Clinical efficacy of tinnitus retraining therapy and cognitive behavioural therapy in the treatment of subjective tinnitus: a systematic review
Abstract
OBJECTIVE: This study aimed to compare the outcomes of two frequently employed interventions for the management of tinnitus: tinnitus retraining therapy and cognitive behavioural therapy. METHOD: A systematic review of literature published up to and including February 2013 was performed. Only randomised control trials and studies involving only human participants were included. RESULTS: Nine high-quality studies evaluating the efficacy of tinnitus retraining therapy and cognitive behavioural therapy were identified. Of these, eight assessed cognitive behavioural therapy relative to a no-treatment control and one compared tinnitus retraining therapy to tinnitus masking therapy. Each study used a variety of standardised and validated questionnaires. Outcome measures were heterogeneous, but both therapies resulted in significant improvements in quality of life scores. Depression scores improved with cognitive behavioural therapy. CONCLUSION: Both cognitive behavioural therapy and tinnitus retraining therapy are effective for tinnitus, with neither therapy being demonstrably superior. Further research using standardised, validated questionnaires is needed so that objective comparisons can be made.
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Cognitive behavioral therapy (CBT) is regarded as the intervention with the most evidence for efficacy in reducing tinnitus distress and is strongly recommended in German guidelines for chronic tinnitus.
“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 [8]
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- Authors
- Grewal, R., Spielmann, P. M., Jones, S. E. M., & Hussain, S. S. M.
- Affiliations
- Ninewells Hospital (GB)
- Corresponding author
- Hussain, S S M
- Venue
- The Journal of Laryngology & Otology
- Publisher
- Cambridge University Press (CUP)
- Published
- 2014-11-24
- Volume
- 128
- Issue
- 12
- Pages
- 1028-1033
- ISSN
- 0022-2151 (ISSN-L)
- 1748-5460
- OpenAlex
- W2054695407
- Cited by
- 70
- References
- 24
- Citations by year
- 2026: 3 · 2025: 6 · 2024: 3 · 2023: 6 · 2022: 6 · 2021: 7 · 2020: 9 · 2019: 9 · 2018: 3 · 2017: 5 · 2016: 8 · 2015: 4
- FWCI
- 0.86
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Laryngology & Otology (publishedVersion)
- PubMed (publishedVersion)
- Discovery Research Portal (University of Dundee) (submittedVersion)
- 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 retraining therapy, cognitive behavioral therapy, subjective tinnitus, tinnitus treatment, quality of life, depression, treatment efficacy comparison
- MeSH terms
- Humans, Tinnitus, Cognitive Behavioral Therapy, Randomized Controlled Trials as Topic
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