Psychological Therapy for People with Tinnitus: A Scoping Review of Treatment Components

Thompson, Dean M.; Hall, Deborah A.; Walker, Dawn‐Marie; Hoare, Derek J.

doi:10.1097/aud.0000000000000363

Cited by 48 publications

(24 citation statements)

References 63 publications

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“…Panelists proposed 17 components that were not identified in Thompson et al (2017) that they thought could inform audiologists’ usual tinnitus care (Table 1 ). Of these, four formed a new theme named “support and resource signposting.” This theme included the provision of written materials, suggesting the use of websites, ongoing support options after discharge, and homework review.…”

Section: Resultsmentioning

confidence: 99%

“…Qualitative data in response to the open-ended question on the essential components were analyzed using a modified template analysis ( King 2012 ). Template analysis began with the identification of a priori themes and their respective components that were taken from an earlier scoping review ( Thompson et al 2017 ). These themes include tinnitus education, psychoeducation, evaluation, treatment rationale, treatment planning, problem solving, behavioral intervention, thought identification, thought challenging, worry time, emotions, social comparison, interpersonal skills, self-concept, lifestyle advice, acceptance and defusion, mindfulness, attention, relaxation, sleep, sound enrichment, comorbidity, treatment reflection, relapse prevention, and common therapeutic skills.…”

Section: Methodsmentioning

confidence: 99%

“…Panelists were presented with a list of components, derived from panelists’’ responses in round 1 and the results of the scoping review ( Thompson et al 2017 ). Components of complex psychological techniques were defined using Common Language for Psychotherapy ( Marks & Fullana 2014 ) where available.…”

Section: Methodsmentioning

confidence: 99%

“…Our recently published scoping review of psychological interventions for people with tinnitus cataloged over 100 individual components, including cognitive restructuring and defusion ( Thompson et al 2017 ). This provides a resource to inform audiologists’ usual care.…”

Section: Introductionmentioning

confidence: 99%

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Patients’ and Clinicians’ Views of the Psychological Components of Tinnitus Treatment That Could Inform Audiologists’ Usual Care: A Delphi Survey

et al. 2018

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Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Patients’ and Clinicians’ Views of the Psychological Components of Tinnitus Treatment That Could Inform Audiologists’ Usual Care: A Delphi Survey

et al. 2018

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“…Psychological treatments were also delivered within some audiology departments by audiologists and hearing therapists. It is not standardised however and there is currently no research evidence for the effectiveness of an audiologist or hearing therapist psychological intervention [ 31 ].…”

Section: Discussionmentioning

confidence: 99%

Tinnitus services in the United Kingdom: a survey of patient experiences

McFerran

Hoare

Carr

et al. 2018

BMC Health Serv Res

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BackgroundTinnitus service provision in the United Kingdom has been investigated from the healthcare provider’s perspective demonstrating considerable regional variation particularly regarding availability of psychological treatments. An audiological-based tinnitus service, however, was reportedly available for all tinnitus patients in the UK. The aim of the current study was to define and evaluate nationwide tinnitus healthcare services from the patients’ viewpoint.MethodsSecondary analyses were performed on data from a 33-item questionnaire provided by the British Tinnitus Association. The questionnaire had been distributed via email and social media.ResultsResponses from 937 participants who had or had previously experienced tinnitus were analysed. All but one person had at some time consulted their GP. About one in five received medication in primary care. The majority were referred to secondary care, generally an ENT surgeon or audiovestibular physician; some were referred directly to audiological services. In secondary care the majority underwent audiometric testing and over half underwent MRI scanning. Drugs were prescribed less frequently in secondary care. About one third of patients were referred onwards from diagnostic services in secondary care to receive therapeutic interventions for tinnitus. Therapy was generally delivered by an audiologist or hearing therapist. Just under two fifths of people discharged from secondary care returned to their GP, with most returning within one year. Over a third of this group were re-referred to secondary care. Few patients saw a psychologist (2.6%) though some psychological treatments were delivered by appropriately trained audiologists. Negative counselling from healthcare professionals in both primary and secondary care settings was reported.ConclusionsAlthough the UK has developed a national service for patients with tinnitus many people find it difficult to access, being blocked at the primary care level or after secondary care diagnostic services. Many of those discharged from secondary care return to their GP within a short space of time and are re-referred to secondary care creating an unsatisfactory and expensive revolving-door pattern of healthcare. Despite psychological treatment modalities having the best evidence base for successful tinnitus management, only a minority of tinnitus patients ever get to meet a psychologist.Electronic supplementary materialThe online version of this article (10.1186/s12913-018-2914-3) contains supplementary material, which is available to authorized users.

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