The DOI matches its Crossref record; 31 of the 31 references it cites were found in a registry or an index.
Randomized Controlled Trial of Internet-Based Cognitive Behavior Therapy for Distress Associated With Tinnitus
Abstract
OBJECTIVE: The aim of this study was to investigate if cognitive behavior therapy (CBT) provided via the Internet results in significant decreases of distress in individuals with tinnitus. METHODS: Participants were recruited through Web pages and newspaper articles and thereafter randomly allocated to a CBT self-help manual in six modules or to a waiting-list control group (WLC). All treatment and contact with participants were conducted via the Internet with Web pages and E-mail correspondence. Participants were 117 individuals with tinnitus of duration of more than 6 months. In the first randomized controlled phase of the study, 26 completed all stages of treatment (51% dropout), and 64 of the WLC group completed measures. At 1-year follow-up, all participants had been offered the program and 96 provided outcome measures (18% dropout rate from baseline). Tinnitus-related problems were assessed before and after treatment and at the 1-year follow-up. Daily diary ratings were included for 1 week before and 1 week following the treatment period. RESULTS: Tinnitus-related distress, depression, and diary ratings of annoyance decreased significantly. Immediately following the randomized controlled phase (with a WLC), significantly more participants in the treatment group showed an improvement of at least 50% on the Tinnitus Reaction Questionnaire. At the uncontrolled follow-up, 27 (31%) of all participants had achieved a clinically significant improvement. CONCLUSIONS: CBT via the Internet can help individuals decrease annoyance associated with tinnitus. High dropout rates or delay in completing treatment can be a characteristic of treatment studies using the Internet but should be contrasted with the cost effectiveness and accessibility of the Internet.
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“Although initial results are promising, further work is needed because many of the trials have been relatively small [44-47].”
From Web-Based Interventions for Behavior Change and Self-Management: Potential, Pitfalls, and Progress (2012) · cites this paper as [44]
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InfluentialSelf-citationInternet interventions: Past, present and future
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Treatment of panic disorder via the Internet: a randomized trial of CBT vs. applied relaxation
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Self-citationA randomised controlled trial of a self-guided internet intervention promoting well-being
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“Although initial results are promising, further work is needed because many of the trials have been relatively small [44-47].”
ResultCognitive behavioural therapy for tinnitus
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BackgroundSelf-citationRandomized Controlled Trial of Internet-Based Stress Management
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“…Weise et al., 2016), TAU (SDM = 0.63 ± 0.22, p = .005; Ferwerda et al., 2017; Newby et al., 2017), and waiting-list control (SDM = 0.55 ± 0.07, p\ .001; Andersson et al., 2002; Friesen et al., 2017; Buhrman et al., 2004, 2011; Dear et al., 2013, 2015; Migliorini et al., 2016; Peters et al.,…”
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“Strom et al (2000)50 (Sweden) Recurrent headache RCT, 6 wk 56 1–3 + 1: Internet (20) 2: Waitlist (25) Andersson et al (2002)27 (Sweden) Tinnitus distress RCT, 6 wk, 1 y F/U 51 1, 6 + 1: Internet cognitive behavior therapy (53), 2: wait list (64) van Straten et al (2008)24 (the Netherlands)…”
Internet and psychological treatment. How well can they be combined?
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“Andersson et al 27 evaluated an Internet intervention using cognitive behavioral self-help treatment for distress associated with tinnitus.”
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“, 2003), tinnitus (Andersson et al., 2002; Kaldo-Sandstrom et al., 2004), headache (Andersson et al.”
Directions for the International Society for Research on Internet Interventions (ISRII)
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“In terms of clinical management for tinnitus, psychological approaches advise on concentration difficulties and how to manage them (Abbott et al., 2009; Andersson, 2001; Andersson and Kaldo, 2004; Andersson et al., 2002; Kaldo et al., 2007; Kaldo-Sandstr€om et al., 2004).”
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“One randomized controlled trial showed promising effects of an Internet-delivered, therapist-guided CBT program for tinnitus distress (Andersson, Stromgren, Strom, & Lyttkens, 2002 ), and in a later effectiveness study, the results were even better (Kaldo-Sandstrom, Larsen, & Andersson, 2004 ).”
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“The program was inspired by studies in adjacent fi elds of research, such as tinnitus, and mood and anxiety disorders (Andersson et al, 2002; Andersson, 2009; Carlbring & Andersson, 2006; Johansson et al, 2012), which have found outcomes equivalent to face-to-face delivery (Andersson et al, in…”
Issues in evaluating health websites in an Internet-based randomized controlled trial
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“many as about half of the patients [3; 4] may be lost to follow-up.”
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Internet-Delivered Cognitive-Behavior Therapy for Tinnitus: A Randomized Controlled Trial
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Self-citationInternet-based randomized controlled trials: a systematic review
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“Moreover, prospectively controlled studies without physiological evaluation have indicated beneficial effects from computer- or web-based tools on, for example, headache [9], distress related to tinnitus [10], depression and anxiety [11-13], stress management [14], physical activity [15] and insomnia [16].”
