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Re:CBT for tinnitus
Jeremy Mirsky, Ph.D. · 05/12/03 at 1:07 PM ET
Thanks, Jim. There seem to be relatively few psychologists out there at this point working with tinnitus. I agree that there are similar principles involved as with chronic pain. Indeed, the literature does refer to variation on the theme of a CBT chronic pain model. I found that Oreon Health Sciences University has a tinnitus clinical/research program, and the website is useful: http://www.ohsu.edu/ohrc/tinnitusclinic/index.htm thanks again Here are some references that came up in a lit search: Affiliation: Title: FOUND IN: Language: Key phrase: Abstract: Population: Age group: Classification code: Document type: Form/content: Major descriptors: ISSN: Special features: UMI dissertation order #: Date added to database (YYYYMMDD): PsycINFO ID #: Authors: Affiliation: Title: FOUND IN: Language: Key phrase: Abstract: Population: Classification code: Document type: Form/content: Major descriptors: ISSN: Special features: UMI dissertation order #: Date added to database (YYYYMMDD): PsycINFO ID #: Authors: Affiliation: Title: FOUND IN: Language: Key phrase: Abstract: Population: Age group: Location: Classification code: Document type: Form/content: Major descriptors: ISSN: Special features: UMI dissertation order #: Date added to database (YYYYMMDD): PsycINFO ID #: ------------------------------ 4 of 20 ------------------------------ Authors: Affiliation: Title: Published: Page numbers: Contents: Language: Key phrase: Abstract: Population: Audience: Classification code: Document type: Major descriptors: ISBN: Special features: UMI dissertation order #: Date added to database (YYYYMMDD): PsycINFO ID #: ------------------------------ 5 of 20 ------------------------------ Authors: Affiliation: Title: FOUND IN: Language: Key phrase: Abstract: Population: Age group: Classification code: Document type: Form/content: Major descriptors: Minor descriptors: ISSN: Special features: UMI dissertation order #: PsycINFO ID #: ------------------------------ 6 of 20 ------------------------------ Authors: Affiliation: Title: FOUND IN: Language: Key phrase: Abstract: Population: Age group: Location: Classification code: Document type: Form/content: Major descriptors: Minor descriptors: ISSN: Special features: UMI dissertation order #: PsycINFO ID #: Authors: Affiliation: Title: FOUND IN: Language: Key phrase: Abstract: Population: Age group: Classification code: Document type: Form/content: Major descriptors: Minor descriptors: ISSN: Special features: UMI dissertation order #: PsycINFO ID #: ------------------------------ 8 of 20 ------------------------------ Authors: Affiliation: Title: FOUND IN: Language: Key phrase: Abstract: Population: Classification code: Document type: Form/content: Major descriptors: Minor descriptors: ISSN: Special features: UMI dissertation order #: PsycINFO ID #: ------------------------------ 9 of 20 ------------------------------ Authors: Affiliation: Title: FOUND IN: Language: Key phrase: Abstract: Population: Age group: Classification code: Document type: Form/content: Major descriptors: ISSN: UMI dissertation order #: PsycINFO ID #: ------------------------------ 10 of 20 ------------------------------ Authors: Title: FOUND IN: Language: Key phrase: Abstract: Population: Age group: Classification code: Document type: Form/content: Major descriptors: Minor descriptors: ISSN: UMI dissertation order #: PsycINFO ID #: ------------------------------ 11 of 20 ------------------------------ Authors: Affiliation: Title: FOUND IN: Language: Key phrase: Abstract: Population: Age group: Classification code: Document type: Form/content: Major descriptors: Minor descriptors: ISSN: UMI dissertation order #: PsycINFO ID #: ------------------------------ 12 of 20 ------------------------------ Authors: Affiliation: Title: FOUND IN: Language: Key phrase: Abstract: Population: Age group: Classification code: Document type: Form/content: Major descriptors: ISSN: UMI dissertation order #: PsycINFO ID #: ------------------------------ 13 of 20 ------------------------------ Authors: Affiliation: Title: FOUND IN: Language: Key phrase: Abstract: Population: Classification code: Document type: Form/content: Major descriptors: ISSN: UMI dissertation order #: PsycINFO ID #: ------------------------------ 14 of 20 ------------------------------ Authors: Affiliation: Title: FOUND IN: Language: Key phrase: Abstract: Population: Age group: Classification code: Document type: Form/content: Major descriptors: Minor descriptors: ISSN: UMI dissertation order #: PsycINFO ID #: ------------------------------ 15 of 20 ------------------------------ Authors: Affiliation: Title: FOUND IN: Language: Key phrase: Abstract: Population: Age group: Classification code: Document type: Form/content: Major descriptors: ISSN: UMI dissertation order #: PsycINFO ID #: ------------------------------ 16 of 20 ------------------------------ Authors: Affiliation: Title: FOUND IN: Language: Key phrase: Abstract: Population: Age group: Classification code: Document type: Form/content: Major descriptors: ISSN: UMI dissertation order #: PsycINFO ID #: ------------------------------ 17 of 20 ------------------------------ Authors: Affiliation: Title: FOUND IN: Language: Key phrase: Abstract: Population: Age group: Classification code: Document type: Form/content: Major descriptors: Minor descriptors: ISSN: UMI dissertation order #: PsycINFO ID #: ------------------------------ 18 of 20 ------------------------------ Authors: Affiliation: Title: FOUND IN: Language: Key phrase: Abstract: Population: Age group: Classification code: Document type: Form/content: Major descriptors: Minor descriptors: ISSN: UMI dissertation order #: PsycINFO ID #: ------------------------------ 19 of 20 ------------------------------ Authors: Affiliation: Title: FOUND IN: Language: Key phrase: Abstract: Population: Age group: Classification code: Document type: Form/content: Major descriptors: Minor descriptors: ISSN: Special features: UMI dissertation order #: PsycINFO ID #: ------------------------------ 20 of 20 ------------------------------ Authors: Affiliation: Title: FOUND IN: Language: Key phrase: Abstract: Population: Age group: Classification code: Document type: Form/content: Major descriptors: ISSN: Special features:
Jeremy Mirsky
PsycINFO (1887 - date)
Authors:
Kroener-Herwig, B.
