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<p>Tinnitus is defined as the perception of sound(s) without external stimulation. It causes distress and is associated with psychological conditions like anxiety, depression, and sleep disturbance. It affects a significant proportion of the population in India. However, there are no standard established tinnitus treatment programs. Cognitive behavioral therapy (CBT) is proven to effectively reduce tinnitus-related distress and improve quality of life. This study aimed to evaluate the effects of internet-based cognitive behavioral therapy (ICBT) adapted to Indian English for tinnitus management in the Indian population. The study used a pre-post intervention design and included 24 adults with chronic subjective tinnitus. They completed an 8-week ICBT program adapted from Beukes et al. (Internet Interv 6:6–15, 2016, Am J Audiol 29:97–109, 2020). Tinnitus Functional Index (TFI), Hamilton Anxiety Rating Scale (HAM-A), and Hamilton Depression Rating Scale (HAM-D) were used to assess tinnitus severity, anxiety, and depression pre- and post-intervention. TFI scores were significantly reduced post-intervention. HAM-A and HAM-D scores were also significantly reduced. The post-intervention scores had a large overall effect on tinnitus severity as well as anxiety and depression, with 62% reporting a significant change in tinnitus severity. The ICBT Indian English adapted version can effectively reduce tinnitus severity, anxiety, and depression in a sample of Indian persons with tinnitus. The study will be further scaled up with adequate sample sizes, control groups, and longer follow-ups to evaluate its long-term efficacy and generalizability.</p>

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Internet-Based Cognitive Behavioral Therapy for Individuals with Chronic Tinnitus in India: A Pilot Study

  • 期刊论文

  • 发表日期：

    2026年5月6日

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  • Tejaswi Tungapindi,
  • Suresh Pillai,
  • Poorvi V. Sharma,
  • Harini Vasudevan,
  • Hariprakash Palaniswamy,
  • Keerthana Rajanbabu,
  • Vinaya Manchaiah,
  • Eldre Beukes,
  • Gerhard Andersson

摘要

Tinnitus is defined as the perception of sound(s) without external stimulation. It causes distress and is associated with psychological conditions like anxiety, depression, and sleep disturbance. It affects a significant proportion of the population in India. However, there are no standard established tinnitus treatment programs. Cognitive behavioral therapy (CBT) is proven to effectively reduce tinnitus-related distress and improve quality of life. This study aimed to evaluate the effects of internet-based cognitive behavioral therapy (ICBT) adapted to Indian English for tinnitus management in the Indian population. The study used a pre-post intervention design and included 24 adults with chronic subjective tinnitus. They completed an 8-week ICBT program adapted from Beukes et al. (Internet Interv 6:6–15, 2016, Am J Audiol 29:97–109, 2020). Tinnitus Functional Index (TFI), Hamilton Anxiety Rating Scale (HAM-A), and Hamilton Depression Rating Scale (HAM-D) were used to assess tinnitus severity, anxiety, and depression pre- and post-intervention. TFI scores were significantly reduced post-intervention. HAM-A and HAM-D scores were also significantly reduced. The post-intervention scores had a large overall effect on tinnitus severity as well as anxiety and depression, with 62% reporting a significant change in tinnitus severity. The ICBT Indian English adapted version can effectively reduce tinnitus severity, anxiety, and depression in a sample of Indian persons with tinnitus. The study will be further scaled up with adequate sample sizes, control groups, and longer follow-ups to evaluate its long-term efficacy and generalizability.