Effectiveness of Audiologist-Delivered Cognitive Behavioral Therapy for Tinnitus and Hyperacusis Rehabilitation: Outcomes for Patients Treated in Routine Practice Objective The aim was to assess the effectiveness of cognitive behavioral therapy (CBT) for tinnitus and/or hyperacusis delivered by audiologists working in the National Health Service in the United Kingdom. Design This was a retrospective study, based on questionnaires assessing tinnitus and hyperacusis and insomnia before and after ... Research Article
Research Article  |   December 06, 2018
Effectiveness of Audiologist-Delivered Cognitive Behavioral Therapy for Tinnitus and Hyperacusis Rehabilitation: Outcomes for Patients Treated in Routine Practice
 
Author Affiliations & Notes
  • Hashir Aazh
    Audiology Department, Royal Surrey County Hospital NHS Foundation Trust, Guildford, United Kingdom
  • Brian C. J. Moore
    Department of Experimental Psychology, University of Cambridge, United Kingdom
  • Disclosure: The first author is the team lead for Tinnitus Clinic at Royal Surrey County Hospital. He also is the course director for the Tinnitus and Hyperacusis Therapy Masterclass. The authors have declared that no other competing interests existed at the time of publication.
    Disclosure: The first author is the team lead for Tinnitus Clinic at Royal Surrey County Hospital. He also is the course director for the Tinnitus and Hyperacusis Therapy Masterclass. The authors have declared that no other competing interests existed at the time of publication. ×
  • Correspondence to Hashir Aazh: hashir.aazh@nhs.net
  • Editor-in-Chief: Sumitrajit (Sumit) Dhar
    Editor-in-Chief: Sumitrajit (Sumit) Dhar×
  • Editor: Owen Murnane
    Editor: Owen Murnane×
Article Information
Hearing Disorders / Research Articles
Research Article   |   December 06, 2018
Effectiveness of Audiologist-Delivered Cognitive Behavioral Therapy for Tinnitus and Hyperacusis Rehabilitation: Outcomes for Patients Treated in Routine Practice
American Journal of Audiology, December 2018, Vol. 27, 547-558. doi:10.1044/2018_AJA-17-0096
History: Received October 5, 2017 , Revised January 29, 2018 , Accepted May 3, 2018
 
American Journal of Audiology, December 2018, Vol. 27, 547-558. doi:10.1044/2018_AJA-17-0096
History: Received October 5, 2017; Revised January 29, 2018; Accepted May 3, 2018

Objective The aim was to assess the effectiveness of cognitive behavioral therapy (CBT) for tinnitus and/or hyperacusis delivered by audiologists working in the National Health Service in the United Kingdom.

Design This was a retrospective study, based on questionnaires assessing tinnitus and hyperacusis and insomnia before and after CBT.

Study Sample Data were gathered for 68 consecutive patients (average age = 52.5 years) who enrolled for CBT.

Results All measures showed significant improvements after CBT. Effect sizes for patients who completed CBT were 1.13 for Tinnitus Handicap Inventory scores; 0.76 for Hyperacusis Questionnaire scores; 0.71, 0.95, and 0.93 for tinnitus loudness, annoyance, and effect on life, respectively, measured using the Visual Analog Scale; and 0.94 for the Insomnia Severity Index score. An analysis including those who dropped out also showed significant improvements for all measures.

Conclusion Audiologist-delivered CBT led to significant improvements in self-report measures of tinnitus and hyperacusis handicap and insomnia. The methods described here may be used when designing future randomized controlled trials of efficacy.

Acknowledgments
The authors would like to thank the members of the Tinnitus and Hyperacusis Therapy Specialist Clinic at Audiology Department, the Royal Surrey County Hospital, for their help in data collection.
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