Frenzel, A.
Fritsche, G.
Schilkowsky, G.
Esser, G.
U Goettingen, Dept of Clinical Psychology & Psychotherapy, Goettingeng, Germany, 1
U Duesseldorf, Dept of Clinical Psychology, Duesseldorf, Germany, 2
University Hosp Essen, Dept of Neurology, Essen, Germany, 3
U Duesseldorf, Dept of Clinical Psychology, Duesseldorf, Germany, 4
U Duesseldorf, Dept of Medical Acoustics & Audiology, Duesseldorf, Germany, 5
The management of chronic tinnitus: Comparison of an outpatient cognitive-behavioral group training to minimal- contact interventions.
Journal of Psychosomatic Research Apr 2003, Vol 54(4), p 381-389
English
chronic tinnitus; self-help strategies; cognitive behavioral treatments; tinnitus coping training; biofeedback; music supported relaxation
The efficacy of an outpatient cognitive-behavioral Tinnitus Coping Training (TCT) was compared to two minimal- contact (MC) interventions. TCT was conducted in a group format with 11 sessions (total n=43). One MC <MC-E (education), n=16> consisted of two group sessions in which education on tinnitus was presented and self-help strategies were introduced. The second MC <MC-R (relaxation), n=16> comprised four sessions. Besides education, music-supported relaxation was suggested as self-help strategy. Furthermore, a waiting-list control group was installed (WC, n=20). Only TCT was additionally evaluated at a 6- and a 12-mo follow-up. Tinnitus coping and disability due to tinnitus were assessed by questionnaires, subjective ratings of improvement were requested from, and inventories of psychopathology were given to the patients. Findings reveal highly significant improvements in TCT in comparison to the control group (WC). MC interventions do
not differ significantly from each other, but are superior to WC in a few domains of outcome. Outcome in TCT is somewhat superior to combined MC interventions in two domains of data, but not regarding disability reduction. Effect sizes, nevertheless, indicate distinct differences in degree of improvement, with TCT achieving the best results. (PsycINFO Database Record (c) 2003 APA, all rights reserved)
10 Human
300 Adulthood (18 yrs & older)
3300 Health & Mental Health Treatment & Prevention
dt250 Journal Article
0800 Empirical Study
0860 Treatment Outcome Study
Cognitive Therapy
Relaxation Therapy
Tinnitus
0022-3999
sf300 References
sf600 Peer Reviewed
mt010
20030428
2003-03420-017
---LINKS---
Author's e-mail: mailto: bkroene@uni-goettingen.de
------------------------------ 2 of 20 ------------------------------
PsycINFO (1887 - date)
Andersson, Gerhard
Uppsala U, Dept of Psychology, Uppsala, Sweden, 1
Psychological aspects of tinnitus and the application of cognitive-behavioral therapy.
