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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…