Smartphone-Based Cognitive Behavioral Therapy and Customized Sound Therapy for Tinnitus: A Randomized Controlled Trial.

IF 1.3 4区医学 Q3 OTORHINOLARYNGOLOGY

Annals of Otology Rhinology and Laryngology Pub Date : 2025-02-01 Epub Date: 2024-11-06 DOI:10.1177/00034894241297594

Khodayar Goshtasbi, Karen Tawk, Pooya Khosravi, Mehdi Abouzari, Hamid R Djalilian

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引用次数: 0

Abstract

Objective: To evaluate the efficacy of a smartphone-based application providing tinnitus-specific cognitive behavioral therapy and customized sound therapy for tinnitus.

Methods: In a prospective randomized controlled trial, the treatment group participated in daily sound therapy and weekly interactive CBT modules, and the control group did not receive the program (waitlisted). Outcome measures after 8 weeks included the Tinnitus Functional Index (TFI), Generalized Anxiety Disorder (GAD-7), Patient Health Questionnaire (PHQ-9), Perceived Stress Scale (PSS), and Pittsburgh Sleep Quality Index (PSQI).

Results: Ninety-two patients (mean age = 57.2 ± 11.9 years) were included. The treatment (n = 47) and control (n = 45) cohorts had similar TFI, PHQ-9, GAD-7, PSS, and PSQI scores at presentation (all P > .05). Treatment-group patients had significantly higher improvements than controlled patients in their TFI (16.7 ± 14.9 vs 1.9 ± 10.8, P < .001), PHQ-9 (1.9 ± 4.2 vs -0.7 ± 3.4, P = .002), GAD-7 (1.1 ± 3.6 vs -0.9 ± 3.3, P = .009), and PSQI scores (2.5 ± 3.2 vs -1.1 ± 2.1, P < .001). Treatment-group subjects also significantly improved in 7 of the 8 TFI domains (all P < .05). TFI improvements of ≥20 occurred in 18 (38.3%) treatment subjects. Of the 9 treatment-group patients presenting with moderate-severe depression, 4 (44.4%) improved to minimal depression. Of the 4 treatment-group patients with moderate-severe anxiety, 2 (50.0%) improved to minimal anxiety. Of the 17 treatment-group patients with moderate-severe sleep difficulties, 10 (55.6%) had considerable sleep improvement.

Conclusion: This novel smartphone application providing cognitive behavioral therapy and customized sound therapy was effective in reducing symptom severity and improving anxiety, sleep, and mood for tinnitus patients.

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基于智能手机的认知行为疗法和定制声音疗法治疗耳鸣：随机对照试验

目的评估基于智能手机的应用程序的疗效，该应用程序提供针对耳鸣的认知行为疗法和针对耳鸣的定制声音疗法：在一项前瞻性随机对照试验中，治疗组参与每天的声音治疗和每周的交互式 CBT 模块，对照组不接受该程序（候补）。8周后的结果测量包括耳鸣功能指数（TFI）、广泛性焦虑症（GAD-7）、患者健康问卷（PHQ-9）、感知压力量表（PSS）和匹兹堡睡眠质量指数（PSQI）：共纳入 92 名患者（平均年龄为 57.2 ± 11.9 岁）。治疗组（n = 47）和对照组（n = 45）在发病时的 TFI、PHQ-9、GAD-7、PSS 和 PSQI 分数相似（所有 P > .05）。治疗组患者的 TFI（16.7 ± 14.9 vs 1.9 ± 10.8，P = .002）、GAD-7（1.1 ± 3.6 vs -0.9 ± 3.3，P = .009）和 PSQI 分数（2.5 ± 3.2 vs -1.1 ± 2.1，P = .009）明显高于对照组患者：这款提供认知行为疗法和定制声音疗法的新型智能手机应用能有效降低耳鸣患者的症状严重程度，改善焦虑、睡眠和情绪。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Annals of Otology Rhinology and Laryngology 医学-耳鼻喉科学

CiteScore

3.10

自引率

7.10%

发文量

171

审稿时长

4-8 weeks

期刊介绍： The Annals of Otology, Rhinology & Laryngology publishes original manuscripts of clinical and research importance in otolaryngology–head and neck medicine and surgery, otology, neurotology, bronchoesophagology, laryngology, rhinology, head and neck oncology and surgery, plastic and reconstructive surgery, pediatric otolaryngology, audiology, and speech pathology. In-depth studies (supplements), papers of historical interest, and reviews of computer software and applications in otolaryngology are also published, as well as imaging, pathology, and clinicopathology studies, book reviews, and letters to the editor. AOR is the official journal of the American Broncho-Esophagological Association.