Clinical Psychology Review Sep 2002, Vol 22(7), p 977-990
English
cognitive-behavioral therapy; assessment strategies; psychological aspects; tinnitus
(journal abstract) This article presents an overview of tinnitus (ringing or buzzing in the ears), its psychological effects, and the application of cognitive -behavioral therapy (CBT) for its treatment. Several studies have confirmed an association between psychological factors, such as anxiety and depression, and severe tinnitus and preliminary reports suggest that a proportion of tinnitus patients suffer from mental illness. Assessment strategies used in CBT for tinnitus include structured interviews, daily diary ratings, and validated self-report questionnaires. The treatment approach described in this article includes applied relaxation, imagery and distraction techniques, advice regarding environmental sounds, management of sleep, cognitive restructuring of thoughts and beliefs associated with tinnitus, and relapse prevention. The literature pertinent to CBT approaches to treating tinnitus is reviewed, and it is concluded that CBT shows
promise as a treatment of tinnitus-related distress. Future research directions are discussed. (PsycINFO Database Record (c) 2002 APA, all rights reserved)
10 Human
3361 Behavioral & Psychological Treatment of Physical Illness
dt250 Journal Article
1300 Literature Review/Research Review
Cognitive Therapy
Psychological Assessment
Tinnitus
0272-7358
sf300 References
sf600 Peer Reviewed
mt010
20021002
2002-18388-002
---LINKS---
http://dx.doi.org/10.1016/S0272-7358(01)00124-6
------------------------------ 3 of 20 ------------------------------
PsycINFO (1887 - date)
Andersson, Gerhard
Stroemgren, Tryggve
Stroem, Lars
Lyttkens, Leif
U Hosp, Dept of Audiology, Uppsala, Sweden, 1
Uppsala U, Dept of Psychology, Uppsala, Sweden, 2
Uppsala U, Dept of Psychology, Uppsala, Sweden, 3
U Hosp, Dept of Audiology, Uppsala, Sweden, 4
Randomized controlled trial of Internet-based cognitive behavior therapy for distress associated with tinnitus.
Psychosomatic Medicine Sep-Oct 2002, Vol 64(5), p 810-816
English
Internet-based cognitive behavior therapy; tinnitus; distress reduction
Investigated whether cognitive behavior therapy (CBT) provided via the Internet results in significant decreases of distress in individuals with tinnitus. 117 participants were randomly allocated to a CBT self- help manual 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. In the first randomized controlled phase of the study, 26 completed all stages of treatment, 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. 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. 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 of all participants had achieved a clinically significant improvement. CBT via the Internet can help individuals decrease annoyance associated with tinnitus. (PsycINFO Database Record (c) 2002 APA, all rights reserved)
10 Human
30 Male
40 Female
300 Adulthood (18 yrs & older)
Sweden
3311 Cognitive Therapy
dt250 Journal Article
0800 Empirical Study
0860 Treatment Outcome Study
Cognitive Therapy
Computer Applications
Distress
Internet
Tinnitus
0033-3174
sf300 References
sf600 Peer Reviewed
mt010
20021030
2002-18825-013
PsycINFO (1887 - date)
Henry, Jane L.
Wilson, Peter H.
U New South Wales, Sydney, NSW, Australia
The psychological management of chronic tinnitus: A cognitive-behavioral approach.
2001
xvii, 270 p.
(Abbreviated)-- Foreword-- Preface-- Acknowledgments-- Tinnitus--Features, causes, and interventions-- Psychological aspects of chronic tinnitus-- Psychometric assessment of tinnitus problems-- Interviewing the tinnitus patient: A cognitive-behavioral analysis of tinnitus problems-- Cognitive-behavioral therapy for tinnitus-- A cognitive-behavioral group therapy program for tinnitus-- Relapse prevention following psychological management of tinnitus-- Psychological interventions in the management of chronic tinnitus: Efficacy of treatment-- References-- Index
English
cognitive behavioral therapy for management of chronic tinnitus
(cover) Provides a comprehensive description of cognitive behavioral therapy in the management of tinnitus. This book offers an extensive overview of the problem, its causes, hypothesized mechanisms, and conventional medical and audiological treatments. The authors present a sequence of activities for clinicians from initial interviewing, psychometric assessment, and therapeutic decision making to the conduct of treatment itself. Educational material on the basic mechanisms involved in hearing science is also included. The management of problems such as depression, anxiety, and sleep associated with tinnitus is also covered. (PsycINFO Database Record (c) 2000 APA, all rights reserved)
10 Human
Psychology: Professional & Research
3361 Behavioral & Psychological Treatment of Physical Illness
dt120 Authored Book
Behavior Therapy
Cognitive Therapy
Tinnitus
0205313655 hardcover
sf100 Index
sf300 References
mt010
20010328
2001-00533-000
PsycINFO (1887 - date)
Henry, Jane L.
Wilson, Peter H.
U New South Wales, School of Psychology, Sydney, NSW, Australia
An evaluation of two types of cognitive intervention in the management of chronic tinnitus.
