Association between subjective tinnitus and cognitive performance: protocol for systematic review and meta-analysis

Clarke, Nathan A; Akeroyd, Michael A.; Henshaw, Helen; Hoare, Derek J.

doi:10.1136/bmjopen-2018-023700

Cited by 9 publications

(11 citation statements)

References 33 publications

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“…Both objective and subjective measures of cognitive performance were considered in this review as per our published protocol (Clarke et al., 2018). However, during the review process, it became evident that a distinct category was required for tests that screen for cognitive impairment.…”

Section: Discussion: Is Tinnitus Associated With Poorer Cognitive Per...mentioning

confidence: 99%

“…The review is reported according to Preferred Reporting Items for Systematic Review and Meta-Analysis (Moher et al., 2009). The review protocol was preregistered on the PROSPERO database (CRD42018085528) and published in a peer-reviewed journal (Clarke et al., 2018).…”

Section: Methodsmentioning

confidence: 99%

“…In our published protocol (Clarke et al., 2018), we made the distinction between objective and subjective cognition (i.e., tasks that aim to measure a specific cognitive process vs. self-report of perceived cognitive performance). However, an unanticipated categorization issue arose in the form of clinical tests specifically designed to screen for mild cognitive impairment (MCI), such as the Montreal Cognitive Assessment (MoCA; Nasreddine et al., 2005).…”

Section: Methodsmentioning

confidence: 99%

“…Random-effects models were fitted to data from broad cognitive domains (i.e., EF, Gs, Gsm, Glr, and Gv) and narrow cognitive domains where available data permitted. Due to the heterogeneous nature of records included in this analysis (i.e., studies produced from different laboratories, using different methods, and different populations), a random-effects model was chosen and specified prior to analysis (Clarke et al, 2018). As some models featured multiple effect sizes from a single study, the within-subjects statistical dependency of these effect sizes was accounted for using robust variance estimation (RVE; Hunter & Schmidt, 2004;Moeyaert et al, 2017;Quintana, 2015).…”

Section: Statistical Analysesmentioning

confidence: 99%

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Associations Between Subjective Tinnitus and Cognitive Performance: Systematic Review and Meta-Analyses

et al. 2020

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Tinnitus is the perception of sound in the absence of a corresponding external sound source, and bothersome tinnitus has been linked to poorer cognitive performance. This review comprehensively quantifies the association between tinnitus and different domains of cognitive performance. The review protocol was preregistered and published in a peer-reviewed journal. The review and analyses were reported according to Preferred Reporting Items for Systematic Review and Meta-analysis guidelines. Peer-reviewed literature was searched using electronic databases to find studies featuring participants with tinnitus who had undertaken measures of cognitive performance. Studies were assessed for quality and categorized according to an established cognitive framework. Random-effects meta-analyses were performed on various cognitive domains with potential moderator variables assessed where possible. Thirty-eight records were included in the analysis from a total of 1,863 participants. Analyses showed that tinnitus is associated with poorer executive function, processing speed, general short-term memory, and general learning and retrieval. Narrow cognitive domains of Inhibition and Shifting (within executive function) and learning and retrieval (within general learning and retrieval) were also associated with tinnitus.

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Section: Discussion: Is Tinnitus Associated With Poorer Cognitive Per...mentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Statistical Analysesmentioning

confidence: 99%

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Associations Between Subjective Tinnitus and Cognitive Performance: Systematic Review and Meta-Analyses

et al. 2020

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“…In general, cognitive functions are the mental processes that enable us to receive, select, store, transform, develop, and recover information from external stimuli (Stevens and Bavelier, 2012 ; Clarke et al, 2018 ). They are associated with concentration, attention, and use of memory, which closely correlate with daily activities and life experience involving communication, perception, thoughts, and emotions (Andersson and McKenna, 2006 ).…”

Section: Introductionmentioning

confidence: 99%

The Association Between Effectiveness of Tinnitus Intervention and Cognitive Function—A Systematic Review

et al. 2021

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Tinnitus refers to the perception of sound in the absence of an external stimulus. This can be problematic and can lead to health problems in some sufferers, including effects on cognitive functions such as attention and memory. Although several studies have examined the effectiveness of tinnitus interventions, e.g., cognitive behavioral therapy and sound therapy, it is still unclear as to the overall quality and limitations of these studies and whether their results could be generalized. Clarification is also needed as to whether poor cognitive function will lead to a less favorable intervention outcome in tinnitus patients. The present systematic review was therefore designed to critically appraise and synthesize findings from randomized controlled trials (RCTs) of tinnitus intervention and its effects on cognition. The methodology followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA). Medline (PubMed), Embase, and PsycINFO were searched. Only RCTs that compared the effectiveness of a tinnitus intervention and a measure of cognitive function in adult participants with tinnitus were included. A total of 8 studies involving 610 participants tested using 11 cognitive function assessment tools (e.g., Stroop Color and Word Test and Visual Continuous Performance Task) and 5 tinnitus intervention outcome measurements (e.g., Tinnitus Handicap Inventory and Tinnitus Questionnaire) were included and analyzed. The outcomes of the review suggest that tinnitus intervention not only facilitates tinnitus management but also improves cognitive functions. It is likely that cognition and emotion play an important role in a patient's adjustment to tinnitus. Whether cognition can predict treatment outcomes is unclear due to insufficient evidence. Future research is needed using a standardized assessment protocol focusing on the effect of sound-based interventions on tinnitus severity and cognitive functions. Studies on whether cognitive function measurement can be used as a predictor for the effectiveness of tinnitus therapy are also needed.

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Clinical characteristics of subjective idiopathic tinnitus and preliminarily analyses for the effect of tinnitus multielement integration sound therapy

Yang

Wang

et al. 2021

Eur Arch Otorhinolaryngol

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Association between subjective tinnitus and cognitive performance: protocol for systematic review and meta-analysis

Cited by 9 publications

References 33 publications

Associations Between Subjective Tinnitus and Cognitive Performance: Systematic Review and Meta-Analyses

Associations Between Subjective Tinnitus and Cognitive Performance: Systematic Review and Meta-Analyses

The Association Between Effectiveness of Tinnitus Intervention and Cognitive Function—A Systematic Review

Clinical characteristics of subjective idiopathic tinnitus and preliminarily analyses for the effect of tinnitus multielement integration sound therapy

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