The DOI matches its Crossref record; 51 of the 51 references it cites were found in a registry or an index.
A systematic review and meta-analysis of randomized controlled trials of cognitive-behavioral therapy for tinnitus distress
Abstract
Tinnitus is defined as a sound in the ear(s) and/or head without external origin and is a serious health concern for millions worldwide. The aim of the present study was to determine whether Cognitive Behavior Therapy (CBT) is effective in reducing distress associated with tinnitus. Randomized, controlled trials that assessed the efficacy of CBT for tinnitus-related distress in adults were identified by searching electronic databases (PsychINFO, PubMed, the Cochrane Library), and by manual searches. Fifteen studies (total of 1091 participants) were included in the meta-analysis. CBT compared with a passive and active control at post-assessment yielded statistically significant mean effect sizes for tinnitus-specific measures (Hedges's g=0.70, and Hedges's g=0.44, respectively). The average weighted pre-to-follow-up effect size for the CBT group suggested that these effects were maintained over time. Smaller but yet statistically significant effects of CBT were found for mood outcome measures. Characteristics of the studies were unrelated to effect sizes. Methodological rigor, publication bias, and a series of sensitivity analyses did not influence the findings. The results suggest that CBT is an effective treatment of tinnitus distress. However, caution is warranted given that few large-scale, well-controlled trials were identified.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“Although a systematic review and meta-analysis of randomized controlled trials (RCTs) reported that CBT significantly decreased tinnitus distress (Hesser et al., 2011)”
From A Systematic Review and Meta-Analysis Exploring Effects of Third-Wave Psychological Therapies on Hearing-Related Distress, Depression, Anxiety, and Quality of Life in People With Audiological Problems. (2022) · cites this paper as Hesser et al., 2011
In the citing paper
“This is followed by “A systematic review and meta-analysis of randomized controlled trials of cognitive-behavioral therapy for tinnitus distress” (strength: 11.37, publication year: 2011) and “A Randomized Controlled Trial of Internet-Delivered Cognitive Behaviour Therapy and Acceptance and Commitment Therapy in the Treatment of Tinnitus” (strength: 10.1, publication year: 2012)”
From Research trends and hotspots of cognitive behavioral therapy for tinnitus: a bibliometric analysis (2025) · cites this paper as Hesser et al., 2011
In the citing paper
“Cognitive behavioral treatment approaches reproducibly help patients in managing chronic tinnitus.”
From Randomized controlled trial of a smartphone-based cognitive behavioral therapy for chronic tinnitus (2023) · cites this paper as [9]
In the citing paper
“Nevertheless, there is room for improvement, as a substantial number of patients continue to experience significant residual tinnitus distress after treatment[16]”
From The influence of tinnitus acceptance on the quality of life and psychological distress in patients with chronic tinnitus (2015) · cites this paper as [16]
In the citing paper
“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 Hesser et al. 2011
Citations
Cites
Duval, S., & Tweedie, R. (2000) · Biometrics · doi:10.1111/j.0006-341x.2000.00455.x · Cited by 14,099
Fixed-and random-effects models in meta-analysis.
Hedges, L. V., & Vevea, J. L. (1998) · Psychological Methods · doi:10.1037/1082-989x.3.4.486 · Cited by 2,977
Wykes, T., Steel, C., Everitt, B., & Tarrier, N. (2007) · Schizophrenia Bulletin · doi:10.1093/schbul/sbm114 · Cited by 1,029
Tinnitus--a study of its prevalence and characteristics.
Axelsson, A., & Ringdahl, A. (1989) · British Journal of Audiology · doi:10.3109/03005368909077819 · Cited by 802
Muthén, B., & Curran, P. J. (1997) · Psychological Methods · doi:10.1037/1082-989x.2.4.371 · Cited by 768
Henry, J. A., Dennis, K. C., & Schechter, M. A. (2005) · Journal of Speech Language and Hearing Research · doi:10.1044/1092-4388(2005/084 · Cited by 615
Coles, R. (1987) · Medical Entomology and Zoology · Cited by 541
Difficulties Experienced by Tinnitus Sufferers
Tyler, R. S., & Baker, L. J. (1983) · Journal of Speech and Hearing Disorders · doi:10.1044/jshd.4802.150 · Cited by 525
Cognitive behavioural therapy for tinnitus
Martinez-Devesa, P., Perera, R., Theodoulou, M., & Waddell, A. (2010) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd005233.pub3 · Cited by 477
Psychometric adequacy of the Tinnitus Handicap Inventory (THI) for evaluating treatment outcome.
Newman, C. W., Sandridge, S. A., & Jacobson, G. P. (1998) · PubMed · Cited by 474
Research works printed but not linked: 2
- *Brenz, M. (2008). Evaluation einer biofeedbackgestuetzten kognitiv-behavioralen Intervention bei chronischem Tinnitus [Evaluation of a biofeedback-supported cognitive–behavioral intervention in chronic tinnitus]. Dissertation. Department of Psychology, University of Tuebingen, Germany.
