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Cognitive behaviour therapy for hyperacusis: a randomized controlled trial.

Linda Jüris1, Gerhard Andersson2, Hans Christian Larsen3

  • 1Department of Neuroscience, Psychiatry, Uppsala University, Uppsala University Hospital, SE-75185 Uppsala, Sweden; Department of Surgical Sciences, Otolaryngology and Head & Neck Surgery, Uppsala University, Uppsala University Hospital, SE-75185 Uppsala, Sweden.

Behaviour Research and Therapy
|February 11, 2014
PubMed
Summary

Cognitive Behaviour Therapy (CBT) significantly improved outcomes for hyperacusis patients, reducing sound intolerance and improving quality of life. These positive effects were sustained long-term, showing CBT

Keywords:
Cognitive behaviour therapy (CBT)HyperacusisRandomized controlled trial (RCT)

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Area of Science:

  • Audiology
  • Psychology
  • Clinical Medicine

Background:

  • Hyperacusis, characterized by intolerance to everyday sounds, lacks controlled psychological treatment studies.
  • Avoidance behaviors in hyperacusis resemble those in tinnitus and chronic pain, suggesting potential benefits from cognitive behavioural therapy (CBT).

Purpose of the Study:

  • To investigate the efficacy of cognitive behaviour therapy (CBT) as a treatment for hyperacusis.
  • To compare CBT with a waiting list control group in a randomized controlled trial.

Main Methods:

  • A randomized controlled study involving 60 hyperacusis patients.
  • Interventions included CBT and a waiting list control.
  • Outcome measures comprised Loudness Discomfort Level (LDL), Hyperacusis Questionnaire, Hospital Anxiety and Depression Scales (HADS), Quality of Life Inventory, and Tampa Scale of Kinesiophobia.

Main Results:

  • The CBT group showed significant improvements across most measures compared to the control group, with moderate to high effect sizes (Cohen's d ranging from 0.32 to 1.36).
  • LDL, a primary measure, showed significant improvement (d = 0.67-0.69 per ear).
  • Treatment gains were maintained after 12 months, and the waiting list group also improved after receiving CBT.

Conclusions:

  • Cognitive Behaviour Therapy (CBT) demonstrates significant promise as an effective treatment for hyperacusis.
  • Further research is warranted to solidify CBT's role in managing hyperacusis.