Cited by 82Hearing, Cochlea, Tinnitus, GeneticsHearing Loss and RehabilitationNoise Effects and Management

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Systematic Review and Network Meta-analysis of Cognitive and/or Behavioral Therapies (CBT) for Tinnitus

Landry, Evie C., Sandoval, Xochitl Citlalli Romo, Simeone, Calla N., Tidball, Glynnis, Lea, Jane, Westerberg, Brian D.·2020·Otology & Neurotology

DOI 10.1097/mao.0000000000002472

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Abstract

Objective To evaluate the efficacy of cognitive and/or behavioral therapies in improving health-related quality of life (HRQOL), depression, and anxiety associated with tinnitus. Data sources EMBASE, MEDLINE, PubMed, PsycINFO, and the Cochrane Registry were used to identify English studies from database inception until February 2018. Study selection Randomized controlled trials (RCTs) comparing cognitive and/or behavioral therapies to one another or to waitlist controls for the treatment of tinnitus were included. Data extraction Quality and risk were assessed using GRADE and Cochrane's Risk of Bias tool respectively. Data synthesis Pairwise meta-analysis (12 RCTs: 1,144 patients) compared psychological interventions to waitlist controls. Outcomes were measured using standardized mean differences (SMDs) and 95% confidence intervals (CI). I and subgroup analyses were used to assess heterogeneity. Network meta-analysis (NMA) (19 RCTS: 1,543 patients) compared psychological therapies head-to-head. Treatment effects were presented by network diagrams, interval plots, and ranking diagrams indicating SMDs with 95% CI. Direct and indirect results were further assessed by inconsistency plots. Conclusions Results are consistent with previously published guidelines indicating that CBT is an effective therapy for tinnitus. While guided self-administered forms of CBT had larger effect sizes (SMD: 3.44; 95% CI: -0.022, 7.09; I: 99%) on tinnitus HRQOL, only face-to-face CBT was shown to ma…

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Authors: Landry, E. C., Sandoval, X. C. R., Simeone, C. N., Tidball, G., Lea, J., & Westerberg, B. D.
Affiliations: University of British Columbia (CA)
Department of Health Policy, London School of Economics and Political Science, London, UK
London School of Economics and Political Science (GB)
Corresponding author: Landry, Evie C.
Tidball, Glynnis
Lea, Jane
Westerberg, Brian D.
ORCID: Landry, Evie C.
Lea, Jane
Westerberg, Brian D.
Venue: Otology & Neurotology
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2020-02
Volume: 41
Issue: 2
Pages: 153-166
ISSN: 1531-7129 (ISSN-L)
1537-4505
DOI: 10.1097/mao.0000000000002472
OpenAlex: W2983502078
Cited by: 82
References: 51
Citations by year: 2026: 8 · 2025: 8 · 2024: 12 · 2023: 15 · 2022: 12 · 2021: 23 · 2020: 4
FWCI: 1.69
Type: journal article
Language: en
Open access: closed
Locations: Otology & Neurotology (publishedVersion)
PubMed (publishedVersion)
Topics: Life Sciences › Neuroscience › Sensory Systems › Hearing, Cochlea, Tinnitus, Genetics
Health Sciences › Health Professions › Speech and Hearing › Hearing Loss and Rehabilitation
Physical Sciences › Physics and Astronomy › Acoustics and Ultrasonics › Noise Effects and Management
Keywords: tinnitus, cognitive behavioral therapy, psychological intervention, health-related quality of life, depression, anxiety, treatment efficacy comparison
MeSH terms: Anxiety, Cognition, Humans, Tinnitus, Cognitive Behavioral Therapy

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Systematic Review and Network Meta-analysis of Cognitive and/or Behavioral Therapies (CBT) for Tinnitus

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