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Cited by 40Hearing, Cochlea, Tinnitus, GeneticsHearing Loss and RehabilitationNoise Effects and Management

Treatment of tinnitus: A scoping review.

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Makar, Sujoy Kumar, Mukundan, Geetha, Gore, Geeta·2017·The International Tinnitus Journal
DOI 10.5935/0946-5448.20170027
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Abstract

BACKGROUND: Tinnitus is a perception of an auditory sensation without the presence of an external sound. It has devastating impact on the quality of life and psychosocial aspect of the sufferer. Mechanisms of tinnitus not clear; however, its management include counselling, hearing aids, tinnitus masking, relaxation therapy, cognitive behaviour therapy and tinnitus retraining therapy. OBJECTIVE: To conduct a scoping review to explore the role of counselling, hearing aids, tinnitus masking, relaxation therapy, cognitive-behavioural therapy and tinnitus retraining therapy in India. To also provide an overview of efficacy of these approaches in tinnitus management. RESEARCH DESIGN: Scoping review. STUDY SAMPLE: Experimental studies, follow-up assessments, and reviews assessing tinnitus treatment approaches were identified as a result of an electronic database met search. RESULTS: The evidence suggests that all tinnitus management programs have their unique benefits in the treatment of tinnitus. Given the confounding variables that include length of therapy, tinnitus severity and subject population, the overall level of evidence is equivocal. Nonetheless, the efficacy of CBT appears reasonably established and combined approach (masking + counselling + attention diversion) appears to be most promising for audiologists for future tinnitus management. A common ground of therapeutic elements was established and evidence was found to be robust enough to guide clinical practice. CONCLUSION: The use of more robust methodology with well-defined control groups, as well as randomization of clinical trials in future studies would increase the quality of evidence in the study of tinnitus management. CLINICAL RECOMMENDATION: Combined therapies (masking + counselling + attention diversion) appear more appropriate in the treatment of tinnitus as the evidence is not sufficient to support a specific treatment method.