- Tyler, 1989, A review of tinnitus loudness, Hearing Journal, 42, 52
Cited by
Sorted by citations
Baguley, D., McFerran, D., & Hall, D. (2013) · The Lancet · doi:10.1016/s0140-6736(13)60142-7 · Cited by 1,245
Tinnitus: causes and clinical management
Langguth, B., Kreuzer, P. M., Kleinjung, T., & Ridder, D. D. (2013) · The Lancet Neurology · doi:10.1016/s1474-4422(13)70160-1 · Cited by 807
Clinical practice guideline: tinnitus
Tunkel, D. E., Bauer, C. A., Sun, G. H., Rosenfeld, R. M., Chandrasekhar, S. S., Cunningham, E. R., Archer, S. M., Blakley, B. W., Carter, J. M., Granieri, E. C., et al. (2014) · Otolaryngology–Head and Neck Surgery · doi:10.1177/0194599814545325 · Cited by 769
“Hesser et al 166 reviewed 15 studies and found sustained benefits of CBT on tinnitus-specific outcome measures and smaller benefits for mood outcomes.”
Prevalence, Severity, Exposures, and Treatment Patterns of Tinnitus in the United States
Bhatt, J. M., Lin, H. W., & Bhattacharyya, N. (2016) · JAMA Otolaryngology–Head & Neck Surgery · doi:10.1001/jamaoto.2016.1700 · Cited by 460
A multidisciplinary European guideline for tinnitus: diagnostics, assessment, and treatment
Cima, R. F. F., Mazurek, B., Haider, H., Kikidis, D., Lapira, A., Noreña, A., & Hoare, D. J. (2019) · HNO · doi:10.1007/s00106-019-0633-7 · Cited by 442
Pre-post effect sizes should be avoided in meta-analyses
Cuijpers, P., Weitz, E., Cristea, I. A., & Twisk, J. (2017) · Epidemiology and Psychiatric Sciences · doi:10.1017/s2045796016000809 · Cited by 432
“However, many authors use a fixed value that is not based on any empirical data, for example the value of r = 0.75 or r = 0.7 is used in many studies (Hesser et al. 2011; Hofmann et al. 2014; Johnsen & Friborg, 2015).”
MethodInfluentialTinnitus: perspectives from human neuroimaging
Elgoyhen, A. B., Langguth, B., Ridder, D. D., & Vanneste, S. (2015) · Nature reviews. Neuroscience · doi:10.1038/nrn4003 · Cited by 355
Management of functional somatic syndromes and bodily distress
Henningsen, P., Zipfel, S., Sattel, H., & Creed, F. (2018) · Psychotherapy and Psychosomatics · doi:10.1159/000484413 · Cited by 335
Cima, R. F. F., Maes, I. H. L., Joore, M. A., Scheyen, D., Refaie, A. E., Baguley, D., Anteunis, L. J. C., van Breukelen, G., & Vlaeyen, J. W. S. (2012) · The Lancet · doi:10.1016/s0140-6736(12)60469-3 · Cited by 316
Langguth, B., Landgrebe, M., Kleinjung, T., Sand, G. P., & Hajak, G. (2011) · The World Journal of Biological Psychiatry · doi:10.3109/15622975.2011.575178 · Cited by 321
Underlying Mechanisms of Tinnitus: Review and Clinical Implications
Henry, J. A., Roberts, L. E., Caspary, D. M., Theodoroff, S. M., & Salvi, R. (2014) · Journal of the American Academy of Audiology · doi:10.3766/jaaa.25.1.2 · Cited by 268
“Relevant to the latter point, there is a growing liter- ature assessing sound therapies for tinnitus (e.g., Jastreboff andHazell, 2004;Henry et al, 2008;Hobson et al, 2010; McNeill et al, 2012).”
Hesser, H., Gustafsson, T., Lundén, C., Henrikson, O., Fattahi, K., Johnsson, E., Westin, V. Z., Carlbring, P., Mäki-Torkko, E., Kaldo, V., et al. (2012) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0027021 · Cited by 257
Self-citationA scientific cognitive-behavioral model of tinnitus: Novel conceptualizations of tinnitus distress.
McKenna, L., Handscomb, L., Hoare, D. J., & Hall, D. A. (2014) · Frontiers in Neurology · doi:10.3389/fneur.2014.00196 · Cited by 232
“Cognitive therapy aimed at identifying and changing negative automatic thoughts in patients with tinnitus has already met with some success (17, 75).”
BackgroundTinnitus and anxiety disorders: a review
Pattyn, T., Van Den Eede, F., Vanneste, S., Cassiers, L., Veltman, D. J., Van De Heyning, P., & Sabbe, B. C. G. (2016) · Hearing Research · doi:10.1016/j.heares.2015.08.014 · Cited by 233
“However the superiority of CBT over other psychotherapeutic treatment for tinnitus patients remains questionable due to few large-scale, well-controlled trials (Hesser et al., 2011) or by more general methodological limitations as discussed by McFerran and Baguley (2009).”