Scandinavian Journal of Behaviour Therapy 1998, Vol 27(4), p 156-166
English
attention control & imagery training &/vs cognitive restructuring, distress & cognitions & coping strategies, patients with chronic distressing tinnitus
Fifty-four Ss (aged 35-83 yrs) with chronic distressing tinnitus were randomly allocated to 1 of 4 treatment conditions: (1) attention control and imagery training (ACI); (2) cognitive restructuring (CR); (3) combined ACI plus CR; and (4) a waiting list control (WLC). Significant improvements were found on measures of distress associated with tinnitus, and on other measures of cognition and coping. These improvements were maintained at the 6-mo follow-up. Relative to the WLC, the 3 treatment conditions (combined) were associated with improvements in tinnitus-related distress, reductions in tinnitus-related cognitions and an increase in the frequency of use of coping strategies. There was a significant effect in favor of the ACI group compared to the CR group on the measure of irrational beliefs. The analyses also revealed that the combined treatment condition showed significantly greater improvement on a measure of psychological distress. There were
significant improvements from pretreatment to follow-up on some measures, although the mean scores revealed that some of the gains had been lost at this stage on the main measure of tinnitus-related distress. There were no significant group x time effects for any of the dependent variables at the 6-mo follow-up. (PsycINFO Database Record (c) 2000 APA, all rights reserved)
10 Human
30 Male
40 Female
300 Adulthood (18 yrs & older)
340 Thirties (30-39 yrs)
360 Middle Age (40-64 yrs)
380 Aged (65 yrs & older)
3361 Behavioral & Psychological Treatment of Physical Illness
dt250 Journal Article
0800 Empirical Study
Cognitive Restructuring
Cognitive Therapy
Coping Behavior
Distress
Tinnitus
Attention
Cognitions
Imagery
0284-5717
sf300 References
mt010
1998-03108-003
PsycINFO (1887 - date)
Wise, Karen
Rief, Winfried
Goebel, Gerhard
Klinik Roseneck, Prien, Germany
Meeting the expectations of chronic tinnitus patients: Comparison of a structured group therapy program for tinnitus management with a problem-solving group.
Journal of Psychosomatic Research Jun 1998, Vol 44(6), p 681-685
English
tinnitus management vs problem solving group therapy, help dealing with life problems & tinnitus & perceptions of being properly treated & being taken seriously, 19-74 yr olds with chronic tinnitus
Two different group treatments were evaluated in 144 inpatients (aged 19-74 yrs) suffering from impairment due to chronic tinnitus. A tinnitus management therapy (TMT) was developed using principles of cognitive- behavioral therapy and compared with problem solving group therapy. Self-ratings were used to evaluate the help Ss found in dealing with life problems and tinnitus as well as the degree to which they felt they were being properly treated and taken seriously. Ss showed significantly more satisfaction with the TMT group and evaluated the help they found in coping with tinnitus and life problems significantly higher. Thus, in the light of unsatisfactory medical solutions and the poor acceptance of some psychological treatments for tinnitus, TMT appears to be an acceptable and helpful treatment program. (PsycINFO Database Record (c) 2000 APA, all rights reserved)
10 Human
300 Adulthood (18 yrs & older)
320 Young Adulthood (18-29 yrs)
340 Thirties (30-39 yrs)
360 Middle Age (40-64 yrs)
380 Aged (65 yrs & older)
Germany
3361 Behavioral & Psychological Treatment of Physical Illness
dt250 Journal Article
0800 Empirical Study
Cognitive Therapy
Coping Behavior
Group Psychotherapy
Problem Solving
Tinnitus
Client Attitudes
Life Experiences
0022-3999
sf300 References
mt010
1998-02846-012
---LINKS---
http://dx.doi.org/10.1016/S0022-3999(97)00310-3
------------------------------ 7 of 20 ------------------------------
PsycINFO (1887 - date)
Budd, Richard J.
Pugh, Rachel
Whitchurch Hosp, Dept of Clinical Psychology, Cardiff, Wales
Tinnitus coping style and its relationship to tinnitus severity and emotional distress.
Journal of Psychosomatic Research OCT 1996, Vol 41(4), p 327-335
English
factorial validity of Tinnitus Coping Style Questionnaire & relationship of coping style & severity & emotional distress, 18-86 yr olds with tinnitus, Wales, replication
Replicated the factor structure of the Tinnitus Coping Style Questionnaire. Ss were 108 18-68 yr old tinnitus sufferers. This study explored further the relationship among tinnitus coping style, tinnitus severity (TS), and emotional distress (ED). TS was assessed using 9 questions on the loudness and unpleasantness of the "noises"; Beck Depression Inventory and the State-Trait Anxiety Inventory assessed ED. Factor analysis of the questionnaire items replicated 2 coping styles, "effective coping" and "maladaptive coping" (MC), but not PS. The results suggest that MC and PS may not be distinct from each other, but rather they may be measuring different aspects of the MC. It was also shown that MC, but not "effective coping," was related to reports of subjective TS and ED. (PsycINFO Database Record (c) 2000 APA, all rights reserved)
10 Human
60 Outpatient
300 Adulthood (18 yrs & older)
320 Young Adulthood (18-29 yrs)
340 Thirties (30-39 yrs)
360 Middle Age (40-64 yrs)
380 Aged (65 yrs & older)
390 Very Old (85 yrs & older)
3290 Physical & Somatoform & Psychogenic Disorders
2224 Clinical Psychological Testing
dt250 Journal Article
0800 Empirical Study
0830 Experimental Replication
Coping Behavior
Inventories
Statistical Validity
Tinnitus
Distress
Experimental Replication
Severity (Disorders)
0022-3999
sf300 References
mt010
1996-06659-003
PsycINFO (1887 - date)
Andersson, Gerhard
Melin, Lennart
Haegnebo, Christina
Scott, Berit
Uppsala U, Dept of Clinical Psychology, Uppsala, Sweden
A review of psychological treatment approaches for patients suffering from Tinnitus.
