The value of Eye Movement Desensitization Reprocessing in the treatment of tinnitus: study protocol for a randomized controlled trial

Luyten, Tine; Heyning, Paul Van de; Jacquemin, Laure; Looveren, Nancy Van; Declau, Frank; Fransén, Erik; Gilles, Annick

doi:10.1186/s13063-018-3121-6

Cited by 7 publications

(5 citation statements)

References 36 publications

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“…A more extensive dataset with regards to tinnitus characteristics and hearing status was available in the research database of the ENT department (OpenClinica LLC, an electronic CRF application), including 622 patients who were enrolled in a clinical study [e.g. 21,[22][23][24][25][26].…”

Section: Methodsmentioning

confidence: 99%

Hyperacusis: demographic, audiological, and clinical characteristics of patients at the ENT department

Jacquemin

Cardon

Michiels

et al. 2022

Eur Arch Otorhinolaryngol

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Purpose: To document whether patients with and without hyperacusis differ from each other on demographic, audiological and clinical characteristics. Methods:Based on the Hyperacusis Questionnaire's (HQ) cut-off (HQ > 28), a total of 2301 participants were divided into patients with and without hyperacusis. Demographic data, scores on self-reported questionnaires (Tinnitus Functional Index (TFI), Visual Analogue Scale of tinnitus loudness (VASloudness), Hospital Anxiety Depression Scale (HADS)) and audiological parameters were retrospectively analysed to determine differential factors between the two groups.Results: In total, 10,9 % of the patients was classified as hyperacusis patients (n = 251). They reported a significant, higher tinnitus severity (mean difference of 19 points on TFI) and mental distress (mean difference of 4 points on the HADS subscales) (p < .001) than patients without hyperacusis. Moreover, this group consisted of more women (45% % in hyperacusis group vs. 35 % in non-hyperacusis group) and women scored significantly higher on the HQ (p < .001) and TFI (p < .01). Conclusion:Patients with hyperacusis have distinctive characteristics. The presence of hyperacusis in combination with tinnitus can indicate a higher need for psychoeducation. Patients that present themselves with hyperacusis without tinnitus complaints remain a minority, yet might be underdiagnosed. Hence, future studies should disentangle tinnitus from hyperacusis. In clinical practice, greater efforts are required to increase knowledge about hyperacusis as a primary or secondary complaint and to provide individualized treatment for these patients.

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Section: Methodsmentioning

confidence: 99%

Hyperacusis: demographic, audiological, and clinical characteristics of patients at the ENT department

Jacquemin

Cardon

Michiels

et al. 2022

Eur Arch Otorhinolaryngol

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“…All therapies were provided by licensed TRT audiologists and CBT/EMDR psychologists. The full approach of this bimodal psychotherapy is described in Luyten et al (2019).…”

Section: Psychological Treatmentmentioning

confidence: 99%

Sex Differences in the Response to Different Tinnitus Treatment

et al. 2020

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Introduction: Tinnitus is a complex symptom requiring a thorough multidisciplinary assessment to construct an individual's tinnitus profile. The Antwerp University Hospital hosts a tertiary tinnitus clinic providing intensive, multidisciplinary tinnitus care in the form of combinational psychological treatment with either Tinnitus Retraining Therapy (TRT)/Cognitive Behavioral Therapy (CBT) or TRT/eye movement desensitization and reprocessing therapy (EMDR), high-definition transcranial direct current stimulation (HD-tDCS), and physical therapy treatment (in cases of somatic influence of the neck or the temporomandibular area). Several factors may contribute to therapy effect of which the role of gender has recently gained more interest. As such, the current manuscript explores gender differences in the outcome of different tinnitus treatments.Methods: Data on treatment outcome of four distinct tinnitus treatments (1. HD-tDCS; 2. orofacial physical therapy; 3. combination TRT + CBT; and 4. combination TRT + EMDR) were pooled and compared. Treatment outcome was assessed via the Tinnitus Functional Index (TFI). Participants completed the TFI at baseline, immediately after treatment and after 9 weeks (±3 weeks) follow-up. To explore the effect of gender on different treatment outcomes, a linear mixed model was designed including Time point, Gender, and Therapy Group as fixed factors as well as all interactions between these factors.Results: TFI scores improved significantly over time regardless of therapy group (p < 0.0001). A mean TFI decrease of at least 13 points was obtained by all participants except by those in the HD-tDCS. Significant interactions between Gender and Time point were identified in all groups except for the TRT +EMDR group. Female subjects improved more extensively than males in the HD-tDCS (p = 0.0009) and orofacial therapy group (p = 0.0299). Contrarily, in the TRT +CBT group, male participants showed a significant improvement whereas the mean TFI scores of female subjects remained on baseline levels (p = 0.0138).

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“…It typically involves a comprehensive assessment at the beginning of treatment, helping patients to connect their experiences to their symptoms, which fits the desire for a streamlined approach ( 44 ). It also has the potential to provide relatively rapid relief as some patients report experiencing positive changes in their wellbeing after just a few sessions, aligning with the desire for prompt results ( 45 ). Furthermore, EMDR can be offered in various healthcare settings, including those near GP practices, enhancing accessibility to care.…”

Section: Discussionmentioning

confidence: 99%

“Without it, I am not sure I would still be here”: a mixed methods service evaluation for online EMDR trauma therapy in a primary care network in England

Kaptan,

Dernedde,

Dowden

et al. 2023

Front. Psychiatry

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IntroductionPsychological services are typically offered via specialized mental health services, which are often overwhelmed with long waitlists. To address this need and provide patients with a service characterized by shorter waiting times and increased accessibility, online Eye Movement Desensitization and Reprocessing (EMDR) was established in the North Norfolk 4 Primary Care Network.MethodsThis article presents this service’s collaborative funding, development and outcomes within local GP surgeries. It constitutes a mixed-method service evaluation encompassing the future of EMDR in primary care services. Additionally, it includes the assessment of anxiety, depression, and PTSD symptoms as well as work and social adjustment in a cohort of 83 patients alongside a Thematic Analysis involving eighteen patients and six GPs.ResultsThe evaluation showed high completion and attendance among service users. Quantitative scores combined with qualitative feedback from patients and practitioners highlight the potential impact of EMDR therapy on General Practice and its broader provision of trauma-focused therapies. The most significant improvements were observed in anxiety and depression scores. Thematic Analysis indicated that the patients found the service helpful, labeling it as a “life-saver.” They also discussed why they found the service effective; some also wished the service had been available earlier.DiscussionFindings underscore the potential of EMDR and online EMDR as an accessible and effective approach within primary care settings. The assessments showed an elevated level of access and attendance among service users. Therefore, it is recommended that timely EMDR services be extended through primary care networks.

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The value of Eye Movement Desensitization Reprocessing in the treatment of tinnitus: study protocol for a randomized controlled trial

Cited by 7 publications

References 36 publications

Hyperacusis: demographic, audiological, and clinical characteristics of patients at the ENT department

Hyperacusis: demographic, audiological, and clinical characteristics of patients at the ENT department

Sex Differences in the Response to Different Tinnitus Treatment

“Without it, I am not sure I would still be here”: a mixed methods service evaluation for online EMDR trauma therapy in a primary care network in England

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