MethodCognitive behavioural therapy for tinnitus
Fuller, T., Cima, R., Langguth, B., Mazurek, B., Vlaeyen, J. W., & Hoare, D. J. (2020) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd012614.pub2 · Cited by 212
van Beugen, S., Ferwerda, M., Hoeve, D., Rovers, M. M., Spillekom-van Koulil, S., van Middendorp, H., & Evers, A. W. (2014) · Journal of Medical Internet Research · doi:10.2196/jmir.2777 · Cited by 189
“The results are also comparable to meta-analyses of face-to-face CBT, which typically find small to moderate effect sizes on a variety of outcomes [1,68-70], with sometimes larger disease-specific than more general mood-related effects [69].”
ResultBauer, C. A. (2018) · New England Journal of Medicine · doi:10.1056/nejmcp1506631 · Cited by 182
Methodological aspects of clinical trials in tinnitus: A proposal for an international standard
Landgrebe, M., de Azevedo, A. A., Baguley, D., Bauer, C. A., Cacace, A. T., Coelho, C., Dornhoffer, J. L., Figueiredo, R. R., Flor, H., Hajak, G., et al. (2012) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2012.05.002 · Cited by 175
“Highest evidence for clinical efficacy is available for cognitive-behavioral therapies [20, 21].”
Westin, V. Z., Schulin, M., Hesser, H., Karlsson, M., Noe, R. Z., Olofsson, U., Stalby, M., Wisung, G., & Andersson, G. (2011) · Behaviour Research and Therapy · doi:10.1016/j.brat.2011.08.001 · Cited by 175
Self-citationFarrand, P., & Woodford, J. (2013) · Clinical Psychology Review · doi:10.1016/j.cpr.2012.11.001 · Cited by 125
Therapeutic approaches to the treatment of tinnitus
Langguth, B., Elgoyhen, A. B., & Cederroth, C. R. (2019) · Annual Review of Pharmacology and Toxicology · doi:10.1146/annurev-pharmtox-010818-021556 · Cited by 129
Jasper, K., Weise, C., Conrad, I., Andersson, G., Hiller, W., & Kleinstäuber, M. (2014) · Psychotherapy and Psychosomatics · doi:10.1159/000360705 · Cited by 126
Self-citationPsychiatric comorbidity and personality traits in patients with hyperacusis
Jüris, L., Andersson, G., Larsen, H. C., & Ekselius, L. (2013) · International Journal of Audiology · doi:10.3109/14992027.2012.743043 · Cited by 114
“…to treatment of anxiety disorders, but also for treating somatic conditions where anxiety plays a role, such as for relieving symptoms of tinnitus (Hesser et al, 2011) and irritable bowel syndrome (Lj ó tsson et al, 2011), and preventing recurrent cardiovascular events (Gulliksson et al, 2011).”
BackgroundSelf-citationCognitive behavioural therapy for tinnitus
Martinez-Devesa, P., Perera, R., Theodoulou, M., & Waddell, A. (2010) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd005233.pub3 · Cited by 477
Aazh, H., Moore, B. C. J., Lammaing, K., & Cropley, M. (2016) · International Journal of Audiology · doi:10.1080/14992027.2016.1178400 · Cited by 123
“There is a wide range of research supporting the efficacy of CBT in the management of tinnitus (Hesser et al, 2011; Grewal et al, 2014).”
BackgroundResultBeukes, E. W., Baguley, D., Allen, P. M., Manchaiah, V. K. C., & Andersson, G. (2017) · Ear and Hearing · doi:10.1097/aud.0000000000000505 · Cited by 106
Self-citationHébert, S., Canlon, B., Hasson, D., Hanson, L. M. M., Westerlund, H., & Theorell, T. (2012) · PLoS ONE · doi:10.1371/journal.pone.0037733 · Cited by 101
“Another recent systematic review, involving nine additional trials and 806 patients, demonstrated that CBT had a further positive effect on mood scores and stress reduction [17].”
BackgroundInternet-Delivered Cognitive-Behavior Therapy for Tinnitus: A Randomized Controlled Trial
Weise, C., Kleinstäuber, M., & Andersson, G. (2016) · Psychosomatic Medicine · doi:10.1097/psy.0000000000000310 · Cited by 99
“Several randomized controlled trials (RCTs), as well as systematic reviews, show clear evidence for CBT in terms of decreasing tinnitus handicap and annoyance and increasing quality of life (12,13).”
BackgroundSelf-citationMcKenna, L., Marks, E. M., Hallsworth, C. A., & Schaette, R. (2017) · Psychotherapy and Psychosomatics · doi:10.1159/000478267 · Cited by 93
The effect of waiting: a meta-analysis of wait-list control groups in trials for tinnitus distress
Hesser, H., Weise, C., Rief, W., & Andersson, G. (2011) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2010.12.006 · Cited by 95
“We retrieved studies in association with a systematic review of RCTs of CBT for tinnitus distress [13].”
