Mindfulness based cognitive therapy for chronic tinnitus: evaluation of benefits in a large sample of patients attending a tinnitus clinic

Laurence McKenna, Elizabeth Marks, Florian Vogt

Research output: Contribution to journalArticle

Abstract

Objectives: Mindfulness-based approaches may benefit patients with chronic tinnitus, but most evidence is from small studies of non-standardized interventions, and there is little exploration of the processes of change. This study describes the impact of Mindfulness Based Cognitive Therapy (MBCT) in a ‘real world’ tinnitus clinic, using standardized MBCT on the largest sample of patients with chronic tinnitus to date whilst exploring predictors of change.

Design: Participants were 182 adults with chronic and distressing tinnitus who completed an eight-week MBCT group. Measures of tinnitus-related distress, psychological distress, tinnitus-acceptance and mindfulness were taken pre-intervention, post-intervention and at six-week follow-up.

Results: MBCT was associated with significant improvements on all outcome measures. Post-intervention, reliable improvements were detected in tinnitus-related distress in 50% and in psychological distress in 41.2% of patients. Changes in mindfulness and tinnitus acceptance explained unique variance in tinnitus-related and psychological distress post-intervention.

Conclusions: MBCT was associated with significant and reliable improvements in patients with chronic, distressing tinnitus. Changes were associated with increases in tinnitus-acceptance and dispositional mindfulness. This study doubles the combined sample size of all previously published studies. Randomized controlled trials of standardized MBCT protocols are now required to test whether MBCT might offer a new and effective treatment for chronic tinnitus.
LanguageEnglish
Pages359 - 366
Number of pages8
JournalEar and Hearing
Volume39
Issue number2
Early online date22 Sep 2017
DOIs
StatusPublished - Mar 2018

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Mindfulness
Tinnitus
Cognitive Therapy
Psychology
Sample Size

Keywords

  • Mindfulness
  • MBCT
  • Chronic Tinnitus
  • Acceptance

Cite this

Mindfulness based cognitive therapy for chronic tinnitus : evaluation of benefits in a large sample of patients attending a tinnitus clinic. / McKenna, Laurence; Marks, Elizabeth; Vogt, Florian.

In: Ear and Hearing, Vol. 39, No. 2, 03.2018, p. 359 - 366.

Research output: Contribution to journalArticle

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