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Internet-based cognitive-behavioural treatment of chronic tinnitus
Linköping University, The Swedish Institute for Disability Research. Linköping University, Department of Behavioural Sciences and Learning, Disability Research. Linköping University, Faculty of Arts and Sciences.
University of Mainz, Germany.
Linköping University, Department of Behavioural Sciences and Learning, Psychology. Linköping University, Faculty of Arts and Sciences.ORCID iD: 0000-0003-4753-6745
2012 (English)Conference paper (Other academic)
Abstract [en]

Objectives: Tinnitus is a considerable problem for about 2-4% of the adult population. Cognitive behavioural treatments (CBT) have been shown to be effective in reducing tinnitus distress, however, the availability of individual counselling is limited. Therefore Internet-based CBT-approaches (iCBT) have been developed and showed promising results. The aim of our study was to investigate the efficacy of an iCBT to reduce tinnitus distress. Methods: 124 patients with distressing chronic tinnitus were randomly assigned to either an Internet-based CBT (n 0 62) or an online discussion group (n 0 62), both lasting for 10 weeks. The iCBT group works on a self-help program including different tools to improve tinnitus coping. Patients receive individual weekly e-mail feedback. In the online discussion group, patients discuss different topics related to tinnitus, however not to tinnitus coping. Primary and secondary out- come were assessed pre and post treatment and 6 months after the end of the treatment. Results: Significant interactions (time x group) in favour of the iCBT were found. Medium to large between-group effect sizes (Hedges' g) support these findings. After the end of the treatment, patients of the iCBT group reported significantly reduced tinnitus distress (F(1,117)043.28, p<.001; g0.88), increased tinnitus acceptance (F(1,117) 0 37.83, p < .001; g 0 .80) and fewer depres- sive symptoms (F(1,117) 0 22.92, p < .001; g 0 .43). Results of patients participating in the online discussion group were also improved, however significantly less articulated than in the iCBT group. Follow-up results indicated the stability of the improve- ments over 6 months. Conclusion: The guided iCBT was highly accepted and led to significant and long-term stable improvements in tinnitus dis- tress and associated variables. The efficacy of the iCBT was superior to the efficacy of the discussion group. Due to the use of an Internet-based approach, the treatment was available for patients situated all over the country. Thus, implementing Internet-based treatments might partially compensate for the lack of face-to-face treatments to reduce tinnitus distress. Further research is needed to investigate which factors influ- ence the efficacy of Internet-based treatments. Keywords: e-health, CBT, chronic disease, treatment

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URN: urn:nbn:se:liu:diva-91426OAI: diva2:617767
12th International Congress of Behavioral Medicine(ICBM), 29 August - 1 September 2012, Budapest, Hungary
Available from: 2013-04-24 Created: 2013-04-24 Last updated: 2014-11-28

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Weise, CorneliaAndersson, Gerhard
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The Swedish Institute for Disability ResearchDisability ResearchFaculty of Arts and SciencesPsychology

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