Cochrane · systematic review · CD012614
Cognitive behavioural therapy for tinnitus
Fuller, T, Cima, R, Langguth, B, et al. · Cochrane Database of Systematic Reviews · 2020 · Cochrane Library
ENTAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
32
current version
GRADE rated
28
No studies
4
Included studies
NR
No studies 4 · 12.5%Ungraded 0 · 0%Very low 4 · 12.5%Low 18 · 56.3%Moderate 6 · 18.8%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
CBT compared to no intervention/waiting list control for tinnitus
Population: adults with tinnitus
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Outcomes at end of treatment CBT vs no intervention/waiting list control | no estimate extracted | NR | No studies |
Impact of tinnitus on quality of life at treatment end CBT vs no intervention/waiting list control | no estimate extracted | 10 studies · 537 participants | Low Downgraded: risk of bias, inconsistency |
Serious adverse effects at end of treatment CBT vs no intervention/waiting list control | RR 3 [0.13, 69.87] | 7 studies · 447 participants | Moderate Downgraded: risk of bias |
Depression at end of treatment CBT vs no intervention/waiting list control | no estimate extracted | 8 studies · 502 participants | Low Downgraded: risk of bias, inconsistency |
Anxiety at end of treatment CBT vs no intervention/waiting list control | no estimate extracted | 6 studies · 429 participants | Very low Downgraded: risk of bias, inconsistency |
Health‐related quality of life CBT vs no intervention/waiting list control | no estimate extracted | 2 studies · 179 participants | Very low Downgraded: risk of bias, imprecision |
Negatively biased interpretations of tinnitus CBT vs no intervention/waiting list control | no estimate extracted | 2 studies · 84 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Other adverse effects CBT vs no intervention/waiting list control | no estimate extracted | 7 studies · 447 participants | Moderate Downgraded: risk of bias |
CBT compared to audiological care (tinnitus education and rehabilitation for hearing loss) for tinnitus
Population: adults with tinnitus
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Outcomes at end of treatment CBT vs audiological care (tinnitus education and rehabilitation | no estimate extracted | NR | No studies |
Impact of tinnitus on quality of life CBT vs audiological care (tinnitus education and rehabilitation | no estimate extracted | 3 studies · 430 participants | Moderate Downgraded: risk of bias |
Serious adverse effects CBT vs audiological care (tinnitus education and rehabilitation | no estimate extracted | 2 studies · 410 participants | Moderate Downgraded: risk of bias |
Depression at end of treatment CBT vs audiological care (tinnitus education and rehabilitation | no estimate extracted | 2 studies · 410 participants | Low Downgraded: risk of bias |
Anxiety at end of treatment CBT vs audiological care (tinnitus education and rehabilitation | no estimate extracted | 2 studies · 410 participants | Low Downgraded: risk of bias |
Health‐related quality of life CBT vs audiological care (tinnitus education and rehabilitation | no estimate extracted | 2 studies · 410 participants | Low Downgraded: risk of bias |
Negatively biased interpretations of tinnitus CBT vs audiological care (tinnitus education and rehabilitation | no estimate extracted | 1 study · 336 participants | Low Downgraded: risk of bias, imprecision |
Other adverse effects CBT vs audiological care (tinnitus education and rehabilitation | no estimate extracted | 2 studies · 410 participants | Moderate Downgraded: risk of bias |
CBT compared to TRT (directive counselling and bilateral masking) for tinnitus
Population: adults with tinnitus
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Outcomes at end of treatment CBT vs TRT (directive counselling and bilateral masking) | no estimate extracted | NR | No studies |
Impact of tinnitus on quality of life CBT vs TRT (directive counselling and bilateral masking) | no estimate extracted | 1 study · 42 participants | Low Downgraded: risk of bias |
Serious adverse effects CBT vs TRT (directive counselling and bilateral masking) | RR 0.45 [0.04, 4.64] | 1 study · 42 participants | Low Downgraded: risk of bias |
Depression CBT vs TRT (directive counselling and bilateral masking) | no estimate extracted | 1 study · 42 participants | Low Downgraded: risk of bias |
Anxiety CBT vs TRT (directive counselling and bilateral masking) | no estimate extracted | 1 study · 42 participants | Low Downgraded: risk of bias |
Health‐related quality of life CBT vs TRT (directive counselling and bilateral masking) | no estimate extracted | 1 study · 42 participants | Low Downgraded: risk of bias |
Negatively biased interpretations of tinnitus CBT vs TRT (directive counselling and bilateral masking) | no estimate extracted | 1 study · 42 participants | Low Downgraded: risk of bias |
Other adverse effects CBT vs TRT (directive counselling and bilateral masking) | no estimate extracted | 1 study · 42 participants | Low Downgraded: risk of bias |
CBT compared to other experimental control for tinnitus
Population: adults with tinnitus
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Outcomes at end of treatment CBT vs other experimental control | no estimate extracted | NR | No studies |
Impact of tinnitus on quality of life at end of treatment CBT vs other experimental control | no estimate extracted | 12 studies · 966 participants | Low Downgraded: risk of bias, inconsistency |
Serious adverse effects CBT vs other experimental control | RR 1.7 [0.16, 18.36] | 6 studies · 595 participants | Low Downgraded: risk of bias, imprecision |
Depression at end of treatment CBT vs other experimental control | no estimate extracted | 11 studies · 943 participants | Low Downgraded: risk of bias, imprecision |
Anxiety at end of treatment CBT vs other experimental control | no estimate extracted | 9 studies · 696 participants | Low Downgraded: risk of bias, inconsistency |
Health‐related quality of life at end of treatment CBT vs other experimental control | no estimate extracted | 1 study · 95 participants | Very low Downgraded: risk of bias, imprecision |
Negatively biased interpretations of tinnitus at end of treatment CBT vs other experimental control | no estimate extracted | 5 studies · 455 participants | Moderate Downgraded: risk of bias |
Other adverse effects CBT vs other experimental control | no estimate extracted | 6 studies · 595 participants | Low Downgraded: risk of bias, imprecision |