Cognitive Behavioural Therapy for Tinnitus-Related Insomnia: Evaluating a New Treatment Approach

Elizabeth Marks, Laurence McKenna, Florian Vogt

Research output: Contribution to journalArticle

Abstract

Objective: Insomnia frequently occurs alongside distressing tinnitus, and greater tinnitus severity is associated with more sleep disturbance. Insomnia and tinnitus probably share common underlying processes and sleep studies show striking similarities between primary and tinnitus-related insomnia. This is the first study to evaluate outcomes following insomnia-specific Cognitive Behavioural Therapy (CBTi) for tinnitus-related insomnia in a ‘real world’ clinic.
Design: Treatment was six-sessions of group-based CBTi. Measures of insomnia, sleep diaries, tinnitus distress, psychological distress, anxiety and depression were completed pre-intervention, post-intervention and at six-weeks follow up.
Study sample: Participants were 24 adults with chronic, distressing tinnitus and associated sleep disturbance. Twenty-two completed treatment.
Results: CBTi was associated with significant improvements from pre-intervention to post-intervention maintained at follow up in insomnia, sleep-diary measures, tinnitus distress, psychological distress, anxiety and depression, largely maintained at follow-up. Reliable improvements were reported in insomnia (by 67% of patients), tinnitus distress (by 50% of patients) and psychological distress (by 38% of patients) post-intervention.
Conclusions: The results suggest that CBTi is associated with reduced insomnia and distress for patients reporting chronic and distressing tinnitus with related insomnia. Further research into CBTi for this population, using utilizing robust, randomized controlled designs, is warranted.
Original languageEnglish
Pages (from-to)311-316
Number of pages6
JournalInternational Journal of Audiology
Volume58
Issue number5
Early online date5 Jan 2019
DOIs
Publication statusPublished - 4 May 2019

Fingerprint

Tinnitus
Sleep Initiation and Maintenance Disorders
Cognitive Therapy
sleep
Sleep
anxiety
Therapeutics
Psychology
Therapy
Anxiety
Depression
Psychological Distress
Group
Randomized Controlled Trials

Keywords

  • Tinnitus
  • Insomnia
  • Sleep
  • Cognitive Behavioural Therapy

Cite this

Cognitive Behavioural Therapy for Tinnitus-Related Insomnia: Evaluating a New Treatment Approach. / Marks, Elizabeth; McKenna, Laurence; Vogt, Florian.

In: International Journal of Audiology, Vol. 58, No. 5, 04.05.2019, p. 311-316.

Research output: Contribution to journalArticle

@article{bf159dc3ceaa4fe3a3a14c6c94d56e61,
title = "Cognitive Behavioural Therapy for Tinnitus-Related Insomnia: Evaluating a New Treatment Approach",
abstract = "Objective: Insomnia frequently occurs alongside distressing tinnitus, and greater tinnitus severity is associated with more sleep disturbance. Insomnia and tinnitus probably share common underlying processes and sleep studies show striking similarities between primary and tinnitus-related insomnia. This is the first study to evaluate outcomes following insomnia-specific Cognitive Behavioural Therapy (CBTi) for tinnitus-related insomnia in a ‘real world’ clinic.Design: Treatment was six-sessions of group-based CBTi. Measures of insomnia, sleep diaries, tinnitus distress, psychological distress, anxiety and depression were completed pre-intervention, post-intervention and at six-weeks follow up.Study sample: Participants were 24 adults with chronic, distressing tinnitus and associated sleep disturbance. Twenty-two completed treatment.Results: CBTi was associated with significant improvements from pre-intervention to post-intervention maintained at follow up in insomnia, sleep-diary measures, tinnitus distress, psychological distress, anxiety and depression, largely maintained at follow-up. Reliable improvements were reported in insomnia (by 67{\%} of patients), tinnitus distress (by 50{\%} of patients) and psychological distress (by 38{\%} of patients) post-intervention.Conclusions: The results suggest that CBTi is associated with reduced insomnia and distress for patients reporting chronic and distressing tinnitus with related insomnia. Further research into CBTi for this population, using utilizing robust, randomized controlled designs, is warranted.",
keywords = "Tinnitus, Insomnia, Sleep, Cognitive Behavioural Therapy",
author = "Elizabeth Marks and Laurence McKenna and Florian Vogt",
year = "2019",
month = "5",
day = "4",
doi = "10.1080/14992027.2018.1547927",
language = "English",
volume = "58",
pages = "311--316",
journal = "International Journal of Audiology",
issn = "1499-2027",
publisher = "Taylor and Francis",
number = "5",

