{"title":"An 8-Week Online Body Scan Meditation Intervention for Tinnitus: Accessibility, Adherence, and Rates of Clinically Meaningful Success","authors":"James G. Jackson, Chloe D. Woolmer","doi":"10.1007/s12671-024-02357-y","DOIUrl":null,"url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Objectives</h3><p>Tinnitus is the perception of sound in the absence of an external source and is experienced by up to 15% of the general population. There are many causes of tinnitus, but no cure is currently available. It has significant comorbidities with clinical anxiety, depression, and insomnia, and degrades quality of life in 1–2% of society at large. Currently, psychological interventions are the best way forward in assisting tinnitus habituation, but treatment availability and suitable experience to deliver such interventions are limited.</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>One hundred five individuals with chronic tinnitus took part in this study. An 8-week programme of guided online meditations focused on mindfulness was compared with a waiting list control group. Intervention outcomes were assessed by changes to tinnitus distress (Tinnitus Functional Index), tinnitus cognitions (Tinnitus Cognitions Questionnaire), and mindful awareness (Mindful Attention Awareness Scale).</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>As hypothesised, the online intervention saw clinically meaningful reductions in tinnitus distress for 30% of our sample (16 participants). Furthermore, the intervention saw significant increases in mindful awareness and significant reductions in negative thoughts about tinnitus, when compared with waiting list controls. There were no significant changes in positive thoughts about tinnitus. Twenty-one participants failed to complete the study and were considered “no change” as per intention-to-treat (ITT) paradigms.</p><h3 data-test=\"abstract-sub-heading\">Conclusions</h3><p>In the absence of accessible psychological interventions, online mindfulness programmes including body scans are recommended for individuals with tinnitus as an effective and low-cost self-help tool. Reductions in negative thoughts around tinnitus are considered key to living alongside the condition (i.e. tinnitus habituation). Suggestions are made for improving future adherence rates, including recommendations for investigation in conjunction with other interventions.</p>","PeriodicalId":18523,"journal":{"name":"Mindfulness","volume":null,"pages":null},"PeriodicalIF":3.1000,"publicationDate":"2024-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Mindfulness","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s12671-024-02357-y","RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PSYCHIATRY","Score":null,"Total":0}
引用次数: 0
Abstract
Objectives
Tinnitus is the perception of sound in the absence of an external source and is experienced by up to 15% of the general population. There are many causes of tinnitus, but no cure is currently available. It has significant comorbidities with clinical anxiety, depression, and insomnia, and degrades quality of life in 1–2% of society at large. Currently, psychological interventions are the best way forward in assisting tinnitus habituation, but treatment availability and suitable experience to deliver such interventions are limited.
Methods
One hundred five individuals with chronic tinnitus took part in this study. An 8-week programme of guided online meditations focused on mindfulness was compared with a waiting list control group. Intervention outcomes were assessed by changes to tinnitus distress (Tinnitus Functional Index), tinnitus cognitions (Tinnitus Cognitions Questionnaire), and mindful awareness (Mindful Attention Awareness Scale).
Results
As hypothesised, the online intervention saw clinically meaningful reductions in tinnitus distress for 30% of our sample (16 participants). Furthermore, the intervention saw significant increases in mindful awareness and significant reductions in negative thoughts about tinnitus, when compared with waiting list controls. There were no significant changes in positive thoughts about tinnitus. Twenty-one participants failed to complete the study and were considered “no change” as per intention-to-treat (ITT) paradigms.
Conclusions
In the absence of accessible psychological interventions, online mindfulness programmes including body scans are recommended for individuals with tinnitus as an effective and low-cost self-help tool. Reductions in negative thoughts around tinnitus are considered key to living alongside the condition (i.e. tinnitus habituation). Suggestions are made for improving future adherence rates, including recommendations for investigation in conjunction with other interventions.
期刊介绍：
Mindfulness seeks to advance research, clinical practice, and theory on mindfulness. It is interested in manuscripts from diverse viewpoints, including psychology, psychiatry, medicine, neurobiology, psychoneuroendocrinology, cognitive, behavioral, cultural, philosophy, spirituality, and wisdom traditions. Mindfulness encourages research submissions on the reliability and validity of assessment of mindfulness; clinical uses of mindfulness in psychological distress, psychiatric disorders, and medical conditions; alleviation of personal and societal suffering; the nature and foundations of mindfulness; mechanisms of action; and the use of mindfulness across cultures. The Journal also seeks to promote the use of mindfulness by publishing scholarly papers on the training of clinicians, institutional staff, teachers, parents, and industry personnel in mindful provision of services. Examples of topics include: Mindfulness-based psycho-educational interventions for children with learning, emotional, and behavioral disorders Treating depression and clinical symptoms in patients with chronic heart failure Yoga and mindfulness Cognitive-behavioral mindfulness group therapy interventions Mindfulnessness and emotional regulation difficulties in children Loving-kindness meditation to increase social connectedness Training for parents and children with ADHD Recovery from substance abuse Changing parents’ mindfulness Child management skills Treating childhood anxiety and depression
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