BackgroundMethodSelf-citationA methodological review of meta-analyses of the effectiveness of clinical psychology treatments
Rubio‐Aparicio, M., Marín‐Martínez, F., Sánchez‐Meca, J., & López-López, J. A. (2017) · Behavior Research Methods · doi:10.3758/s13428-017-0973-8 · Cited by 93
“For instance, as can be seen in the Appendix, the meta-analysis in Hesser et al. (2011) was disaggregated into two meta-analyses, since the standardized mean difference was used to compare the treatment and control groups at posttest, and the standardized mean change was used to evaluate the…”
MethodLevine, R. A., & Oron, Y. (2015) · Handbook of clinical neurology · doi:10.1016/b978-0-444-62630-1.00023-8 · Cited by 91
Beukes, E. W., Andersson, G., Allen, P. M., Manchaiah, V. K. C., & Baguley, D. (2018) · JAMA Otolaryngology–Head & Neck Surgery · doi:10.1001/jamaoto.2018.2238 · Cited by 88
“To date, cognitive behavioral therapy (CBT), has the most evidence of efficacy in reducing tinnitus distress.(8) Despite positive outcomes, there is limited accessibility to CBT for tinnitus, largely because of a shortage of suitably trained clinicians.”
Self-citationCognitive behaviour therapy for hyperacusis: A randomized controlled trial
Jüris, L., Andersson, G., Larsen, H. C., & Ekselius, L. (2014) · Behaviour Research and Therapy · doi:10.1016/j.brat.2014.01.001 · Cited by 85
Self-citationLandry, E. C., Sandoval, X. C. R., Simeone, C. N., Tidball, G., Lea, J., & Westerberg, B. D. (2020) · Otology & Neurotology · doi:10.1097/mao.0000000000002472 · Cited by 82
“These same reviews have, however, demonstrated that CBT is effective at improving one’s ability to cope with the annoyance and the emotional distress caused by tinnitus and is the reason this review has focused on tinnitus HRQOL, depression, and anxiety (6,15,16).”
BackgroundResultInfluentialBeukes, E. W., Manchaiah, V., Allen, P. M., Baguley, D. M., & Andersson, G. (2019) · Trends in Hearing · doi:10.1177/2331216519851749 · Cited by 75
“Previous systematic reviews regarding CBT for tinnitus also reported small effect sizes that were marginally higher at g¼ 0.35 for mood measures when combining anxiety and depression measures (Hesser et al., 2011) and d¼ 0.37 for depression (Martinez-Devesa et al., 2010).”
BackgroundInfluentialSelf-citationAazh, H., Landgrebe, M., Danesh, A. A., & Moore, B. C. (2019) · Psychology Research and Behavior Management · doi:10.2147/prbm.s179138 · Cited by 75
Jasper, K., Weise, C., Conrad, I., Andersson, G., Hiller, W., & Kleinstäuber, M. (2014) · Internet Interventions · doi:10.1016/j.invent.2014.04.002 · Cited by 68
“In the context of face-to-face therapy, most of the well-tested CBT programs for tinnitus are delivered in a group format (Hesser et al., 2011).”
BackgroundSelf-citationPettman, D., O’Mahen, H., Blomberg, O., Svanberg, A. S., von Essén, L., & Woodford, J. (2023) · BMC Psychiatry · doi:10.1186/s12888-023-04547-9 · Cited by 90
“Consistent with previous meta-analyses [56, 81], the alpha level was set at ≤.”
ResultProbst, T., Pryss, R. C., Langguth, B., Rauschecker, J. P., Schobel, J., Reichert, M., Spiliopoulou, M., Schlee, W., & Zimmermann, J. (2017) · Frontiers in Aging Neuroscience · doi:10.3389/fnagi.2017.00253 · Cited by 69
“Cognitive-behavioral therapy (CBT) has proven to have the potential to reduce the burden of tinnitus for the individual (Hesser et al., 2011) as well as the society/economy (Maes et al., 2014).”
BackgroundS3 Guideline: Chronic Tinnitus
Mazurek, B., Hesse, G., Sattel, H. C., Kratzsch, V., Lahmann, C., & Dobel, C. (2022) · HNO · doi:10.1007/s00106-022-01207-4 · Cited by 67
Piccirillo, J. F., Rodebaugh, T. L., & Lenze, E. J. (2020) · JAMA · doi:10.1001/jama.2020.0697 · Cited by 65
Psychological Therapy for People with Tinnitus: A Scoping Review of Treatment Components.
Thompson, D. M., Hall, D. A., Walker, D.-M., & Hoare, D. J. (2017) · Ear & Hearing · doi:10.1097/aud.0000000000000363 · Cited by 59
“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 (MartinezDevesa et al. 2010; Hesser et al. 2011; Hoare et al. 2011).”
