How can I manage tinnitus?

Introduction

Tinnitus, the perception of sound without an external source, affects a significant portion of the adult population, with a notable impact on quality of life for many. Managing tinnitus is challenging, and various strategies have been explored to alleviate its symptoms.

Key Insights

Sound Therapy:
- Sound therapy, including hearing aids, sound generators, and combination devices, shows no significant superiority over waiting list control, placebo, or education/information alone. However, these devices can reduce tinnitus symptom severity .
Cognitive Behavioral Therapy (CBT):
- CBT is the most evidence-based treatment for tinnitus, effectively reducing tinnitus distress and associated symptoms like anxiety and depression .
- Internet-based CBT is effective and improves accessibility, showing significant reductions in tinnitus distress and related comorbidities .
Acceptance and Commitment Therapy (ACT):
- ACT, delivered via the internet, is as effective as CBT in reducing tinnitus severity and distress, providing a viable alternative to traditional CBT techniques.
Tinnitus Retraining Therapy (TRT):
- TRT, which combines directive counseling and sound therapy, is more effective than tinnitus masking approaches in reducing tinnitus severity.
Minimal-Contact Interventions:
- Minimal-contact interventions, such as education and relaxation techniques, show some benefits but are generally less effective than comprehensive CBT programs.

Conclusion

Managing tinnitus effectively involves a combination of strategies. CBT, particularly internet-based CBT, stands out as the most effective approach, significantly reducing tinnitus distress and related symptoms. Sound therapy and TRT also offer benefits, though they are not superior to CBT. Acceptance-based therapies like ACT provide additional viable options. A multidisciplinary approach, incorporating these various strategies, may offer the best outcomes for individuals suffering from tinnitus.

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How can I manage tinnitus?

Summary

Introduction

Key Insights

Conclusion

Sources and full results

Sound therapy (using amplification devices and/or sound generators) for tinnitus.

Sound therapy using amplification devices and/or sound generators may help reduce tinnitus symptom severity and improve quality of life in adults.

A randomized controlled trial of Internet-delivered cognitive behavior therapy and acceptance and commitment therapy in the treatment of tinnitus.

Acceptance-based procedures may be a viable alternative to traditional CBT techniques in managing tinnitus, and Internet-delivered psychological treatments can improve access to psychological interventions.

Psychological aspects of tinnitus and the application of cognitive-behavioral therapy.

CBT shows promise as a treatment for tinnitus-related distress, involving relaxation, imagery, distraction techniques, environmental sounds, sleep management, cognitive restructuring, and relapse prevention.

Cognitive aspects of tinnitus patient management.

Cognitive-behavioral therapy effectively helps tinnitus patients cope with their symptoms by addressing maladaptive behaviors and thought patterns, similar to aural rehabilitation.

Internet-Based Audiologist-Guided Cognitive Behavioral Therapy for Tinnitus: Randomized Controlled Trial

Internet-based CBT is effective in reducing tinnitus distress and related comorbidities, with stable results over a 2-month follow-up period.

Tinnitus Retraining Therapy (TRT) for tinnitus.

Tinnitus Retraining Therapy (TRT) is more effective than tinnitus masking in reducing tinnitus severity in adults.

The management of chronic tinnitus: comparison of an outpatient cognitive-behavioral group training to minimal-contact interventions.

Tinnitus Coping Training (TCT) is the most effective outpatient cognitive-behavioral treatment for chronic tinnitus, with minimal-contact interventions showing mixed results.

Sound therapy (masking) in the management of tinnitus in adults.

Sound therapy shows limited evidence of effectiveness in managing tinnitus in adults, but multiple strategies may be optimal.

The management of chronic tinnitus--comparison of a cognitive-behavioural group training with yoga.

Cognitive-behavioral tinnitus coping training (TCT) is more effective and satisfying for chronic tinnitus patients compared to yoga and self-monitoring control conditions.

Cognitive-behavioral treatments for tinnitus: a review of the literature.

CBT-based treatment is the most evidence-based option for tinnitus management, offering brief and effective treatment for a larger group of patients and additional treatment steps for those with more severe symptoms.

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