Annals of Behavioral Medicine Fal 1995, Vol 17(4), p 357-366
English
biofeedback & hypnosis & relaxation & cognitive behavioral approaches, patients with tinnitus, literature review
Disabling tinnitus (ringing or buzzing in the ear) is a condition experienced by at least 1-2% of the population. Since medical and technical treatments are only partly successful, several psychological treatment approaches have been applied in the treatment of tinnitus. This article reviews 38 studies on hypnosis, biofeedback, and cognitive-behavioral approaches together with relaxation techniques. It is concluded that relaxation training together with cognitive-behavioral coping techniques is the method which so far has received the most empirical support. Still, more research is needed on the effects of psychological treatment. Finally, 5 recommendations are made regarding the treatment of tinnitus patients. (PsycINFO Database Record (c) 2000 APA, all rights reserved)
10 Human
3361 Behavioral & Psychological Treatment of Physical Illness
dt250 Journal Article
0800 Empirical Study
1300 Literature Review/Research Review
Biofeedback Training
Literature Review
Psychotherapy
Relaxation
Tinnitus
Cognitive Therapy
Hypnotherapy
0883-6612
sf300 References
mt010
1996-02851-006
PsycINFO (1887 - date)
Davies, S.
McKenna, L.
Hallam, R. S.
U London Inst of Psychiatry, Dept of Psychology, England
Relaxation and cognitive therapy: A controlled trial in chronic tinnitus.
Psychology & Health Feb 1995, Vol 10(2), p 129-143
English
passive vs applied relaxation training vs cognitive therapy, 28-73 yr olds with chronic tinnitus
(unassigned) Investigated the effects of 3 treatments for tinnitus: passive relaxation training (PRT), applied relaxation training (ART), and individual cognitive therapy (ICT). 30 Ss were chosen who had tinnitus as a significant problem for at least 6 mo and who had no previous psychological complaint. Ss who completed therapy also completed a tinnitus loudness and annoyance rating and the Tinnitus Effect Questionnaire (R. S. Hallam et al, 1988) 4 times. The ART Ss had a significantly lower annoyance rating at the 1-mo follow-up. PRT Ss performed no worse, where change was evident, than the ART and ICT groups. In contrast to the short-lived differences between treatment groups noted in the self-reports, an external assessor at the 4-mo follow-up suggested that clinically significant changes had occurred. Six Ss were rated as having no significant problem, and only 2 were judged to require further counseling. (PsycINFO Database Record (c) 2000 APA, all
rights reserved)
10 Human
300 Adulthood (18 yrs & older)
380 Aged (65 yrs & older)
3361 Behavioral & Psychological Treatment of Physical Illness
dt250 Journal Article
0800 Empirical Study
0860 Treatment Outcome Study
0861 Clinical Trial
Cognitive Therapy
Relaxation Therapy
Tinnitus
0887-0446
mt010
1995-34296-001
PsycINFO (1887 - date)
Jakes, S. C.
Hallam, R. S.
McKenna, L.
Hinchcliffe, R.
Group cognitive therapy for medical patients: An application to tinnitus.
Cognitive Therapy & Research Feb 1992, Vol 16(1), p 67-82
English
group cognitive therapy &/vs masker treatment, tinnitus patients, 3 mo & 1-2 yr followups
(unassigned) Patients distressed by tinnitus (perceptions of noise(s) in the head/ears) were randomly allocated to 1 of 5 treatments: aural masker, placebo masker, waiting list, group cognitive therapy (GCT), or GCT plus masker. At follow-up (3 mo and 1-2 yrs), only Ss receiving GCT (with or without a masker) were significantly improved over baseline on a tinnitus distress questionnaire. Irrational beliefs about tinnitus were modified in the baseline period only in Ss receiving an explanatory booklet about cognitive therapy. These beliefs continued to change from baseline to follow-up only in GCT. Measures of general affective state changed little and not to a significantly greater extent in GCT than in other conditions. Overall results indicate a specific effect of GCT on tinnitus distress not observed in alternative treatments. (PsycINFO Database Record (c) 2000 APA, all rights reserved)
10 Human
300 Adulthood (18 yrs & older)
3361 Behavioral & Psychological Treatment of Physical Illness
dt250 Journal Article
0800 Empirical Study
0840 Followup Study
Cognitive Therapy
Group Psychotherapy
Tinnitus
Followup Studies
0147-5916
mt010
1992-20931-001
PsycINFO (1887 - date)
Wilson, Peter H.
