jasper, K., Hiller, W., Andersson, G., & Weise, C.
- Affiliations
- Johannes Gutenberg University Mainz (DE)
- Philipps University of Marburg (DE)
- Linköping University (SE)
- Corresponding author
- Kleinstäuber, Maria
- Venue
- International Journal of Behavioral Medicine
- Published
- 2014-07-17
- Volume
- 22
- Issue
- 2
- Pages
- 239-250
- ISSN
- 1070-5503 (ISSN-L)
- 1532-7558
- OpenAlex
- W1973709633
- Cited by
- 21
- References
- 47
- Citations by year
- 2026: 2 · 2024: 2 · 2023: 2 · 2022: 3 · 2021: 1 · 2020: 1 · 2019: 2 · 2018: 3 · 2017: 2 · 2016: 2 · 2015: 1
- FWCI
- 1.03
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- International Journal of Behavioral Medicine (publishedVersion)
- PubMed (publishedVersion)
- Digital Commons - USU (Utah State University) (submittedVersion)
- ResearchSpace (University of Auckland) (submittedVersion)
- Funders
- Vetenskapsrådet
- 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
- chronic tinnitus, dysfunctional cognitions, cognitive behavioral therapy, internet-based cognitive behavioral therapy, group cognitive behavioral therapy, catastrophizing, tinnitus distress, treatment outcome prediction
- MeSH terms
- Adult, Chronic Disease, Cognition, Female, Humans, Male, Middle Aged, Psychotherapy, Group, Tinnitus, Cognitive Behavioral Therapy, Treatment Outcome, Internet, Catastrophization
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