BackgroundLangguth, B. (2015) · Current Opinion in Otolaryngology & Head & Neck Surgery · doi:10.1097/moo.0000000000000185 · Cited by 63
Molander, P., Hesser, H., Weineland, S., Bergwall, K., Buck, S., Jäder Malmlöf, J., Lantz, H., Lunner, T., & Andersson, G. (2018) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2017.1365929 · Cited by 58
Self-citationHesser, H., Westin, V. Z., & Andersson, G. (2014) · Journal of Behavioral Medicine · doi:10.1007/s10865-013-9525-6 · Cited by 57
“Yet, despite demonstrated overall efficacy of CBT for tinnitus distress, a substantial number of people continue to experience significant residual distress after treatment (Hesser et al. 2011).”
BackgroundSelf-citationTinnitus services in the United Kingdom: a survey of patient experiences
McFerran, D., Hoare, D. J., Carr, S., Ray, J., & Stockdale, D. (2018) · BMC Health Services Research · doi:10.1186/s12913-018-2914-3 · Cited by 58
Cognitive Behavioral Therapy for Tinnitus: Evidence and Efficacy
Jun, H. J., & Park, M. K. (2013) · Korean Journal of Audiology · doi:10.7874/kja.2013.17.3.101 · Cited by 58
Chari, D. A., & Limb, C. J. (2018) · Medical Clinics of North America · doi:10.1016/j.mcna.2018.06.014 · Cited by 58
Reisinger, L., Schmidt, F., Benz, K. R., Vignali, L., Roesch, S., Kronbichler, M., & Weisz, N. (2023) · BMC Medicine · doi:10.1186/s12916-023-02998-1 · Cited by 56
“Even though there are interventions to treat tinnitus-related distress [5], there is currently no clinical intervention that reliably eliminates the experience of the phantom sound.”
BackgroundHall, D. A., Mohamad, N., Firkins, L., Fenton, M., & Stockdale, D. (2013) · Clinical Investigation · doi:10.4155/cli.12.129 · Cited by 55
Psychoacoustic Assessment to Improve Tinnitus Diagnosis
Basile, C.-É., Fournier, P., Hutchins, S., & Hébert, S. (2013) · PLoS ONE · doi:10.1371/journal.pone.0082995 · Cited by 53
A Systematic Review and Meta-Analysis on the Efficacy of Self-Help Interventions in Tinnitus
Nyenhuis, N., Golm, D., & Kröner‐Herwig, B. (2013) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2013.803496 · Cited by 52
Aazh, H., & Moore, B. C. J. (2018) · American Journal of Audiology · doi:10.1044/2018_aja-17-0096 · Cited by 51
Strumila, R., Lengvenytė, A., Vainutienė, V., & Lesinskas, E. (2017) · Psychiatric Quarterly · doi:10.1007/s11126-017-9502-2 · Cited by 54
“There are some promising studies demonstrating that decrease in depressive symptoms leads to corresponding decrease in tinnitus severity [64].”
BackgroundA confirmatory factor analytic validation of the Tinnitus Handicap Inventory
Kleinstäuber, M., Frank, I., & Weise, C. (2014) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2014.12.001 · Cited by 50
“However there are also arguments for the generalizability of our findings: regarding demographic and tinnitus-related variables the current sample seems to be very similar to those included in a meta-analysis by Hesser and colleagues [86].”
ResultSelf-citationQuality and Readability of English-Language Internet Information for Tinnitus
Manchaiah, V. K. C., Dockens, A. L., Flagge, A. G., Bellon-Harn, M. L., Azios, J. H., Kelly-Campbell, R. J., & Andersson, G. (2017) · Journal of the American Academy of Audiology · doi:10.3766/jaaa.17070 · Cited by 58
“Treatments using patient education, either through explaining how tinnitus arises or by helping individuals habituate to their tinnitus, has a stronger base of evidence to recommend them, in particularcognitivebehaviortherapy(Martinez-Devesa et al, 2010; Hesser et al, 2011).”
Self-citationDevelopment and technical functionality of an Internet-based intervention for tinnitus in the UK
Beukes, E. W., Vlaescu, G., Manchaiah, V., Baguley, D. M., Allen, P. M., Kaldo, V., & Andersson, G. (2016) · Internet Interventions · doi:10.1016/j.invent.2016.08.002 · Cited by 48
“Psychological treatments, such as cognitive behavioural therapy (CBT), are the treatment with the most evidence of effectiveness in reducing tinnitus distress (see Hesser et al., 2011 for a systematic review).”
BackgroundInfluentialSelf-citationSituationally influenced tinnitus coping strategies: a mixed methods approach
Beukes, E. W., Manchaiah, V. K. C., Andersson, G., Allen, P. M., Terlizzi, P. M., & Baguley, D. (2017) · Disability and Rehabilitation · doi:10.1080/09638288.2017.1362708 · Cited by 49
“Although cognitive behavioural therapy has the most evidence of effectiveness for reducing tinnitus related distress [46] the use of these strategies was uncommon in this study.”