Henry, Jane
Bowen, Maitland
Haralambous, George
U Sydney, NSW, Australia
Tinnitus Reaction Questionnaire: Psychometric properties of a measure of distress associated with tinnitus.
Journal of Speech & Hearing Research Feb 1991, Vol 34(1), p 197-201
English
construction & reliability & factor analysis & validity of Tinnitus Reaction Questionnaire, assessment of psychological distress, 24-80 yr olds with tinnitus
(unassigned) Describes the development, reliability, factor analysis, and validity of the Tinnitus Reaction Questionnaire (TRQ), a scale designed to assess the psychological distress associated with tinnitus. Psychometric analyses of the TRQ were examined with a total of 156 Ss (aged 24-80 yrs) in 3 samples. Results indicate very good test-retest reliability and internal consistency. Factor analysis yielded 4 factors that were interpreted as General Distress, Interference, Severity, and Avoidance. Moderate to high correlations were found between the TRQ and clinician ratings and self-report measures of anxiety and depression, but a low correlation was found with neuroticism. The TRQ provides a useful index of distress related to tinnitus for selection of Ss and clinical assessment and may be useful as a measure of change in coping ability. (PsycINFO Database Record (c) 2000 APA, all rights reserved)
10 Human
300 Adulthood (18 yrs & older)
380 Aged (65 yrs & older)
2224 Clinical Psychological Testing
3290 Physical & Somatoform & Psychogenic Disorders
dt250 Journal Article
0800 Empirical Study
Distress
Questionnaires
Test Construction
Tinnitus
Factor Structure
Test Reliability
Test Validity
0022-4685
mt010
1991-17287-001
PsycINFO (1887 - date)
Erlandsson, Soly
Carlsson, Sven G.
Svensson, Anders
Goeteborgs U, Sweden
Biofeedback in the treatment of tinnitus: A broadened approach.
Goeteborg Psychological Reports 1989, Vol 19(6), p 12
English
biofeedback training, 56 yr old male with tinnitus
(unassigned) Describes the use of biofeedback (BFB) training in a 56-yr-old man with severe tinnitus of 2 yrs duration. Forehead area electromyogram (EMG) BFB training substantially reduced symptom intensity. The relationship between the therapeutic effect and the cognitive and emotional changes observed are discussed. The author argues that the model of BFB training should include a broad array of therapeutic mechanisms. In the treatment of tinnitus and other placebo-sensitive disorders, nonspecific BFB treatment factors may exemplify higher levels of G. Schwartz's (1984) hierarchical arrangement of mechanisms contributing to BFB- aided therapeutic changes. These include (1) education and insight and (2) motivation and attitude change. (PsycINFO Database Record (c) 2000 APA, all rights reserved)
10 Human
300 Adulthood (18 yrs & older)
3350 Specialized Interventions
dt250 Journal Article
0800 Empirical Study
Biofeedback Training
Tinnitus
0301-0996
mt010
1991-13344-001
PsycINFO (1887 - date)
Kirsch, Cynthia A.
Blanchard, Edward B.
Parnes, Steven M.
State U New York, Albany, US
A review of the efficacy of behavioral techniques in the treatment of subjective tinnitus.
Annals of Behavioral Medicine 1989, Vol 11(2), p 58-65
English
relaxation &/or biofeedback treatment, subjective tinnitus, literature review
(unassigned) Presents a critique of several of the major studies that have assessed the efficacy of relaxation and/or biofeedback treatments in the treatment of subjective tinnitus. The methodological problems of many of the studies reviewed limit confidence in their results with regard to treatment effectiveness. It is suggested that some of the positive results obtained in these studies may have been due to the use of global measures of posttreatment success. The goal of research in this area should be to develop effective treatments that take into account cognitive and psychological factors, as well as patient characteristics that may affect treatment outcome. (PsycINFO Database Record (c) 2000 APA, all rights reserved)
10 Human
3350 Specialized Interventions
dt250 Journal Article
1300 Literature Review/Research Review
Biofeedback Training
Literature Review
Relaxation Therapy
Tinnitus
0883-6612
mt010
1990-02264-001
PsycINFO (1887 - date)
Hallam, R. S.
Jakes, S. C.
Hinchcliffe, R.
U London, Inst of Laryngology & Otology, England
Cognitive variables in tinnitus annoyance.
