Cited by 312Hearing, Cochlea, Tinnitus, GeneticsDigital Mental Health InterventionsHearing Loss and Rehabilitation

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

Andersson, G.·2002·Psychosomatic Medicine

DOI 10.1097/01.psy.0000031577.42041.f8

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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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BackgroundSelf-citation
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Method
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“Most significantly, tinnitus has been studied quite intensely (Andersson et al., 2002; Hesser, Weise, Westin, & Andersson, 2011; Kaldo et al., 2008) and hyperacusis has also been treated with cognitive-behavioural interventions (Jüris, Andersson, Larsen, & Ekselius, 2014).”
BackgroundSelf-citation
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Self-citation
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BackgroundMethodInfluential
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A randomised controlled study of mindfulness meditation versus relaxation therapy in the management of tinnitus
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“PD as a Primary Outcome Of the seven studies for which anxiety was a primary outcome, two showed an effect (Andersson et al., 2002, see row 20 of Table 1; Dear et al., 2013, see row 28).”
BackgroundInfluential
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Internet-Based Cognitive Behaviour Therapy for Tinnitus Patients Delivered in a Regular Clinical Setting: Outcome and Analysis of Treatment Dropout
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“When asked about their reason for dropping out, patients often states practical problems such as lack of time as the main reason (Andersson et al., 2002).”
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A preliminary investigation of potential cognitive performance decrements in non-help-seeking tinnitus sufferers
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Background
A contribution to the debate on tinnitus definition
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“A guided internet-based CBT intervention for tinnitus (ICBT; Andersson et al., 2002) was developed as a bridge between in-person care and self-help.”
MethodSelf-citation
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“previously used (Andersson et al., 2002; Jasper et al., 2014), we added an automated messaging system to the treatment since there is evidence that it furthers treatment completion (Titov et al.”
BackgroundMethodSelf-citation
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Holmes, S., & Padgham, N. D. (2011) · Biological Research For Nursing · doi:10.1177/1099800410382290 · Cited by 38
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“These rates were particularly high for earlier studies (e.g., Abbott et al., 2009; Andersson et al., 2002) and have increased with improvements made in later studies.”
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Method
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Self-citation
Exploratory Data Mining Techniques (Decision Tree Models) for Examining the Impact of Internet-Based Cognitive Behavioral Therapy for Tinnitus: Machine Learning Approach (Preprint)
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Self-citation
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Background
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BackgroundSelf-citation
Participants’ experiences of an Internet-based cognitive behavioural therapy intervention for tinnitus
Beukes, E. W., Manchaiah, V. K. C., Davies, A. S. A., Allen, P. M., Baguley, D., & Andersson, G. (2018) · International Journal of Audiology · doi:10.1080/14992027.2018.1514538 · Cited by 31
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MethodSelf-citation
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Malmberg, M., Lunner, T., Kähäri, K. R., & Andersson, G. (2017) · BMJ Open · doi:10.1136/bmjopen-2016-013047 · Cited by 32
“44 In our earlier research, the HHIE was an appropriate measure for the outcomes of telephone-supported AR beyond HA fitting in GCP 17 ; in that study, the programme for the intervention group did not include parts of the Active Communication Education (ACE) programme, which targets the…”
MethodSelf-citation
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BackgroundMethodInfluential
Roles of Cognitive Characteristics in Tinnitus Patients
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Background
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Background
Understanding adherence to web-based interventions
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Features, Functionality, and Acceptability of Internet-Based Cognitive Behavioral Therapy for Tinnitus in the United States
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BackgroundSelf-citation
Treatments for Tinnitus
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“Internet delivered CBT is efficacious for treating frustration and annoyance related to tinnitus (Andersson, Stromgren, Strom, & Lyttkens, 2002 ) and might also be effective for mood maintenance in presbycusic samples.”
Background
Editorial - Special Issue: Internet and Cognitive Behaviour Therapy: New Opportunities for Treatment and Assessment
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BackgroundSelf-citation
A proposed association between subjective nonpulsatile tinnitus and migraine
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Background
Readability Following Cultural and Linguistic Adaptations of an Internet-Based Intervention for Tinnitus for Use in the United States
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“anxiety disorders (Chambless & Gillis, 1993), tinnitus ( Andersson, Stromgren, Strom, & Lyttkens, 2002 ), psychosis (Turkington & McKenna, 2003), and self harm (Tyrer et al., 2003).”