}

TY - JOUR

T1 - Cognitive Behavioural Therapy for Tinnitus-Related Insomnia: Evaluating a New Treatment Approach

AU - Marks, Elizabeth

AU - McKenna, Laurence

AU - Vogt, Florian

PY - 2019/5/4

Y1 - 2019/5/4

N2 - Objective: Insomnia frequently occurs alongside distressing tinnitus, and greater tinnitus severity is associated with more sleep disturbance. Insomnia and tinnitus probably share common underlying processes and sleep studies show striking similarities between primary and tinnitus-related insomnia. This is the first study to evaluate outcomes following insomnia-specific Cognitive Behavioural Therapy (CBTi) for tinnitus-related insomnia in a ‘real world’ clinic.Design: Treatment was six-sessions of group-based CBTi. Measures of insomnia, sleep diaries, tinnitus distress, psychological distress, anxiety and depression were completed pre-intervention, post-intervention and at six-weeks follow up.Study sample: Participants were 24 adults with chronic, distressing tinnitus and associated sleep disturbance. Twenty-two completed treatment.Results: CBTi was associated with significant improvements from pre-intervention to post-intervention maintained at follow up in insomnia, sleep-diary measures, tinnitus distress, psychological distress, anxiety and depression, largely maintained at follow-up. Reliable improvements were reported in insomnia (by 67% of patients), tinnitus distress (by 50% of patients) and psychological distress (by 38% of patients) post-intervention.Conclusions: The results suggest that CBTi is associated with reduced insomnia and distress for patients reporting chronic and distressing tinnitus with related insomnia. Further research into CBTi for this population, using utilizing robust, randomized controlled designs, is warranted.

AB - Objective: Insomnia frequently occurs alongside distressing tinnitus, and greater tinnitus severity is associated with more sleep disturbance. Insomnia and tinnitus probably share common underlying processes and sleep studies show striking similarities between primary and tinnitus-related insomnia. This is the first study to evaluate outcomes following insomnia-specific Cognitive Behavioural Therapy (CBTi) for tinnitus-related insomnia in a ‘real world’ clinic.Design: Treatment was six-sessions of group-based CBTi. Measures of insomnia, sleep diaries, tinnitus distress, psychological distress, anxiety and depression were completed pre-intervention, post-intervention and at six-weeks follow up.Study sample: Participants were 24 adults with chronic, distressing tinnitus and associated sleep disturbance. Twenty-two completed treatment.Results: CBTi was associated with significant improvements from pre-intervention to post-intervention maintained at follow up in insomnia, sleep-diary measures, tinnitus distress, psychological distress, anxiety and depression, largely maintained at follow-up. Reliable improvements were reported in insomnia (by 67% of patients), tinnitus distress (by 50% of patients) and psychological distress (by 38% of patients) post-intervention.Conclusions: The results suggest that CBTi is associated with reduced insomnia and distress for patients reporting chronic and distressing tinnitus with related insomnia. Further research into CBTi for this population, using utilizing robust, randomized controlled designs, is warranted.

KW - Tinnitus

KW - Insomnia

KW - Sleep

KW - Cognitive Behavioural Therapy

U2 - 10.1080/14992027.2018.1547927

DO - 10.1080/14992027.2018.1547927

M3 - Article

VL - 58

SP - 311

EP - 316

JO - International Journal of Audiology

JF - International Journal of Audiology

SN - 1499-2027

IS - 5

ER -