British Journal of Clinical Psychology Sep 1988, Vol 27(3), p 213-222
English
symptoms & coping behaviors & beliefs, 20-76 yr olds with tinnitus
(unassigned) 179 clinic outpatient adults who reported tinnitus completed 2 questionnaires devised to investigate dimensions of complaint. Following a factor analysis of data provided by the 1st questionnaire, the 2nd questionnaire included questions concerning coping attitudes and beliefs about tinnitus. Results indicate the presence of 3 main dimensions of complaint: emotional distress, auditory perceptual difficulties, and sleep disturbance. Several smaller factors suggest that complaint was more complex than originally predicted. The 2nd questionnaire successfully discriminated complaining from noncomplaining Ss. (PsycINFO Database Record (c) 2000 APA, all rights reserved)
10 Human
300 Adulthood (18 yrs & older)
380 Aged (65 yrs & older)
3290 Physical & Somatoform & Psychogenic Disorders
dt250 Journal Article
0800 Empirical Study
Client Attitudes
Coping Behavior
Tinnitus
Symptoms
0144-6657
mt010
1989-09073-001
PsycINFO (1887 - date)
Spencer, Marlene
Mulcahy, Robert
U Alberta, Edmonton, Canada
Biofeedback as a technique for the study of tinnitus: A case study.
Canadian Journal of Rehabilitation Win 1987, Vol 1(2), p 111-118
English
biofeedback as research method, 62 yr old with postacoustic neuroma & tinnitus
(unassigned) Examined whether either of the 2 basic characteristics of subjective tinnitus (loudness and pitch) could be altered. Temperature training using visual biofeedback was given to a 62-yr-old male post-acoustic neuroma S. Despite establishment of good digital temperature control, earlobe temperature control was not established. However, session warming of the earlobe did occur, indicating that regular increase in blood circulation to the area could be induced without medication. (French abstract) (PsycINFO Database Record (c) 2000 APA, all rights reserved)
10 Human
300 Adulthood (18 yrs & older)
3350 Specialized Interventions
dt250 Journal Article
0800 Empirical Study
Biofeedback Training
Tinnitus
0828-0827
mt010
1989-33982-001
PsycINFO (1887 - date)
Haralambous, George
Wilson, Peter H.
Platt-Hepworth, Sarah
Tonkin, John P.
U Sydney, Australia
EMG biofeedback in the treatment of tinnitus: An experimental evaluation.
Behaviour Research & Therapy 1987, Vol 25(1), p 49-55
English
EMG biofeedback, psychological distress, patients with tinnitus
(unassigned) 26 tinnitus patients received either electromyogram (EMG) biofeedback with counterdemand instructions, EMG biofeedback with neutral demand instructions, or no treatment. Assessment was conducted on self-report measures of the distress associated with tinnitus, the loudness, annoyance and awareness of tinnitus, sleep-onset difficulties, depression, and anxiety. Audiological assessment of tinnitus was also conducted and EMG levels were measured (the latter only in the 2 treatment groups). No significant treatment effects were found on any of the measures. There was a significant decrease in the ratings of tinnitus awareness over the assessment occasions, but the degree of change was equivalent for treated and untreated groups. Results do not support the assertion that EMG biofeedback is an effective treatment for tinnitus. (PsycINFO Database Record (c) 2000 APA, all rights reserved)
10 Human
300 Adulthood (18 yrs & older)
3350 Specialized Interventions
dt250 Journal Article
0800 Empirical Study
Biofeedback Training
Electromyography
Tinnitus
0005-7967
mt010
1987-25959-001
PsycINFO (1887 - date)
Lindberg, Per
Scott, Berit
Melin, Lennart
Lyttkens, Leif
Uppsala U, Sweden
Long-term effects of psychological treatment of tinnitus.
Scandinavian Audiology 1987, Vol 16(3), p 167-172
English
applied relaxation & perceptual restructuring behavior therapy, tinnitus loudness & discomfort & depression & irritation, adults with severe tinnitus, 9 mo followup
(unassigned) Reassessed 20 adult patients with severe tinnitus who had undergone behavioral treatment, including applied relaxation and perceptual restructuring 9 mo after treatment. Among the self-recorded variables (tinnitus loudness, discomfort from tinnitus, depression, and irritation), discomfort from tinnitus was the only variable that was still significantly reduced. As part of the 9-mo follow-up assessment, Ss' recall of the loudness and discomfort from their tinnitus was studied. Correlations between original recordings and recall data were low. Results show that psychological treatment of tinnitus has positive long- term effects. (PsycINFO Database Record (c) 2000 APA, all rights reserved)
10 Human
300 Adulthood (18 yrs & older)
3312 Behavior Therapy & Behavior Modification
dt250 Journal Article
0800 Empirical Study
Behavior Therapy
Cognitive Techniques
Relaxation Therapy
Tinnitus
Depression (Emotion)
Irritability
Posttreatment Followup
0105-0397
mt010
1989-02423-001
PsycINFO (1887 - date)
Kirsch, Cynthia A.
