ArticleClinical and experimental otorhinolaryngology2013
Small-group counseling in a modified tinnitus retraining therapy for chronic tinnitus.
Article in Clinical and experimental otorhinolaryngology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.
- Electroacupuncture for Tinnitus: A Systematic Review.PloS one · 2016Pooled it
- Educational Counseling for Tinnitus Management: A Scoping Review of Intervention Structure, Content, and Outcomes.Journal of audiology & otology · 2026Review
- Establishing a Comprehensive Tinnitus Care Pathway-Part 2: Implementation.Seminars in hearing · 2024Review
- Tinnitus prevalence and associated risk factors among university students: A cross-sectional study.SAGE open medicine · 2024Article
- Sense and Sensibility: A Review of the Behavioral Neuroscience of Tinnitus Sound Therapy and a New Typology.Current topics in behavioral neurosciences · 2021Review
- Acupuncture Treatment in Patients with Chronic Subjective Tinnitus: A Prospective, Randomized Study.Medical acupuncture · 2020Article
- Article
- An economic evaluation of the healthcare cost of tinnitus management in the UK.BMC health services research · 2017Article
- Neural substrates predicting short-term improvement of tinnitus loudness and distress after modified tinnitus retraining therapy.Scientific reports · 2016Article
- Translation and validation of the Tinnitus Primary Function Questionnaire into Brazilian Portuguese.Brazilian journal of otorhinolaryngologyArticle
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThe authors have treated chronic tinnitus patients using a combination of a simplified tinnitus retraining therapy (TRT) and medications, which we called modified TRT. In this clinical setting, we have attempted small-group counseling to find a time-effective equivalent of individual counseling. The aim of the present study was to evaluate the effectiveness of small-group counseling by comparing the treatment outcomes between individual and small-group counseling.
methodsThe patients who had distressing chronic tinnitus with normal hearing or mild hearing loss were included. The subjects were placed into the small-group (group 1:4) or the individual (group 1:1) counseling group, and underwent a modified TRT composed of a single session of directive counseling and ambient sound stimulation. In addition, alprazolam (0.25 mg) and ginkgo biloba extract (80 mg) were administered orally to the subjects for 3 months. The 3- and 6- month outcomes were assessed using the follow-up rates and tinnitus severity scores: awareness, tinnitus handicap inventory (THI), loudness, annoyance, and effect on life. The treatment responses were classified as improvement, no changes, and worsening.
resultsOf the total 149 patients (77 in group 1:1; 72 in group 1:4), 104 patients completed the protocol at 3 months, and 55 patients at 6 months. The follow-up rates were similar in both groups. Over the period of 6 months, all scores declined significantly except the loudness score at 3 months in both groups. Treatment responses showed no between-group differences. The success rate based on THI was 70% in group 1:1, and 64% in group 1:4 at 6 months.
conclusionThe small-group counseling of our modified TRT was comparable to the individual counseling for tinnitus relief. We suggest that this protocol can be implemented effectively in any crowded otolaryngology clinics.
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