Tinnitus & Hyperacusis Therapy Masterclass



This course is suitable for



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Specialist course for management of tinnitus and hyperacusis in children and adults




Course Highlights



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Dates: 8-10 July 2019
Venue: Birkbeck, University of London, London, United Kingdom   


Research updates on clinical matters related to 

tinnitus and hyperacusis rehabilitation  

Auditory and Vestibular Research 2016. 25(1):14-23. 

A comparison between tinnitus retraining therapy and a simplified version in treatment of tinnitus in adults
Hashir Aazh, Brian C. J. Moore


Background and Aim: Tinnitus retraining therapy (TRT) comprises comprehensive edu­cational counseling and sound therapy. The aim of this study was to compare the eff­ectiveness of TRT relative to a simplified version of TRT (sTRT). Simplified TRT is different from TRT in the duration and type of the educational counseling (shorter) but is similar to TRT in the application of sound therapy.
Methods: This was a retrospective service eva­luation survey and the data were collected from 12 consecutive patients who received TRT and 12 patients who received sTRT. The average duration of tinnitus was six years (SD=7.9) with a range between one month and 30 years. All patients received between three and six months of treatment, which typically involved three to four appointments.
Results: The results showed that scores on the Tinnitus Handicap Inventory (THI) and the visual analog scale of tinnitus loudness, annoyance and effect on life declined sig­nificantly (improved) for both TRT and sTRT groups (p<0.05). 75% of the patients receiving TRT and 83% of patients receiving sTRT exhibited a decline of 25 or more in THI score. The mean decline in the THI scores was 34 (SD=14) for the TRT group, and 41 (SD=21) for the sTRT group, and the difference in means was not statistically significant (p=0.34).
Conclusion: The results suggest that the dura­tion and type of counseling does not play a critical role in treatment outcome and sTRT may be used when time constraints do not allow the full treatment.

Auditory and Vestibular Research 2016. 25(2):63-74. 

Cognitive behavioural therapy in management of hyperacusis: a narrative review and clinical implementation
Hashir Aazh, Rory Allott


Background and Aim: The aim of this article was to critically discuss the clinical application of a cognitive behaviour therapy (CBT) protocol for the treatment of hyperacusis and its asso­ciated distress.
Methods: Narrative review
Recent Findings: Reviewing the research lit­erature suggests that hyperacusis, anxiety and safety seeking behaviours may be linked. Therefore, it seems reasonable to suggest that clinical management of hyperacusis should also include addressing co-existing anxiety and avoidance behaviour. Although, there is strong evidence supporting the effectiveness of CBT in treating anxiety, the studies directly assessing the effect of CBT on hyperacusis are limited. In this paper, the clinical implementation of a CBT protocol for hyperacusis rehabilitation is discussed.
Conclusion: Although a causal relationship bet­ween anxiety and hyperacusis is not clear, there is a growing body of evidence suggesting a pos­sible link between them. In the absence of a cure for hyperacusis, treatment of the anxiety component of the condition could be beneficial.

Plus *free* registration at 4th International Conference on Hyperacusis (11th July 2019, Birkbeck) for those who participate in the masterclass. For details see website of the International Conference on Hyperacusis.