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Related Concept Videos

Cognitive Therapy01:25

Cognitive Therapy

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Cognitive therapy, pioneered by Aaron T. Beck in the 1960s, is a structured approach to addressing psychological distress by focusing on the influence of thoughts on emotions and behaviors. All cognitive therapies involve the basic assumption that human beings have control over their feelings, and that how individuals feel about something depends on how they think about it. Unlike psychoanalytic methods that delve into unconscious processes or humanistic approaches emphasizing...
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Internet-Based Audiologist-Guided Cognitive Behavioral Therapy for Tinnitus: Randomized Controlled Trial.

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  • 1Vision and Hearing Research Centre, Anglia Ruskin University, Cambridge, United Kingdom.

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Summary

Internet-based cognitive behavioral therapy (CBT) effectively reduced tinnitus distress and related symptoms in a US population. This accessible treatment offers a promising, stable solution for tinnitus management, even in Spanish.

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cognitive behavioral therapyeHealthinternet interventionrandomized controlled trialteleaudiologytelehealthtinnitusweb-based intervention

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Area of Science:

  • Audiology
  • Psychiatry
  • Digital Health

Background:

  • Tinnitus distress is common, with limited access to effective management strategies like cognitive behavioral therapy (CBT).
  • Internet-based CBT (iCBT) can overcome accessibility barriers but is not widely available in the US.
  • This study addresses the need for accessible tinnitus management solutions.

Purpose of the Study:

  • To evaluate the efficacy of audiologist-guided internet-based CBT for tinnitus management.
  • To compare iCBT with weekly monitoring in reducing tinnitus distress and comorbidities.
  • To assess the long-term stability of iCBT effects.

Main Methods:

  • A randomized clinical trial involving 158 adults with tinnitus, comparing iCBT (n=79) to weekly monitoring (n=79).
  • Recruitment and delivery were conducted online, with options for English and Spanish speakers.
  • Primary outcome: change in tinnitus distress (Tinnitus Functional Index); secondary outcomes: anxiety, depression, insomnia, and cognition.

Main Results:

  • iCBT significantly reduced tinnitus distress compared to weekly monitoring (Cohen d=0.46).
  • Significant improvements were observed in negative tinnitus cognitions and insomnia.
  • Effects remained stable at 2-month follow-up, with no major adverse events.

Conclusions:

  • Audiologist-delivered internet-based CBT is effective for reducing tinnitus distress in a US population.
  • This study is the first to offer iCBT in Spanish, enhancing accessibility for the Hispanic population.
  • Further research is needed to improve compliance and expand reach.