Are coping strategies really useful for the tinnitus patient? An investigation conducted via the internet
Andersson, G., Kaldo, V., Strömgren, T., & Ström, L. (2004) · Hearing Balance and Communication · doi:10.1080/16513860410027358 · Cited by 25
Self-citation
Findings and Ethical Considerations From a Thematic Analysis of Threads Within Tinnitus Online Support Groups
Ainscough, E. A. C., Smith, S., Greenwell, K., & Hoare, D. J. (2018) · American Journal of Audiology · doi:10.1044/2018_aja-imia3-18-0013 · Cited by 25
Effectiveness of telerehabilitation interventions for self-management of tinnitus: systematic review
Demoen, S., Chalimourdas, A., Timmermans, A., Van Rompaey, V., Vanderveken, O. M., Jacquemin, L., Schlee, W., Marneffe, W., Luyten, J., Gilles, A., et al. (2023) · Journal of Medical Internet Research · doi:10.2196/39076 · Cited by 24
“The iCBT program of Andersson et al [68] is based upon the principles of CBT by Hawton et al [80].”
Mind-body internet and mobile-based interventions for depression and anxiety in adults with chronic physical conditions: A systematic review of RCTs
Johnson, E., Corrick, S., Isley, S., Vandermeer, B., Dolgoy, N., Bates, J., Godfrey, E., Soltys, C., Muir, C., Vohra, S., et al. (2024) · PLOS Digital Health · doi:10.1371/journal.pdig.0000435 · Cited by 24
Sucesso no tratamento do zumbido com terapia em grupo
Holdefer, L., de Oliveira, C. A. C. P., & Venosa, A. R. (2010) · Brazilian Journal of Otorhinolaryngology · doi:10.1590/s1808-86942010000100017 · Cited by 24
Coping Strategies for Low Frequency Noise
Leventhall, G., Benton, S., & Robertson, D. (2008) · Journal of low frequency noise, vibration and active control · doi:10.1260/026309208784425460 · Cited by 24
Tinnitus und das Leiden am Tinnitus
Schaaf, H., Eichenberg, C., & Hesse, G. (2010) · Psychotherapeut · doi:10.1007/s00278-010-0746-7 · Cited by 23
Disease Profiling for Computerized Peer Support of Ménière's Disease
Rasku, J., Pyykkö, I. V., Levo, H., Kentala, E. L., & Manchaiah, V. K. C. (2015) · JMIR Rehabilitation and Assistive Technologies · doi:10.2196/rehab.4109 · Cited by 23
“Nevertheless, the tinnitus program and programs developed for behavioral disorders demonstrate that a computer-based peer-support system is both realistic and acceptable and provides results as good as a form of person-to-person peer-support [14,15].”
Influential
The Application of Intervention Coding Methodology to Describe the Tinnitus E-Programme, an Internet-Delivered Self-Help Intervention for Tinnitus
Greenwell, K., Featherstone, D., & Hoare, D. J. (2015) · American Journal of Audiology · doi:10.1044/2015_aja-14-0089 · Cited by 22
Tinnitus Impacts on Speech and Non-speech Stimuli
Omidvar, S., Mahmoudian, S., Khabazkhoob, M., Ahadi, M., & Jafari, Z. (2018) · Otology & Neurotology · doi:10.1097/mao.0000000000002002 · Cited by 22
The Changeability and Predictive Value of Dysfunctional Cognitions in Cognitive Behavior Therapy for Chronic Tinnitus
Conrad, I., Kleinstäuber, M., Jasper, K., Hiller, W., Andersson, G., & Weise, C. (2015) · International Journal of Behavioral Medicine · doi:10.1007/s12529-014-9425-3 · Cited by 21
“Comparable significant improvements were also found for tinnitus distress in studies comparing ICBT and GCBT [19], or only ICBTwith a control group [17].”
