AJA
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

American Journal of Audiology Vol.13 185-192 December 2004. doi:10.1044/1059-0889(2004/023)
© American Speech-Language-Hearing Association
This Article
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow My Folders
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Kaldo-Sandström, V.
Right arrow Articles by Andersson, G.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Kaldo-Sandström, V.
Right arrow Articles by Andersson, G.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Facebook   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?

Internet-Based Cognitive—Behavioral Self-Help Treatment of Tinnitus

Clinical Effectiveness and Predictors of Outcome

Viktor Kaldo-Sandström 1, Hans Christian Larsen 2, and Gerhard Andersson 3

1 University Hospital, Uppsala, and Uppsala University, Uppsala, Sweden
2 University Hospital, Uppsala
3 University Hospital, Uppsala, and Linköping University, Linköping, Sweden

gerhard.andersson{at}ibv.liu.se

The aim of this investigation was to evaluate Internet-based cognitive-behavioral therapy for tinnitus in a nonrandomized clinical effectiveness study with a sample of consecutive patients referred for psychological treatment (N = 77). Results were calculated at a group level on an intention-to-treat basis and showed significant reductions of distress on the Tinnitus Reaction Questionnaire (P. H. Wilson, J. Henry, M. Bowen, & G. Haralambous, 1991), the Hospital Anxiety and Depression Scale (A. S. Zigmond & R. P. Snaith, 1983), and on the Insomnia Severity Index (C. H. Bastien, A. Vallières, & C. M. Morin, 2001). A 3-month follow-up showed that patients remained improved. The dropout rate was 30%. Treatment compliance, external referral to the treatment, and number of earlier treatments for tinnitus were associated with positive outcome. The number of e-mails between therapist and patient concerning treatment problems was associated with worse outcome. Internet-based cognitive-behavioral therapy holds some promise as a treatment modality for tinnitus. Future research should focus on further controlled evaluations of the treatment technique and evaluate the cost-effectiveness compared to other forms of tinnitus treatments.

Key Words: tinnitus, Internet, behavioral treatment, effectiveness study

Submitted on August 11, 2003
Revised on January 6, 2004
Accepted on June 30, 2004


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Facebook Facebook   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter    What's this?


This article has been cited by other articles:


Home page
 AJAHome page
H. Aazh, B. C. J. Moore, and P. Roberts
Patient-Centered Tinnitus Management Tool: A Clinical Audit
Am J Audiol, June 1, 2009; 18(1): 7 - 13.
[Abstract] [Full Text] [PDF]

Home page
 AJAHome page
P. Lancaster, M. Krumm, J. Ribera, and R. Klich
Remote Hearing Screenings via Telehealth in a Rural Elementary School
Am J Audiol, December 1, 2008; 17(2): 114 - 122.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
All ASHA Journals AJA AJSLP JSLHR LSHSS
Copyright © 2004 by the American Speech-Language-Hearing Association.