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References 60 · Cited by 40

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  1. Dobie RA. Depression and tinnitus. Otolaryngol Clin North Am. 2003;36(2):383-8.
  2. Smith PA, Davis A, Ferguson M, Lutman ME. The prevalence and type of social noise exposure in young adults in England. Noise Health. 2000;2(6):41-56.
  3. Toh ST, Lu P, Ong M, Seet B. Prevalence of hearing disorders in Singapore military conscripts: A role for routine audiometry screening. Singapore Med J. 2002;43(12):622-7.
  4. Erlandsson SI, Hallberg LR. Prediction of quality of life in patients with tinnitus. Br J Audiol. 2000;34(1):11-9.
  5. Gay LR, Mills GE, Airasian PW. Educational Research: Competencies for Analysis and Applications. 8th ed. Upper Saddle River, NJ: Merrill Prentice Hall. 2006.
  6. Harwell M, Maeda Y. Deficiencies of reporting in meta-analyses and some remedies. J Exp Educ. 2008;76(4):403-30.
  7. Cook D, Andrew J, Faubion C. Rehabilitation education and research productivity. Rehabil Educ. 1998;12:17-27.
  8. Poth C, Ross S. Meta-analysis, systematic review, or scoping review? Comparing methodologies in educational research. In Annual Conference of the Canadian Society for the Study of Education, Ottawa, ON, Canada. 2009.
  9. Arksey H, O'Malley L. Scoping studies: Towards a methodological framework. Int J Soc Res Methodol. 2005;8(1):19-32.
  10. Newman CW, Jacobson GP, Spitzer JB. Development of the tinnitus handicap inventory. Arch Otolaryngol Head Neck Surg. 1996;122(2):143-8.
  11. Kuk FK, Tyler RS, Russell D, Jordan H. The psychometric properties of a tinnitus handicap questionnaire. Ear Hear. 1990;11(6):434-45.
  12. Meikle MB, Griest SE, Stewart BJ, Press LS. Measuring the negative impact of tinnitus: A brief severity index. J Assoc Res Otolaryngol. 1995;167.
  13. Wilson PH, Henry J, Bowen M, Haralambous G. Tinnitus reaction questionnaire: Psychometric properties of a measure of distress associated with tinnitus. J Speech Hear Res. 1991;34(1):197-201.
  14. Goebel, G., & Hiller, W. (1994). The tinnitus questionnaire. A standard instrument for grading the degree of tinnitus. Results of a multicenter study with the tinnitus questionnaire.HNO, 42(3), 166-172.
  15. Beck AT, Beck RW. Screening depressed patients in family practice: A rapid technic. Postgrad Med. 1972;52(6):81-5.
  16. Schaette R, König O, Hornig D, Gross M, Kempter R. Acoustic stimulation treatments against tinnitus could be most effective when tinnitus pitch is within the stimulated frequency range. Hear Res. 2010;269(1):95-101.
  17. Park SN, Bae Sc, Kim DK, Park YS, Yeo SW, Park SY. Small-Group Counseling in a Modified Tinnitus Retraining Therapy for Chronic Tinnitus. Clin Exp Otorhinolaryngol. 2013;6(4):214-8.
  18. Malouff JM, Noble W, Schutte NS, Bhullar N. The effectiveness of bibliotherapy in alleviating tinnitus-related distress. J Psychosom Res. 2010;68(3):245-51.
  19. Henry JA, Loovis C, Montero M, Kaelin C. Randomized clinical trial: Group counseling based on tinnitus retraining therapy. J Rehabil Res Dev. 2007;44(1):21-32.
  20. Wilson PH, Henry JL, Andersson G, Hallam RS, Lindberg P. A critical analysis of directive counselling as a component of tinnitus retraining therapy. Br J Audiol. 1998;32(5):273-86.
  21. de Barros Suzuki FA, Suzuki FA, Yonamine FK, Onishi ET, Penido NO. Effectiveness of sound therapy in patients with tinnitus resistant to previous treatments: Importance of adjustments. Braz j otorhinolaryngol. 2016;82(3):297-303.
  22. Davis PB, Wide RA, Steed LG, Hanley PJ. Treatment of tinnitus with a customized acoustic neural stimulus: A controlled clinical study. Ear Nose Throat J. 2008;87(6):330-9.
  23. Henry JA, Schechter MA, Zaugg TL, Griest S, Jastreboff PJ, Vernon JA. Outcomes of clinical trial: Tinnitus masking versus tinnitus retraining therapy. J Am Acad Audiol. 2006;17(2):104-32.
  24. Sinha AK, Makar SK. Tinnitus management in normal hearing and sensorineural hearing loss cases. Hear Aid J. 2000;14(3):82-7.
  25. Tyler RS, Noble W, Coelho CB, Ji H. Tinnitus retraining therapy: Mixing point and total masking are equally effective. Ear Hear. 2012;33(5):588-94.
  26. Bauer CA, Brozoski TJ. Effect of tinnitus retraining therapy on the loudness and annoyance of tinnitus: A controlled trial. Ear Hear. 2011;32(2):145-55.
  27. Ariizumi Y, Hatanaka A, Kitamura K. Clinical prognostic factors for tinnitus retraining therapy with a sound generator in tinnitus patients. J Med Dent Sci. 2010;57(1):45-53.
  28. Seydel C, Haupt H, Szczepek AJ, Klapp BF, Mazurek B. Long- term improvement in tinnitus after modified tinnitus retraining therapy enhanced by a variety of psychological approaches. Audiol Neurotol. 2010;15:69-80
  29. Caffier PP, Haupt H, Scherer H, Mazurek B. Outcomes of long-term outpatient tinnitus-coping therapy: Psychometric changes and value of tinnitus-control instruments. Ear Hear. 2006;27(6):619-27.
  30. Abbott JA, Kaldo V, Klein B, Austin D, Hamilton C, Piterman L, et al. A cluster randomised trial of an internet-based intervention program for tinnitus distress in an industrial setting. Cogn Behav Ther. 2009;38(3):162-73.
  31. Robinson SK, Viirre ES, Bailey KA, Kindermann S, Minassian AL, Goldin PR, et al. A randomized controlled trial of cognitive-behavior therapy for tinnitus. Int Tinnitus J. 2008;14(2):119-26.
  32. Andersson G, Porsaeus D, Wiklund M, Kaldo V, Larsen HC. Treatment of tinnitus in the elderly: A controlled trial of cognitive behavior therapy. Int J Audiol. 2005;44(11):671-5.
  33. Hiller W, Haerkötter C. Does sound stimulation have additive effects on cognitive-behavioral treatment of chronic tinnitus? Behav Res Ther. 2005;43(5):595-612.
  34. Vender AJ, Sherman JH, Luciano DS. Human physiology. 5th ed. New York: McGraw-Hill. 1990.
  35. Spizel DP, Lindford T, Thompson B, Detoe MA, Kobayshi K, Stinear CM, et al. Multisensory attention training for treatment of tinnitus. Sci Rep. 2015;5:1-15.
  36. Searchfield GD, Morrison-Low J, Wise K. Object identification and attention training for treating tinnitus. Prog Brain Res. 2007;166:441-60.
  37. Henry JA, Frederick M, Sell S, Griest S, Abrams H. Validation of a novel combination hearing aid and tinnitus therapy device. Ear Hear. 2015;36(1):42-52.
  38. McNeill C, Távora-Vieira D, Alnafjan F, Searchfield GD, Welch D. Tinnitus pitch, masking, and the effectiveness of hearing aids for tinnitus therapy. Int J Audiol. 2012;51(12):914-9
  39. Parazzini M, Del Bo L, Jastreboff M, Tognola G, Ravazzani P. Open ear hearing aids in tinnitus therapy: An efficacy comparison with sound generators. Int J Audiol. 2011;50(8):548-53u
  40. Searchfield GD, Kaur M, Martin WH. Hearing aids as an adjunct to counseling: Tinnitus patients who choose amplification do better than those that don't. Int J Audiol, 2010;49(8):574-9.
  41. Moffat G, Adjout K, Gallego S, Thai-Van H, Collet L, Norena AJ. Effects of hearing aid fitting on the perceptual characteristics of tinnitus. Hear Res. 2009;254(1):82-91.
  42. Trotter MI, Donaldson I. Hearing aids and tinnitus therapy: A 25-year experience. J Laryngol Otol. 2008;122(10):1052-56.
  43. Biesinger E, Kipman U, Schätz S, Langguth B. Qigong for the treatment of tinnitus: A prospective randomized controlled study. J Psychosom Res. 2010;69(3):299-304.
  44. Jakes SC, Hallam RS, Rachman S, Hinchcliffe R. The effects of reassurance, relaxation training and distraction on chronic tinnitus sufferers. Behav Res Ther. 1986;24(5):497-507.
  45. Ireland CE, Wilson PH, Tonkin JP, Platt-Hepworth S. An evaluation of relaxation training in the treatment of tinnitus. Behav Res Ther. 1985;23(4):423-30.
  46. Jastreboff MM. Sound therapies for tinnitus management. Prog Brain Res. 2007;166:435-40.
  47. Cima RF, Andersson G, Schmidt CJ, Henry JA. Cognitive-behavioural treatment for tinnitus: A review of the literature. J Am Acad Audiol. 2014;25(1):29-61.
  48. Shekhawat GS, Searchfield GD, Stinear CM. Role of hearing aids in tinnitus intervention: A scoping review. J Am Acad Audiol. 2013;24(8):747-62.
  49. Henry JA, Zaugg TL, Myers PJ, Schechter MA. Using therapeutic sound with progressive audiologic tinnitus management. Trends Amplif. 2008;12(3):188-209.
  50. Rief W, Weise C, Kley N, Martin A. Psychophysiologic treatment of chronic tinnitus: A randomized clinical trial. Psychosom Med. 2005;67(5):833-8.
  51. Haider HF, Hoare DJ, Costa RFP, Potgieter I, Kikidis D, Lapira A, et al. Pathophysiology, Diagnosis and Treatment of Somatosensory Tinnitus: A Scoping Review. Front Neurosci. 2017;11:207.
  52. Ralli M, Altissimi G, Turchetta R, Mazzei F, Salviati M, Cianfrone F, et al. Somatosensory Tinnitus: Correlation between Cranio-Cervico- Mandibular Disorder History and Somatic Modulation. Audiol Neurootol. 2016;21(6):372-82.
  53. Shore S, Zhou J, Koehler S. Neural mechanisms underlying somatic tinnitus. Prog Brain Res. 2007;166:107-23.
  54. Jastreboff PJ, Hazell JW. A neurophysiological approach to tinnitus: Clinical implications. Br J Audiol. 1993;27(1):7-17.
  55. Henry JA, Jastreboff MM, Jastreboff PJ, Schechter MA, Fausti SA. Guide to conducting tinnitus retraining therapy initial and follow-up interviews. J Rehabil Res Dev. 2003;40(2):157.
  56. Weisz N, Müller S, Schlee W, Dohrmann K, Hartmann T, Elbert T. The neural code of auditory phantom perception. J Neurosci. 2007;27(6):1479-84.