MethodSelf-citationManagement of Vascular Causes of Pulsatile Tinnitus
Narsinh, K., Hui, F., Duvvuri, M., Meisel, K., & Amans, M. (2022) · Journal of NeuroInterventional Surgery · doi:10.1136/neurintsurg-2021-018015 · Cited by 44
Cortical reorganization in recent-onset tinnitus patients by the Heidelberg Model of Music Therapy
Krick, C. M., Grapp, M., Daneshvar-Talebi, J., Reith, W., Plinkert, P. K., & Bolay, H. V. (2015) · Frontiers in Neuroscience · doi:10.3389/fnins.2015.00049 · Cited by 47
“…Retraining Therapy, Cognitive Behavioral Therapy, Progressive Tinnitus Management, Biofeedback, Education, and Relaxation Therapies), partially resulting in persistent therapy success (Herraiz et al., 2007; Hesser et al., 2011; Folmer et al., 2014; Grewal et al., 2014; Myers et al., 2014).”
BackgroundPredictors for rTMS response in chronic tinnitus
Lehner, A., Schecklmann, M., Landgrebe, M., Kreuzer, P., Poeppl, T., Frank, E., Vielsmeier, V., Kleinjung, T., Rupprecht, R., & Langguth, B. (2012) · Frontiers in Systems Neuroscience · doi:10.3389/fnsys.2012.00011 · Cited by 48
Malinvaud, D., Londero, A., Niarra, R., Peignard, P., Warusfel, O., Viaud‐Delmon, I., Châtellier, G., & Bonfils, P. (2016) · Hearing Research · doi:10.1016/j.heares.2015.12.023 · Cited by 46
Long-Term Efficacy of Audiologist-Guided Internet-Based Cognitive Behavior Therapy for Tinnitus
Beukes, E. W., Allen, P. M., Baguley, D., Manchaiah, V. K. C., & Andersson, G. (2018) · American Journal of Audiology · doi:10.1044/2018_aja-imia3-18-0004 · Cited by 46
Self-citationFarrand, P., & Woodford, J. (2015) · Annals of Behavioral Medicine · doi:10.1007/s12160-015-9689-0 · Cited by 45
Kaldo, V., Haak, T., Buhrman, M., Alfonsson, S., Larsen, H.-C., & Andersson, G. (2013) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2013.769622 · Cited by 48
Self-citationMcKenna, L., Marks, E. M., & Vogt, F. (2018) · Ear & Hearing · doi:10.1097/aud.0000000000000491 · Cited by 41
Niemann, U., Brueggemann, P., Boecking, B., Mebus, W., Rose, M., Spiliopoulou, M., & Mazurek, B. (2020) · Scientific Reports · doi:10.1038/s41598-020-73402-8 · Cited by 41
A review of auditory gain, low-level noise and sound therapy for tinnitus and hyperacusis
Sheppard, A., Stocking, C., Ralli, M., & Salvi, R. (2019) · International Journal of Audiology · doi:10.1080/14992027.2019.1660812 · Cited by 41
“A meta-analysis of 15 studies exploring the effectiveness of CBT showed significant improvement in tinnitus distress (Hesser et al. 2011).”
BackgroundPsychophysiological treatment of chronic tinnitus: A review
Czornik, M., Malekshahi, A., Mahmoud, W. J., Wolpert, S., & Birbaumer, N. (2022) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.2708 · Cited by 41
Acceptance of tinnitus: Validation of the tinnitus acceptance questionnaire
Weise, C., Kleinstäuber, M., Hesser, H., Westin, V. Z., & Andersson, G. (2013) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2013.781670 · Cited by 40
“In fact, the age mean in this study (M ¼ 51.9, SD ¼ 11.95) is similar to the age mean (M ¼ 52.3, SD ¼ 6.7) reported by the meta-analysis by Hesser et al. (2011).”
ResultInfluentialSelf-citationHandscomb, L., Hall, D. A., Shorter, G. W., & Hoare, D. J. (2016) · Ear and Hearing · doi:10.1097/aud.0000000000000365 · Cited by 39
Rheker, J., Andersson, G., & Weise, C. (2015) · Internet Interventions · doi:10.1016/j.invent.2015.03.007 · Cited by 38
“The distress associated with tinnitus can be effectively targeted by cognitive behavioral treatment (CBT; Hesser et al., 2011; Martinez-Devesa et al., 2009; Weise et al., 2008).”
BackgroundSelf-citationLong-term effects of the "Heidelberg Model of Music Therapy" in patients with chronic tinnitus.
Argstatter, H., Grapp, M., Hutter, E., Plinkert, P. K., & Bolay, H. V. (2012) · PubMed Central · Cited by 38
Molecular Aspects of Melatonin Treatment in Tinnitus: A Review
Hosseinzadeh, A., Kamrava, S. K., Moore, B. C. J., Reiter, R. J., Ghaznavi, H., Kamali, M., & Mehrzadi, S. (2019) · Current Drug Targets · doi:10.2174/1389450120666190319162147 · Cited by 38
Boecking, B., von Sass, J., Sieveking, A., Schaefer, C. J., Brüeggemann, P., Rose, M., & Mazurek, B. (2020) · PLoS ONE · doi:10.1371/journal.pone.0234807 · Cited by 38
“These findings are in keeping with findings that have repeatedly highlighted the effectiveness of psychological treatments for relieving tinnitus- [13, 67, 68] and pain-related distress [69, 70, 71].”
