Chronic Subjective Tinnitus
Conditions
Keywords
Sound Therapy, Cognitive Behavioral Therapy, Chronic Tinnitus, Subjective Tinnitus, Tinnitus
Brief summary
clinical trial: The main aim of this study is to compare the effectiveness of Cognitive Behavioral Therapy (CBT) and Sound Therapy, both individually and in combination, in the management of patients with chronic subjective tinnitus and to evaluate their impact on decreasing tinnitus severity, psychological wellbeing and quality of life. Patients will be randomly divided into three groups: * Group A: patients will receive Sound Therapy. * Group B: patients will receive Cognitive Behavioral Therapy (CBT). * Group C: patients will receive Combined CBT + Sound Therapy.
Detailed description
Because of the multifactorial nature of tinnitus, its effective management requires a multidisciplinary approach. While there is no single pullet mechanism of cure, current treatment strategies primary focus on reducing tinnitus related perception and minimizing its associated distress through auditory and psychological interventions. Among these approaches, is the Sound Therapy which aims to decrease the contrast between tinnitus and related neural activity by introducing external sounds, which facilitates habituation and reducing tinnitus perception . In contrast, Cognitive Behavioral Therapy (CBT) targets the patient's cognitive and emotional reaction to tinnitus by modifying maladaptive thoughts and behaviors, there by improving coping strategies and reducing tinnitus-related distress (Andersson, 2011). Recent evidence suggests that combining both modalities may provide superior outcomes compared to either approach alone, highlighting the potential value for integrated treatment strategies in tinnitus management (Hall et
Interventions
BEHAVIORALGroup A: sound therapy
Group A: Sound Therapy * Patients will receive individualized sound therapy using broadband noise or tinnitus maskers. * Daily use recommended for 2-4 hours/day. * Duration: 6 weeks. * Patient will be instructed on habituation-based listening techniques
BEHAVIORALGroup B: Cognitive Behavioral Therapy
Group B: Cognitive Behavioral Therapy (CBT) • Structured CBT program consisting of 6 sessions over 6 weeks. Each session categorization: * Psychoeducation about tinnitus * Cognitive restructuring of negative thoughts * Relaxation techniques (breathing exercises, muscle relaxation) * Attention diversion strategies * Sleep hygiene education
BEHAVIORALGroup C: Combined CBT + Sound Therapy
Group C: Combined Therapy • Patients will receive both sound therapy and CBT simultaneously following the same protocol as above.
Sponsors
Sohag University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Masking description
Masking Description
Intervention model description
Model Description
Eligibility
Sex/Gender
ALL
Age
18 Months to 65 Months
Healthy volunteers
No
Inclusion criteria
* o Age: 18-65 years. * Hearing level: Patients with normal hearing or mild to moderate sensorineural hearing loss (to ensure homogeneity of the sample) (National Institute for Health and Care Excellence, 2020) * Complaint: patients with chronic subjective tinnitus (\> 3 months). * Psychological state: Patients with stable general and psychological condition.
Exclusion criteria
* o Age: \<18, \>65 years * Hearing level: Patients with severe hearing loss not suitable for sound therapy * Complaint: Objective tinnitus (vascular or muscular origin) * Psychological state: Patients with active psychiatric disorders requiring immediate intervention. * Active middle or external ear disease
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Primary outcome: Changes in tinnitus severity | Baseline, immediately after completion of treatment , and 3 months after completion of treatment | Assessment of tinnitus severity using the Tinnitus Functional Index (TFI) . Higher scores indicate greater tinnitus severity. the TFI total score ranges from 0 to 100, with higher score s indicating greater tinnitus severity and functional impact |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| chang in Visual Analog Scale (VAS) score | Baseline, immediately after completion of treatment , and 3 months after completion of treatment | Assessment of tinnitus severity using the Visual Analog Scale (VAS) . the VAS score ranges from 0 to 10, with 0 indicate no tinnitus and 10 indicates the worst imaginable tinnitus. higher scores indicating greater tinnitus severity |
| change in Tinnitus Handicap Inventory (THI) score | Baseline, immediately after completion of treatment , and 3 months after completion of treatment | Assessment of tinnitus-related handicap and quality of life using Tinnitus Handicap Inventory (THI). the THI total score ranges from 0 to 100, with higher scores indicating greater tinnitus-related handicap and poorer quality of life. |
Countries
Egypt
Contacts
CONTACTAya Ahmed Elsayed Abdelaal, Resident doctor
Outcome results
None listed