BackgroundKaldo, V., Cars, S., Rahnert, M., Larsen, H. C., & Andersson, G. (2007) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2007.04.007 · Cited by 97
Self-citationThe effect of waiting: a meta-analysis of wait-list control groups in trials for tinnitus distress
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“Following these inclusion criteria, a total of 11 studies were included in the present metaanalysis [24–34], comprising a total of 314 subjects who were randomly assigned to a wait-list condition.”
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“(Andersson et al., 2002) Sweden Tinnitus 53/64 Post-diagnosis, time not specified I:46% C:48% NR No Yes Yes Module learning Emails, Reminders, Homework or answering questions, Practising mindfulness 10 6 weeks No Secondary ++++”
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Self-citationBeatty, L., Koczwara, B., & Wade, T. (2016) · Supportive Care in Cancer · doi:10.1007/s00520-015-2867-6 · Cited by 84
“This finding is not novel: other non-cancer online interventions have found control group membership to be associated with higher adherence [26–28]; however, non-usage or treatment attrition evaluations for cancer interventions are only now emerging [29].”
BackgroundShandley, K., Austin, D. W., Klein, B., Pier, C., Schattner, P., Pierce, D., & Wade, V. (2008) · Journal of Medical Internet Research · doi:10.2196/jmir.1033 · Cited by 84
“Over the past decade, Internet-based treatments have been found effective for a variety of physical health conditions and mental health disorders, such as headache [14], encopresis [15], tinnitus [16], depression [17], and posttraumatic stress symptoms [18].”
BackgroundResultVugts, M. A. P., Joosen, M. C. W., van der Geer, J. E., Zedlitz, A. M. E. E., & Vrijhoef, H. J. M. (2018) · PLOS ONE · doi:10.1371/journal.pone.0196467 · Cited by 85
Weise, C., Heinecke, K., & Rief, W. (2008) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0013811 · Cited by 85
“The improvements in perceived tinnitus loudness and daily tinnitus perception are extremely positive when compared with results of previous studies, which found little if any improvement and showed only small or moderate effect sizes (Andersson et al., 2002; Hiller & Haerkötter, 2005; Kaldo, Cars, Rahnert, Larsen, & A…”
BackgroundResultEveritt, H., Moss-Morris, R. E., Sibelli, A., Tapp, L., Coleman, N. S., Yardley, L., Smith, P. W. F., & Little, P. S. (2013) · BMC Gastroenterology · doi:10.1186/1471-230x-13-68 · Cited by 83
“depression [13] and tinnitus [14], insomnia [15] and NICE has recommended the use of web-based CBT for depression, panic and phobia in Primary Care [16].”
MethodAmir, N., & Taylor, C. T. (2012) · Behavior Therapy · doi:10.1016/j.beth.2010.12.008 · Cited by 76
Buhrman, M., Syk, M., Burvall, O., Hartig, T., Gordh, T., & Andersson, G. (2015) · The Clinical Journal of Pain · doi:10.1097/ajp.0000000000000176 · Cited by 83
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
“When observing Figure 3D, it is apparent that the results from Andersson 2002 and Kaldo 2007 are drastically different than other studies in the sample and are likely driving the heterogeneity (34,40).”
ResultInternet-based treatment for panic disorder
Richards, J., Klein, B., & Carlbring, P. (2003) · Cognitive Behaviour Therapy · doi:10.1080/16506070302318 · Cited by 82
Richards, J. C., Klein, B., & Austin, D. (2005) · Clinical Psychologist · doi:10.1080/13284200500378795 · Cited by 83
Everitt, H., Moss-Morris, R. E., Sibelli, A., Tapp, L., Coleman, N. S., Yardley, L., Smith, P. W. F., & Little, P. S. (2010) · BMC Gastroenterology · doi:10.1186/1471-230x-10-136 · Cited by 80
“Web-based CBT has been shown to be helpful for other conditions e.g. depression [13] and tinnitus [ 14 ].”
BackgroundHébert, S., & LUPIEN, S. J. (2008) · International Journal of Hygiene and Environmental Health · doi:10.1016/j.ijheh.2007.11.005 · Cited by 77
“In addition, cognitive behaviour therapy is deemed the most promising therapy for tinnitus individuals, possibly because it reduces stress and distress through the development of coping strategies (Andersson et al., 2002).”
BackgroundBeukes, E. W., Manchaiah, V., Allen, P. M., Baguley, D. M., & Andersson, G. (2019) · Trends in Hearing · doi:10.1177/2331216519851749 · Cited by 75
“%) that had a high risk of bias (Andersson et al., 2002; Manchaiah et al., 2014).”
