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Tinnitus is common and potentially debilitating; treatment is not standardized and often is fragmented and poorly coordinated. Audiological therapies, such as habituation to an external sound generator, often are employed, and cognitive-behavioral therapy (CBT) has been proposed as a treatment. Neither approach has been evaluated rigorously.
Netherlands researchers surveyed audiological referral centers to define a “usual care” protocol that consisted primarily of audiological interventions, with an added social work component when indicated. They then randomized 492 patients with tinnitus to this usual-care protocol or to a multidisciplinary approach. In the latter approach, audiological interventions were enhanced with CBT-based educationa…