BackgroundSelf-citation
A qualitative exploration of barriers and facilitatorsto adherence to an online self-help intervention for cancer-related distress
Beatty, L., Binnion, C., Kemp, E., & Koczwara, B. (2017) · Supportive Care in Cancer · doi:10.1007/s00520-017-3663-2 · Cited by 20
“computer access ease or difficulties [13, 27, 32, 33], having time or being too busy [13, 22, 29, 34] and individual preferences regarding self-guided formats [13, 22, 27] have com-”
Background
Internettherapie: Möglichkeiten und Grenzen
Kersting, A., Schlicht, S., & Kroker, K. (2009) · Der Nervenarzt · doi:10.1007/s00115-009-2721-5 · Cited by 21
Assessing mindfulness-based cognitive therapy intervention for tinnitus using behavioural measures and structural MRI: a pilot study
Husain, F. T., Zimmerman, B., Tai, Y., Finnegan, M. K., Kay, E., Khan, F., Menard, C., & Gobin, R. L. (2019) · International Journal of Audiology · doi:10.1080/14992027.2019.1629655 · Cited by 21
“Some of the most prominent psychological treatments for tinnitus include information counselling, Tinnitus Retraining Therapy (Jastreboff 2007), Tinnitus Activities Treatment (Tyler, Gogel, and Gehringer 2007) and Cognitive Behavioural Therapy (CBT: Andersson et al. 2002).”
Background
Current Validated Medical Treatments for Tinnitus
McKenna, L., Vogt, F., & Marks, E. M. (2020) · Otolaryngologic Clinics of North America · doi:10.1016/j.otc.2020.03.007 · Cited by 20
Cognitive Behavioral therapy for tinnitus: addressing the controversy of its clinical delivery by audiologists
Henry, J. A., Goodworth, M.-C., Lima, E., Zaugg, T., & Thielman, E. J. (2022) · Ear & Hearing · doi:10.1097/aud.0000000000001150 · Cited by 18
“CBT has also been developed as internet-based programs and numerous studies have been conducted with the conclusion that internet-based CBT is equivalent in benefit to in-person CBT (Andersson et al. 2002; Kaldo-Sandstrom et al. 2004; Kaldo et al. 2008).”
Background
A Systematic Review of Eligibility and Outcomes in Tinnitus Trials
Plein, C. T., Harounian, J. A., Floyd, E. M., Irizarry, R., FERZLI, G. S., Kidwai, S. M., & Rosenfeld, R. M. (2015) · Otolaryngology · doi:10.1177/0194599815608160 · Cited by 18
“This yielded 147 studies (Figure 1) for inclusion in data abstraction and analysis.(5-151)”
Background
Tinnitus Stages of Change Questionnaire: Psychometric development and validation
Kaldo, V., Richards, J., & Andersson, G. (2006) · Psychology Health & Medicine · doi:10.1080/13548500600726674 · Cited by 18
“A concern with these self-help approaches for reducing tinnitus distress has been the attrition rates, ranging from 9% in recent studies (e.g., Kaldo-Sandström et al., 2004) to 51% in the initial evaluation of Internet-based tinnitus treatment (Andersson et al., 2002).”
BackgroundSelf-citation
Applied relaxation: an experimental analogue study of therapist vs. computer administration
Carlbring, P., Björnstjerna, E., Bergström, A. F., Waara, J., & Andersson, G. (2004) · Computers in Human Behavior · doi:10.1016/j.chb.2004.03.032 · Cited by 20
“…the results have low ecological validity, recent self-help studies have shown relative good outcomes using Internet-delivered AR in naturalistic settings (Andersson et al., 2003; Andersson et al., 2002; Carlbring et al., 2003; Ström et al., 2000; Ström et al., 2004; Zetterqvist et al., 2003).”
ResultSelf-citation
A three-group study, internet-based, face-to-face based and standard- management after acute whiplash associated disorders (WAD) – choosing the most efficient and cost-effective treatment: study protocol of a randomized controlled trial
Söderlund, A., Bring, A., & Åsenlöf, P. (2009) · BMC Musculoskeletal Disorders · doi:10.1186/1471-2474-10-90 · Cited by 17
“Its successful effectiveness has been investigated in studies on chronic back pain [30], recurrent headache [31], tinnitus [ 32 ], panic disorder [33] etc.”
