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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Persuasive System Design Does Matter: a Systematic Review of Adherence to Web-based Interventions
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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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