ResultWeise, C., Hesser, H., Andersson, G., Nyenhuis, N., Zastrutzki, S., Kröner‐Herwig, B., & Jäger, B. (2013) · International Journal of Audiology · doi:10.3109/14992027.2012.752111 · Cited by 36
“Participants were on average 49 years old which is common for tinnitus samples and similar to other studies (Hesser et al, 2011b).”
BackgroundResultInfluentialSelf-citationThe neuropsychiatry of tinnitus: a circuit-based approach to the causes and treatments available
Minen, M. T., Camprodon, J. A., Nehme, R., & Chemali, Z. N. (2014) · Journal of Neurology Neurosurgery & Psychiatry · doi:10.1136/jnnp-2013-307339 · Cited by 36
Evidence and evidence gaps in tinnitus therapy
Hesse, G. (2016) · PubMed Central · doi:10.3205/cto000131 · Cited by 39
“Ameta-analysis from Sweden [204] evaluated the effectiveness of cognitive behavioral therapy (CBT) on the reduction of tinnitus severity.”
MethodBoecking, B., Brüeggemann, P., Kleinjung, T., & Mazurek, B. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.596037 · Cited by 36
Cima, R. F. F. (2018) · HNO · doi:10.1007/s00106-018-0502-9 · Cited by 36
“nificantly reduces tinnitus distress, decreases tinnitus suffering, and improves the quality and daily functioning of tinnitus patients [1, 3, 6, 17, 35, 37, 48].”
BackgroundArgstatter, H., Grapp, M., Hutter, E., Plinkert, P. K., & Bolay, H. V. (2014) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2014.08.012 · Cited by 35
“A recent meta-analysis on a psychological treatment option [32], revealed mean effect sizes for tinnitus-specific measures of the cognitive behavioral therapy compared with a passive vs.”
MethodKnopke, S., Szczepek, A. J., Häußler, S. M., Gräbel, S., & Olze, H. (2017) · Frontiers in Neurology · doi:10.3389/fneur.2017.00158 · Cited by 35
Clinician-supported internet-delivered psychological treatment of tinnitus
Andersson, G. (2015) · American Journal of Audiology · doi:10.1044/2015_aja-14-0080 · Cited by 34
Self-citationCima, R. F. F., van Breukelen, G., & Vlaeyen, J. W. S. (2017) · Hearing Research · doi:10.1016/j.heares.2017.10.003 · Cited by 32
“…to re-appraisal or signi fi cantly reduces tinnitus-distress, and improves daily functioning and quality of life in tinnitus-patients (Andersson, 2002; Andersson and Lyttkens, 1999; Andersson et al., 2002; Cima et al., 2012; Hesser et al., 2011; Hoare et al., 2011; Martinez-Devesa et al., 2010).”
BackgroundCoexistence of anxiety sensitivity and psychiatric comorbidities in patients with chronic tinnitus
Gul, A. I., Aydın, R., Simsek, G. G., Saydam, L., & Özkırış, M. (2015) · Neuropsychiatric Disease and Treatment · doi:10.2147/ndt.s77786 · Cited by 31
Manchaiah, V. K. C., Ratinaud, P., & Andersson, G. (2018) · Interactive Journal of Medical Research · doi:10.2196/ijmr.9065 · Cited by 31
“Although there are various treatments and/or management strategies available for tinnitus sufferers, psychological interventions such as cognitive behavioral therapy have the best evidence base for alleviating tinnitus distress [2].”
Self-citationPsychosocial Variables That Predict Chronic and Disabling Tinnitus: A Systematic Review
Kleinstäuber, M., & Weise, C. (2020) · Current topics in behavioral neurosciences · doi:10.1007/7854_2020_213 · Cited by 30
Self-citationBeukes, E. W., Manchaiah, V., Baguley, D. M., Allen, P. M., & Andersson, G. (2018) · International Journal of Audiology · doi:10.1080/14992027.2017.1384858 · Cited by 31
“The intervention with the most evidence at present for efficacy in reducing tinnitus distress is cognitive behavioural therapy (CBT; Hesser et al. 2011; Grewal et al. 2014).”