Internet-based cognitive behavioural therapy for adults with tinnitus in the UK: study protocol for a randomised controlled trial
Beukes, E. W., Manchaiah, V. K. C., Allen, P. M., Baguley, D., & Andersson, G. (2015) · BMJ Open · doi:10.1136/bmjopen-2015-008241 · Cited by 19
“help programme for reducing tinnitus distress as developed by Andersson et al.(19) It incorporates a combination of a cognitive rational(28) and learning theory approach.”
MethodSelf-citation
The initial evaluation of an Internet-based support system for audiologists and first-time hearing aid clients
Brännström, K. J., Öberg, M., Ingo, E., Månsson, K. N. T., Andersson, G., Lunner, T., & Laplante-Lévesque, A. (2016) · Internet Interventions · doi:10.1016/j.invent.2016.01.002 · Cited by 17
“The system included components of CBT such as a library of interventions gathered from existing Internet-delivered CBT interventions (Andersson et al., 2002; Andersson et al., 2005; Andersson et al., 2006).”
Self-citation
Results of an Interdisciplinary Day Care Approach for Chronic Tinnitus Treatment: A Prospective Study Introducing the Jena Interdisciplinary Treatment for Tinnitus
Ivanšić, D., Dobel, C., Volk, G. F., Reinhardt, D., Müller, B. P., Smolenski, U. C., & Guntinas‐Lichius, O. (2017) · Frontiers in Aging Neuroscience · doi:10.3389/fnagi.2017.00192 · Cited by 17
“There is a series of studies evidencing the effectiveness of CBT as an internet-based version (Andersson et al., 2002; Kaldo et al., 2008, 2013; Abbott et al., 2009; Hesser et al., 2011b, 2012; Jasper et al., 2014; Weise et al., 2016).”
Methodological considerations in evaluating eHealth interventions.
Nguyen, H. Q., Cuenco, D., Wolpin, S. E., Benditt, J., & Carrieri‐Kohlman, V. (2007) · PubMed · Cited by 17
Treating tinnitus distress via the Internet: A mixed methods approach of what makes patients seek help and stay motivated during Internet-based cognitive behavior therapy
Heinrich, S., Rozental, A., Carlbring, P., Andersson, G., Cotter, K., & Weise, C. (2016) · Internet Interventions · doi:10.1016/j.invent.2016.04.001 · Cited by 16
“However, many patients still prefer face-to-face therapy to ICBT (Mohr et al., 2010), and several studies on ICBT with no guidance have shown considerable dropout rates (Andersson et al., 2002; cf. Donkin and Glozier, 2012), which indicates that there is still room for improvement.”
BackgroundSelf-citation
Translation and adaptation of three English tinnitus patient-reported outcome measures to Spanish
Manchaiah, V. K. C., Muñoz, M. F., Hatfield, E., Fagelson, M. A., Aronson, E. P., Andersson, G., & Beukes, E. W. (2020) · International Journal of Audiology · doi:10.1080/14992027.2020.1717006 · Cited by 16
Self-citation
Tinnitus
Weise, C. (2010) · Psychotherapeut · doi:10.1007/s00278-010-0791-2 · Cited by 16
The mismatch negativity test in ears with and without tinnitus-a path to the objectification of tinnitus
Holdefer, L., de Oliveira, C. A. C. P., & Venosa, A. R. (2013) · The International Tinnitus Journal · doi:10.5935/0946-5448.20130022 · Cited by 15
Delivery of internet-based cognitive behavioral therapy combined with human-delivered telepsychology in tinnitus sufferers through a chatbot-based mobile app
Bardy, F., Jacquemin, L., Wong, C. L., Maslin, M. R. D., Purdy, S. C., & Thai-Van, H. (2024) · Frontiers in Audiology and Otology · doi:10.3389/fauot.2023.1302215 · Cited by 14
Differences in baseline and process variables between non-responders and responders in Internet-based cognitive behavior therapy for chronic tinnitus
Probst, T., Weise, C., Andersson, G., & Kleinstäuber, M. (2018) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2018.1476582 · Cited by 14
Self-citation
A Systematic Review and Meta-Analysis of Applicability of Web-Based Interventions for Individuals with Depression and Quality of Life Impairment
Yang, D., Hur, J.-W., Kwak, Y. B., & Choi, S. (2018) · Psychiatry Investigation · doi:10.30773/pi.2018.03.15 · Cited by 10
The Future of Cognitive Behavioral Interventions Within Behavioral Medicine
Hart, S. L., & Hart, T. A. (2010) · Journal of Cognitive Psychotherapy · doi:10.1891/0889-8391.24.4.344 · Cited by 14
Tinnitus - current trends and prospects
Kunelskaya, N. L., Levina, Y. G., Викторовна, Б. Е., & Shurpo, V. I. (2019) · Russian Bulletin of Otorhinolaryngology · doi:10.17116/otorino20198406154 · Cited by 14
Continuous Improvement of Chronic Tinnitus Through a 9-Month Smartphone-Based Cognitive Behavioral Therapy: Randomized Controlled Trial
Walter, U., Pennig, S., Bleckmann, L., Röschmann-Doose, K., Wittig, T., Thomsen, J., & Schlee, W. (2024) · Journal of Medical Internet Research · doi:10.2196/59575 · Cited by 14
“The application of CBT, both guided or nonguided by a psychologist or audiologist, is predestinated for remote therapy, and its efficacy to reduce the distress resulting from tinnitus has been proven over the years [15-17].”
