Evidence map›Paper›PMID 25339938›Full record

ReviewFrontiers in neurology2014

A scientific cognitive-behavioral model of tinnitus: novel conceptualizations of tinnitus distress.

Laurence McKenna, Lucy Handscomb, Derek J Hoare, Deborah A Hall

Abstract readReview
In one paragraph

Review in Frontiers in neurology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 94 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
94citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

94 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
  2. Cognitive behavioural therapy for tinnitus.The Cochrane database of systematic reviews · 2020
    Pooled it
  3. Pooled it
  4. Guideline
  5. Pooled it
  6. Trial
  7. Addressing neonatal intensive care unit clinicians' distress via interprofessional meetings.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
  8. Tinnitus.Nature reviews. Disease primers · 2026
    Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Tinnitus Measured in Everyday Life: A Literature Review of Ecological Momentary Assessment Studies.Journal of the Association for Research in Otolaryngology : JARO · 2025
    Review
  17. Review
  18. Article
  19. Review
  20. Article

34 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Laurence McKennaRoyal National Throat Nose and Ear Hospital, University College Hospitals , London , UK.
Lucy HandscombNottingham Hearing Biomedical Research Unit, National Institute for Health Research (NIHR), University of Nottingham , Nottingham , UK ; Otology and Hearing Group, Division of Clinical Neuroscience, School of Medicine, University of Nottingham , Nottingham , UK ; UCL Ear Institute, University College London , London , UK.
Derek J HoareNottingham Hearing Biomedical Research Unit, National Institute for Health Research (NIHR), University of Nottingham , Nottingham , UK ; Otology and Hearing Group, Division of Clinical Neuroscience, School of Medicine, University of Nottingham , Nottingham , UK.
Deborah A HallNottingham Hearing Biomedical Research Unit, National Institute for Health Research (NIHR), University of Nottingham , Nottingham , UK ; Otology and Hearing Group, Division of Clinical Neuroscience, School of Medicine, University of Nottingham , Nottingham , UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The importance of psychological factors in tinnitus distress has been formally recognized for almost three decades. The psychological understanding of why tinnitus can be a distressing condition posits that it becomes problematic when it acquires an emotive significance through cognitive processes. Principle therapeutic efforts are directed at reducing or removing the cognitive (and behavioral) obstacles to habituation. Here, the evidence relevant to a new psychological model of tinnitus is critically reviewed. The model posits that patients' interpretations of tinnitus and the changes in behavior that result are given a central role in creating and maintaining distress. The importance of selective attention and the possibility that this leads to distorted perception of tinnitus is highlighted. From this body of evidence, we propose a coherent cognitive-behavioral model of tinnitus distress that is more in keeping with contemporary psychological theories of clinical problems (particularly that of insomnia) and which postulates a number of behavioral processes that are seen as cognitively mediated. This new model provides testable hypotheses to guide future research to unravel the complex mechanisms underpinning tinnitus distress. It is also well suited to define individual symptomatology and to provide a framework for the delivery of cognitive-behavioral therapy.

Indexed as

beliefdistorted perceptionnegative thoughtssafety behaviorselective attentiontinnitus

Identifiers

PMID25339938
PMCPMC4186305

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.