Authors
Makar, S. K., Mukundan, G., & Gore, G.
Affiliations
  • Ali Yavar Jung National Institute for the Hearing Handicapped (IN)
  • Topiwala National Medical College & BYL Nair Charitable Hospital (IN)
Corresponding author
Makar, Sujoy Kumar
ORCID
Makar, Sujoy Kumar
Venue
The International Tinnitus Journal
Publisher
GN1 Sistemas e Publicacoes Ltd.
Published
2017
Volume
21
Issue
2
Pages
144-156
ISSN
0946-5448 (ISSN-L)
DOI
10.5935/0946-5448.20170027
OpenAlex
W2781913753
Cited by
40
References
60
Citations by year
2026: 2 · 2025: 4 · 2024: 4 · 2023: 3 · 2022: 8 · 2021: 4 · 2020: 6 · 2019: 6 · 2018: 3
FWCI
0.62
Type
journal article
Language
en
Open access
Locations
  • The International Tinnitus Journal (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
tinnitus, tinnitus management, tinnitus retraining therapy, cognitive behavioral therapy, tinnitus masking, hearing aids, counseling, relaxation training, distraction, combination therapy, treatment efficacy, India
MeSH terms
Acoustic Stimulation, Hearing, Hearing Aids, Humans, Perceptual Masking, Sound, Tinnitus, Cognitive Behavioral Therapy

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