The relationship between ultra-high frequency thresholds and transient evoked otoacoustic emissions in adults with tinnitus.
Omidvar, S., Jafari, Z., Mahmoudian, S., Khabazkhoob, M., Ahadi, M., & Yazdani, N. (2016) · Europe PMC (PubMed Central) · Cited by 13
Short- and Long-Term Outcomes of e-Health and Internet-Based Psychological Interventions for Chronic Tinnitus: A Systematic Review and Meta-Analysis
Sattel, H. C., Brüeggemann, P., Steinmetzger, K., Boecking, B., Martin, A., Dobel, C., & Mazurek, B. (2024) · Telemedicine Journal and e-Health · doi:10.1089/tmj.2024.0050 · Cited by 12
“22,29 As a consequence, nearly all subsequent studies included here examine adaptions, modified versions, or succeeding translations of this primal “ cognitive behavioral self-help treatment.”
Understanding User Reactions and Interactions With an Internet-Based Intervention for Tinnitus Self-Management: Mixed-Methods Process Evaluation Protocol
Greenwell, K., Sereda, M., Coulson, N., & Hoare, D. J. (2016) · JMIR Research Protocols · doi:10.2196/resprot.5008 · Cited by 12
“There is evidence to suggest that Internet-based interventions are effective for reducing tinnitus distress and psychological comorbidity while improving quality of life [13-16].”
Smart technologies for older people
Morris, M. E. (2012) · Cited by 13
Self-help interventions for persistent physical symptoms: a systematic review of behaviour change components and their potential effects
Rask, M. T., Frostholm, L., Hansen, S. H., Petersen, M. W., Ørnbøl, E., & Rosendal, M. (2023) · Health Psychology Review · doi:10.1080/17437199.2022.2163917 · Cited by 14
Biofeedback bei chronischem Tinnitus – Behandlungsleitfaden und vorläufige Ergebnisse zu Wirksamkeit und Akzeptanz
Weise, C., Heinecke, K., & Rief, W. (2007) · Verhaltenstherapie · doi:10.1159/000111462 · Cited by 12
“Die Wirksamkeit solcher verhaltenstherapeutischer Ansätze wurde in mehreren Studien untersucht [Andersson et al., 2002; Hiller und Haerkötter, 2005; Kröner-Herwig et al., 1995].”
Background
How one hundred and eighty three people with M enière's disorder relieve their symptoms: a random cohort questionnaire study
Kentala, E. L., Levo, H., & Pyykkö, I. V. (2012) · Clinical Otolaryngology · doi:10.1111/coa.12071 · Cited by 11

Authors: Andersson, G.
Affiliations: Uppsala University (SE)
Corresponding author: Andersson, G.
ORCID: Andersson, G.
Venue: Psychosomatic Medicine
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2002-09-01
Volume: 64
Issue: 5
Pages: 810-816
ISSN: 0033-3174 (ISSN-L)
1534-7796
DOI: 10.1097/01.psy.0000031577.42041.f8
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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Randomized Controlled Trial of Internet-Based Cognitive Behavior Therapy for Distress Associated With Tinnitus

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