BackgroundMethodInfluentialTurton, L., Souza, P. E., Thibodeau, L. M., Hickson, L. M. H., Gifford, R. H., Bird, J., Stropahl, M., Gailey, L., Fulton, B., Scarinci, N., et al. (2020) · Seminars in Hearing · doi:10.1055/s-0040-1714744 · Cited by 35
Tinnitus- related distress: evidence from fMRI of an emotional stroop task
Golm, D., Schmidt‐Samoa, C., Dechent, P., & Kröner‐Herwig, B. (2016) · BMC Ear Nose and Throat Disorders · doi:10.1186/s12901-016-0029-1 · Cited by 32
Brain Metabolic Changes in Rats following Acoustic Trauma
He, J. B., Zhu, Y., Aa, J., Smith, P. F., Ridder, D. D., Wang, G., & Zheng, Y. (2017) · Frontiers in Neuroscience · doi:10.3389/fnins.2017.00148 · Cited by 30
Manchaiah, V. K. C., Vlaescu, G., Varadaraj, S., Aronson, E. P., Fagelson, M. A., Munoz, M. F., Andersson, G., & Beukes, E. W. (2020) · American Journal of Audiology · doi:10.1044/2020_aja-20-00002 · Cited by 29
Self-citationThe Comorbidity of Depression and Anxiety Symptoms in Tinnitus Sufferers: A Network Analysis
Chen, X., Ren, L., Xue, X., Yu, N., Liu, P., Shen, W., Zhou, H., Wang, B., Zhou, J., Yang, S., et al. (2023) · Brain Sciences · doi:10.3390/brainsci13040583 · Cited by 30
“A large and credible randomized controlled trial [76] and meta-analysis [77] have indicated the beneficial effects of CBT on tinnitus-related distress.”
BackgroundAn update: emerging drugs for tinnitus
Cederroth, C. R., Dyhrfjeld‐Johnsen, J., & Langguth, B. (2018) · Expert Opinion on Emerging Drugs · doi:10.1080/14728214.2018.1555240 · Cited by 29
“[23], neuromodulation [24] and cognitive behavioral therapy [25] – have failed to show clear evidence for an unequivocal efficacy in reducing tinnitus loudness.”
BackgroundMoschen, R., Riedl, D., Rumpold, G., Schmidt, A., Zorowka, P., & Bliem, H. (2015) · Noise and Health · doi:10.4103/1463-1741.165068 · Cited by 27
“[8] Nevertheless, there is room for improvement, as a substantial number of patients continue to experience significant residual tinnitus distress after treatment [16] that underscores the importance of new developments within established CBT interventions.”
Zhou, F.-W., Zhang, T., Jin, Y., Ma, Y., Xian, Z., Zeng, M., & Yu, G.-D. (2022) · Frontiers in Neurology · doi:10.3389/fneur.2022.828299 · Cited by 29
A proposed association between subjective nonpulsatile tinnitus and migraine
Lee, A., Abouzari, M., Akbarpour, M., Risbud, A., Lin, H. W., & Djalilian, H. R. (2022) · World Journal of Otorhinolaryngology - Head and Neck Surgery · doi:10.1002/wjo2.81 · Cited by 26
“A meta‐analysis found that the pooled odds ratios of clinically significant improvement post‐CBT treatment and 3‐month follow‐up in children and adolescents showed significant improvement with CBT compared to placebo only.(56) Similarly, one randomized controlled trial of internet‐based CBT for distress associated wit…”
MethodBeukes, E. W., Fagelson, M. A., Aronson, E. P., Munoz, M. F., Andersson, G., & Manchaiah, V. K. C. (2020) · American Journal of Audiology · doi:10.1044/2019_aja-19-00014 · Cited by 28
Self-citationAndersson, G., Hesser, H., Cima, R. F. F., & Weise, C. (2013) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2013.792101 · Cited by 25
Self-citation
Metadata
- Authors
- Hesser, H., Weise, C., Westin, V. Z., & Andersson, G.
- Affiliations
- Linköping University (SE)
- Corresponding author
- Hesser, Hugo
- Venue
- Clinical Psychology Review
- Publisher
- Elsevier BV
- Published
- 2011-06
- Volume
- 31
- Issue
- 4
- Pages
- 545-553
- ISSN
- 0272-7358 (ISSN-L)
- OpenAlex
- W2142709786
- Cited by
- 340
- References
- 51
- Citations by year
- 2026: 13 · 2025: 9 · 2024: 38 · 2023: 34 · 2022: 20 · 2021: 21 · 2020: 31 · 2019: 18 · 2018: 29 · 2017: 26 · 2016: 20 · 2015: 18 · 2014: 20 · 2013: 24 · 2012: 13
- FWCI
- 1.67
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Psychology Review (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Neuroscience › Sensory Systems › Hearing, Cochlea, Tinnitus, Genetics
- Health Sciences › Health Professions › Speech and Hearing › Hearing Loss and Rehabilitation
- Physical Sciences › Physics and Astronomy › Acoustics and Ultrasonics › Noise Effects and Management
- Keywords
- tinnitus, cognitive behavioral therapy, tinnitus distress, treatment efficacy, psychological intervention, effect size, maintenance of treatment effects
- MeSH terms
- Adult, Humans, Stress, Psychological, Tinnitus, Cognitive Behavioral Therapy, Randomized Controlled Trials as Topic, Treatment Outcome
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