BackgroundSelf-citationEbert, D. D., Harrer, M., Apolinário-Hagen, J., & Baumeister, H. (2019) · Advances in Experimental Medicine and Biology · doi:10.1007/978-981-32-9721-0_29 · Cited by 76
Aazh, H., Landgrebe, M., Danesh, A. A., & Moore, B. C. (2019) · Psychology Research and Behavior Management · doi:10.2147/prbm.s179138 · Cited by 75
Kamalski, D. M. A., Hoekstra, C. E. L., van Zanten, B. G. A., Grolman, W., & Rovers, M. M. (2010) · Otolaryngology · doi:10.1016/j.otohns.2010.03.026 · Cited by 75
Abbott, J.-A. M., Kaldo, V., Klein, B., Austin, D., Hamilton, C., Piterman, L., Williams, B., & Andersson, G. (2009) · Cognitive Behaviour Therapy · doi:10.1080/16506070902763174 · Cited by 71
“…into English and adapted from a shortened version of the Swedish self-help program used in Kaldo et al. (2008), which was mainly inspired by previous research and theories on CBT and tinnitus (Andersson, Melin, Hägnebo, Scott, & Lindberg, 1995; Andersson et al., 2002;McKenna&Andersson, 1998).”
BackgroundMethodSelf-citationCognitive‐behavioral intervention for distress in patients with melanoma
Trask, P. C., Paterson, A. G., Griffith, K. A., Riba, M. B., & Schwartz, J. L. (2003) · Cancer · doi:10.1002/cncr.11579 · Cited by 74
van Kessel, K., Wouldes, T. A., & Moss-Morris, R. E. (2015) · Clinical Rehabilitation · doi:10.1177/0269215515584800 · Cited by 72
Grewal, R., Spielmann, P. M., Jones, S. E. M., & Hussain, S. S. M. (2014) · The Journal of Laryngology & Otology · doi:10.1017/s0022215114002849 · Cited by 70
Tinnitus rehabilitation: a mindfulness meditation cognitive behavioural therapy approach
Sadlier, M., Stephens, S. D. G., & Kennedy, V (2008) · The Journal of Laryngology & Otology · doi:10.1017/s0022215107007438 · Cited by 70
Internet-based rehabilitation for individuals with chronic pain and burnout: a randomized trial
Brattberg, G. (2006) · International Journal of Rehabilitation Research · doi:10.1097/01.mrr.0000210055.17291.f5 · Cited by 69
“For this reason the development of alternative, cost-effective and accessible forms of CBT is a pressing issue.”
ResultInfluentialTreatment of tinnitus in the elderly: a controlled trial of cognitive behavior therapy
Andersson, G., Porsaeus, D., Wiklund, M., Kaldo, V., & Larsen, H. C. (2005) · International Journal of Audiology · doi:10.1080/14992020500266720 · Cited by 68
“Patient selection and procedure Following advertisement, eligible participants were called in for a structured interview ( Andersson et al, 1999 ).”
BackgroundSelf-citationLaplante-Lévesque, A., Pichora-Fuller, M., & Gagné, J. (2006) · International Journal of Audiology · doi:10.1080/14992020600944408 · Cited by 62
“The internet was also used to deliver cognitive-behavioural therapy to participants affected by tinnitus (Andersson et al, 2002; Kaldo-Sandström et al, 2004).”
MethodSahlin, E., Ahlborg, G., Matuszczyk, J. V., & Grahn, P. (2014) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph110606586 · Cited by 66
“Results from Internet-based stress management [20,21] indicate that this relatively new model of stress intervention can offer tools”
Background
Metadata
- Authors
- Andersson, G.
- Affiliations
- Uppsala University (SE)
- Corresponding author
- Andersson, G.
- ORCID
- Andersson, G.
- Venue
- Psychosomatic Medicine
- Published
- 2002-09-01
- Volume
- 64
- Issue
- 5
- Pages
- 810-816
- ISSN
- 0033-3174 (ISSN-L)
- 1534-7796
- OpenAlex
- W2058574286
- Cited by
- 312
- References
- 30
- Citations by year
- 2025: 7 · 2024: 9 · 2023: 9 · 2022: 12 · 2021: 17 · 2020: 12 · 2019: 12 · 2018: 18 · 2017: 15 · 2016: 12 · 2015: 20 · 2014: 17 · 2013: 13 · 2012: 13
- FWCI
- 6.17
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychosomatic Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Neuroscience › Sensory Systems › Hearing, Cochlea, Tinnitus, Genetics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Health Sciences › Health Professions › Speech and Hearing › Hearing Loss and Rehabilitation
- Keywords
- tinnitus, cognitive behavioral therapy, online therapy, tinnitus distress, tinnitus annoyance, depression, self-help books, treatment discontinuation, long-term follow-up
- MeSH terms
- Anxiety, Major Depressive Disorder, Female, Follow-Up Studies, Humans, Male, Middle Aged, Surveys and Questionnaires, Tinnitus, Cognitive Behavioral Therapy, Prevalence, Treatment Outcome, Internet
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