Bimodal therapy for chronic subjective tinnitus: A randomized controlled trial of EMDR and TRT versus CBT and TRT
Study on results for chronic, subjective tinnitus treatment that combines tinnitus retraining therapy (TRT) and EMDR vs. TRT and CBT therapy.
Article Abstract
“Introduction: To date, guidelines recommend the use of a stepped care approach to treat tinnitus. The current clinical management of tinnitus frequently consists of audiologic interventions and tinnitus retraining therapy (TRT) or cognitive behavioral therapy (CBT). Due to the high heterogeneity of the tinnitus population and comorbidity of tinnitus with insomnia, anxiety, and depression, these interventions may not be sufficient for every patient. The current study aims to determine whether a bimodal therapy for chronic, subjective tinnitus consisting of the combination of TRT and eye movement desensitization reprocessing (EMDR) results in a clinically significant different efficacy in comparison with the prevailing bimodal TRT and CBT therapy.
Methods: Patients were randomized in two treatment groups. The experimental group received the bimodal therapy TRT/EMDR and the active control group received the bimodal therapy TRT/CBT. Evaluations took place at baseline (T0), at the end of the treatment (T1), and 3 months after therapy (T2). The tinnitus functional index (TFI) was used as primary outcome measurement. Secondary outcome measurements were the visual analog scale of tinnitus loudness (VASLoudness), tinnitus questionnaire (TQ), hospital anxiety and depression scale (HADS), hyperacusis questionnaire (HQ), global perceived effect (GPE), and psychoacoustic measurements.
Findings: The TFI showed clinically significant improvement in both bimodal therapies (mean decrease 15.1 in TRT/CBT; p < 0.001 vs. 16.2 in TRT/EMDR; p < 0.001). The total score on the TQ, HADS, HQ, and VASLoudness all demonstrated significant decrease after treatment and follow-up (p < 0.001) in the experimental and the active control group. GPE-measurements revealed that more than 80% (i.e., 84% in TRT/CBT vs. 80% in TRT/EMDR) of the patients experienced substantial improvement of tinnitus at follow up. Treatment outcome remained stable after 3 month follow-up and no adverse events were observed.
Conclusion: Both psychotherapeutic protocols result in a clinically significant improvement for patients with chronic subjective tinnitus. No significant different efficacy was found for the TRT/EMDR treatment compared to the combination of TRT and CBT.”
—Description from publisher
Article Access
Open Access
Luyten, T. R., Jacquemin, L., van Looveren, N., Declau, F., Fransen, E., Cardon, E., de Bodt, M., Topsakal, V., Ban de Heyning, P., Van Rompaey, V., & Gilles, A. (2020). Bimodal therapy for chronic subjective tinnitus: A randomized controlled trial of EMDR and TRT versus CBT and TRT. Frontiers in Psychology, 02048. Open access: https://doi.org/10.3389/fpsyg.2020.02048
Date
September 9, 2020
Creator(s)
Tine Roanna Luyten, Laure Jacquemin, Nancy Van Looveren
Contributor(s)
Frank Declau, Erik Fransen, Emilie Cardon, Marc De Bodt, Vedat Topsakal, Paul Van de Heyning, Vincent Van Rompaey, Annick Gilles
Topics
Medical/Somatic
Practice & Methods
Comparative Studies
Extent
16 pages
Publisher
Frontiers
Rights
© 2020 Luyten, Jacquemin, Van Looveren, Declau, Fransen, Cardon, De Bodt, Topsakal, Van de Heyning, Van Rompaey and Gilles. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
APA Citation
Luyten, T. R., Jacquemin, L., van Looveren, N., Declau, F., Fransen, E., Cardon, E., de Bodt, M., Topsakal, V., Ban de Heyning, P., Van Rompaey, V., & Gilles, A. (2020). Bimodal therapy for chronic subjective tinnitus: A randomized controlled trial of EMDR and TRT versus CBT and TRT. Frontiers in Psychology, 02048. Open access: https://doi.org/10.3389/fpsyg.2020.02048
Audience
EMDR Therapists, Other Mental Health Professionals
Language
English
Content Type
Article, Peer-Reviewed, RCT
Access Type
External Resource, Open Access