Blanchard, Edward B.
Parnes, Steven M.
State U New York, Albany, US
A multiple-baseline evaluation of the treatment of subjective tinnitus with relaxation training and biofeedback.
Biofeedback & Self Regulation Dec 1987, Vol 12(4), p 295-312
English
relaxation & EMG & thermal biofeedback training, subjective tinnitus, 19-62 yr olds
(unassigned) Six adults with subjective tinnitus received training in relaxation techniques and electromyogram (EMG) and thermal biofeedback in a multiple-baseline across-Ss design. Daily tinnitus disturbance and sleep disturbance diaries were kept throughout. Audiological and psychological evaluations were made at various treatment phases. At posttreatment assessment, Ss also completed global ratings of their perceived improvement in ability to cope with the tinnitus, stress caused by the tinnitus, and severity of the tinnitus, as well as their overall satisfaction with the treatment. Ratings on the global scales were generally very positive. By way of contrast, the daily diary results revealed little if any treatment effect. (PsycINFO Database Record (c) 2000 APA, all rights reserved)
10 Human
300 Adulthood (18 yrs & older)
3350 Specialized Interventions
dt250 Journal Article
0800 Empirical Study
Biofeedback Training
Relaxation Therapy
Tinnitus
Electromyography
Skin Temperature
0363-3586
mt010
1989-16496-001
PsycINFO (1887 - date)
Jakes, S. C.
Hallam, R. S.
Rachman, S.
Hinchcliffe, R.
U London, Inst of Laryngology & Otology, England
The effects of reassurance, relaxation training and distraction on chronic tinnitus sufferers.
Behaviour Research & Therapy 1986, Vol 24(5), p 497-507
English
immediate vs delayed progressive muscle relaxation therapy with or without attention-switching training & pretherapy coping & management orientation & therapist comparison, tinnitus distress, tinnitus sufferers
(unassigned) Assessed the effects of psychological therapy on tinnitus distress in a 3-factor experiment in which (1) progressive muscle relaxation therapy was compared to progressive muscle relaxation therapy combined with attention-switching training, (2) immediate therapy was compared to delayed therapy, and (3) 2 therapists were compared. Ss were 12 male and 12 female tinnitus sufferers (mean age 55 yrs). Before treatment, basic information about tinnitus management (including the role of attitudes and beliefs) was provided together with orientation to coping as a goal of treatment. The annoyance caused by tinnitus and the loudness of the tinnitus were rated separately 3 times per day, and insomnia was recorded. The annoyance of tinnitus decreased more rapidly at the beginning of treatment than during the orientation period and continued to decline during therapy. Neither the loudness nor the intrusiveness of the tinnitus declined
during therapy. The distress arising from the tinnitus and the activities affected by the tinnitus declined during both orientation and treatment, while effects on insomnia were inconsistent. Results are discussed in relation to a model of tinnitus-annoyance. (26 ref) (PsycINFO Database Record (c) 2000 APA, all rights reserved)
10 Human
300 Adulthood (18 yrs & older)
3312 Behavior Therapy & Behavior Modification
dt250 Journal Article
0800 Empirical Study
Coping Behavior
Distraction
Muscle Relaxation
Progressive Relaxation Therapy
Tinnitus
Self Management
Therapist Characteristics
0005-7967
sf300 References
mt010
1987-01949-001
PsycINFO (1887 - date)
Ireland, Christine E.
Wilson, Peter H.
Tonkin, John P.
Platt-Hepworth, Sarah
U Sydney, Australia
An evaluation of relaxation training in the treatment of tinnitus.
Behaviour Research & Therapy 1985, Vol 23(4), p 423-430
English
progressive muscular relaxation training, tinnitus, 28-76 yr old patients
(unassigned) Evaluated the effectiveness of progressive muscular relaxation training in the treatment of tinnitus in 30 28-76 yr old patients who received either relaxation training with counterdemand instructions, relaxation training with neutral demand instructions, or no treatment. Assessment of subjective tinnitus severity, sleep difficulties, depression, and anxiety was conducted at pretreatment, posttreatment, and 6-wk follow-up, using daily monitoring, a sleep diary, the Beck Depression Inventory (BDI), and the State-Trait Anxiety Inventory (State form). No significant effects for relaxation training were found on any measure. Only the BDI improved significantly from pre- to posttreatment, but the degree of change was equivalent for both treated and untreated groups. While this study suggests that relaxation training is not an effective treatment for tinnitus, a number of explanations for the findings are offered. (23 ref) (PsycINFO Database
Record (c) 2000 APA, all rights reserved)
10 Human
300 Adulthood (18 yrs & older)
3312 Behavior Therapy & Behavior Modification
dt250 Journal Article
0800 Empirical Study
Progressive Relaxation Therapy
Tinnitus
0005-7967
sf300 References
#:
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