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Cognitive Behavioral Therapy For Alleviating The Distress Caused By Tinnitus, Hyperacusis And Misophonia: Current Perspectives

Authors Aazh H, Landgrebe M, Danesh AA, Moore BCJ

Received 1 March 2019

Accepted for publication 1 October 2019

Published 23 October 2019 Volume 2019:12 Pages 991—1002


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

Editor who approved publication: Professor Igor Elman

Hashir Aazh,1–3 Michael Landgrebe,4 Ali A Danesh,5 Brian CJ Moore6

1London Tinnitus and Hyperacusis Therapy Specialist Clinic, London, WC2N 5BW, UK; 2Guildford Tinnitus and Hyperacusis Therapy Specialist Clinic, Guildford, Surrey, GU2 4RG, UK; 3Audiology Department, Royal Surrey County Hospital, Guildford GU2 7XX, UK; 4Department of Psychiatry, Psychosomatics and Psychotherapy, Kbo Lech-Mangfall-Hospital Agatharied, Hausham 83734, Germany; 5Department of Communication Sciences and Disorders, Florida Atlantic University, Boca Raton, FL, 33431, USA; 6Department of Psychology, University of Cambridge, Cambridge CB2 3EB, UK

Correspondence: Hashir Aazh
Guildford Tinnitus and Hyperacusis Therapy Specialist Clinic, 1 Farnham Road, Guildford, Surrey GU2 4RG, UK

Abstract: This article reviews the evidence related to the efficacy of Cognitive Behavioral Therapy (CBT) for alleviating the distress caused by tinnitus, hyperacusis and misophonia. Where available, the review was focused on meta-analyses of randomized controlled trials (RCTs) using either passive control groups (typically waiting list or education only) or active control groups (receiving some other form of treatment). Where data from RCTs were not available, case studies and retrospective studies were reviewed. Analyses were conducted separately for studies of patients with tinnitus, hyperacusis and misophonia. RCTs show that CBT is effective in alleviating the distress caused by tinnitus in comparison to passive control groups and sometimes active control groups. CBT for tinnitus can be effective both in individual and in group settings, whether delivered by psychiatrists, clinical psychologists, or specially trained audiologists. CBT for tinnitus can also be effective when delivered via the internet, when combined with help from audiologists. Usually, CBT does not reduce the loudness of tinnitus but it can improve quality of life. Case studies and some limited RCTs suggest that CBT can also be effective in alleviating the distress caused by hyperacusis and misophonia. However, RCTs with active control groups are currently lacking. There is strong evidence supporting the effectiveness of CBT in alleviating the distress caused by tinnitus. However, it is not yet clear whether CBT is more effective than some other forms of treatment. RCTs with active control groups are needed to establish more clearly the extent to which CBT is effective in alleviating the distress caused by hyperacusis and misophonia.

Keywords: tinnitus, hyperacusis, misophonia, cognitive behavioral therapy, tinnitus specialist

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