Pablo Martinez?Devesa|Rafael Perera|Megan Theodoulou|A. W. Waddell
Cognitive behavioural therapy for tinnitus
John Radcliffe Hospital|University of Oxford|University of Oxford|Great Western Hospital
background update cochrane review originally published issue 1 2007 cochrane library tinnitus auditory perception described experience sound ear head absence external acoustic stimulation cognitive behavioural therapy cbt uses relaxation cognitive restructuring thoughts exposure exacerbating situations order promote habituation may benefit tinnitus patients may treatment associated psychological conditions objectives assess whether cbt effective management patients suffering tinnitus search methods searched cochrane ear nose throat disorders group trials register cochrane central register controlled trials central pubmed embase cinahl web science biosis previews cambridge scientific abstracts psycinfo isrctn additional sources published unpublished trials date recent search 6 may 2010 selection criteria randomised controlled trials patients unilateral bilateral tinnitus main symptom received cognitive behavioural treatment data collection analysis one review author pmd assessed every report identified search strategy three authors pmd aw mt assessed methodological quality applied inclusionexclusion criteria two authors pmd rp extracted data conducted metaanalysis four authors contributed final text review main results eight trials comprising 468 participants included primary outcome subjective tinnitus loudness found evidence difference cbt treatment another intervention yoga education minimal contact education secondary outcomes found evidence quality life scores improved participants tinnitus comparing cbt treatment another intervention education minimal contact education also found evidence depression scores improved comparing cbt treatment found evidence benefit depression scores comparing cbt treatments yoga education minimal contact education adverseside effects reported trial authors conclusions six studies found evidence significant difference subjective loudness tinnitus however found significant improvement depression score six studies quality life decrease global tinnitus severity another five studies suggesting cbt positive effect management tinnitus