Effectiveness of audiologist-delivered cognitive Behavioral therapy for tinnitus and hyperacusis rehabilitation: outcomes for patients treated in routine practice
Abstract
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.
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Studies have confirmed the effectiveness of audiologist-provided CBT programs for tinnitus.
“Although studies have confirmed the effectiveness of audiologist-provided CBT programs for tinnitus (Aazh and Moore, 2018), these programs differ in procedural details and research perspectives, and their equivalence to psychologist-provided CBT needs further verification (Burke and El Refaie, 2024).”
From Research trends and hotspots of cognitive behavioral therapy for tinnitus: a bibliometric analysis (2025) · cites this paper as Aazh and Moore, 2018
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Chang, T.-G., Yao, Y.-T., Hsu, C.-Y., & Yen, T.-T. (2024) · Figshare · doi:10.6084/m9.figshare.26066203
Chang, T.-G., Yao, Y.-T., Hsu, C.-Y., & Yen, T.-T. (2024) · Figshare · doi:10.6084/m9.figshare.26066089
Assis, A. D. S., Lemos, S. M. A., Prabhu, P., & Mancini, P. C. (2026) · CoDAS · doi:10.1590/2317-1782/e20250057en
Tungapindi, T., Pillai, S., Sharma, P. V., Vasudevan, H., Palaniswamy, H. P., Rajanbabu, K., Manchaiah, V. K. C., Beukes, E. W., & Andersson, G. (2026) · Indian Journal of Otolaryngology and Head & Neck Surgery · doi:10.1007/s12070-026-06591-9
- Authors
- Aazh, H., & Moore, B. C. J.
- Affiliations
- Royal Surrey County Hospital (GB)
- University of Cambridge (GB)
- Venue
- American Journal of Audiology
- Published
- 2018-12-06
- Volume
- 27
- Issue
- 4
- Pages
- 547-558
- ISSN
- 1059-0889 (ISSN-L)
- 1558-9137
- OpenAlex
- W2890098046
- Cited by
- 51
- References
- 73
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 9 · 2023: 5 · 2022: 8 · 2021: 7 · 2020: 8 · 2019: 6 · 2018: 1 · 2014: 1
- FWCI
- 3.55
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Audiology (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
- cognitive behavioral therapy, tinnitus, hyperacusis, tinnitus rehabilitation, insomnia, tinnitus handicap, routine clinical practice
- MeSH terms
- Audiologists, Adult, Aged, Aged, 80 and over, Audiology, Female, United Kingdom, Humans, Sleep Initiation and Maintenance Disorders, Male, Middle Aged, Hyperacusis, Retrospective Studies, Tinnitus, Cognitive Behavioral Therapy, Treatment Outcome, Young Adult
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