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What are the most effective treatments for chronic tinnitus based on current research? 

Visual analogue scale
Annoyance
Tinnitus
Hyperacusis
Hospital Anxiety and Depression Scale
Best insight from top research papers

Based on current research, the most effective treatments for chronic tinnitus include Repetitive Transcranial Magnetic Stimulation (rTMS) , Cognitive Behavioral Therapy (CBT) , and Personalized and Customized Music Therapy . rTMS has shown efficacy in reducing tinnitus severity and associated conditions, although unresolved issues exist regarding optimal protocols. CBT, provided by trained psychologists, helps challenge negative thoughts and behaviors related to tinnitus, improving quality of life. Personalized music therapy, with a comprehensive follow-up system, has demonstrated effectiveness in reducing tinnitus severity, anxiety, and depression levels. Additionally, internet-based CBT programs have shown promise in managing tinnitus and reducing anxiety and depression symptoms . Further large-scale trials are needed to determine the most effective protocols for these treatments.

Answers from top 5 papers

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Papers (5)Insight
Open access•Journal Article•DOI
The Effectiveness of Unguided Internet-Based Cognitive Behavioral Therapy for Tinnitus for Patients with Tinnitus Alone or Combined with Hyperacusis and/or Misophonia: A Preliminary Analysis.
Hashir Aazh, Ali A. Danesh, Brian C. J. Moore 
05 May 2023-Journal of The American Academy of Audiology
Not addressed in the paper.
Open access•Journal Article•DOI
Efficacy and factors influencing outcomes of customized music therapy combined with a follow-up system in chronic tinnitus patients
Yue-feng Liu, J. Hu, Zhao Han 
24 Apr 2023
Personalized and customized music therapy with a comprehensive follow-up system has shown efficacy in treating chronic tinnitus, reducing symptoms, anxiety, and depression levels in patients.
Open access•Journal Article•DOI
An Update on Cognitive Behavioural Therapy (CBT) in the treatment of tinnitus
G. Z. C. Drahaman, Akram M. P. Drahaman, M. T. D. Lakshan, Montserrat Borràs Perera 
15 Mar 2023-Ceylon Journal of Otolaryngology
Cognitive Behavioral Therapy (CBT) is a well-documented and validated treatment for chronic tinnitus, offering significant benefits in managing distress related to tinnitus and improving quality of life.
Open access•Journal Article•DOI
Cognitive Behavioral Group Therapy for Chronic Tinnitus in a German Tertiary Clinical Real-World Setting
Martin Schecklmann, F. C. Weber, Astrid Lehner, Berthold Langguth, Stefan Schoisswohl 
01 Mar 2023-International Journal of Environmental Research and Public Health
1 Citations
Cognitive Behavioral Therapy (CBT) is the most effective treatment for chronic tinnitus, showing significant distress reduction and symptom improvement in real-world settings, as supported by current research.
Journal Article•DOI
Unresolved Issues Associated with Transcranial Magnetic Stimulation (TMS) Treatment of Chronic Tinnitus
Robert L. Folmer
12 Jul 2023-Stomatology
Not addressed in the paper.

Related Questions

How to reverse tinnitus?4 answersTo potentially reverse tinnitus, a method called reverse correlation has shown promise. This technique involves reconstructing tinnitus-like sounds by regressing subject responses on auditory stimuli, accurately capturing non-tonal tinnitus sounds in normal-hearing individuals. Additionally, in a rodent model for noise-induced tinnitus, pairing tones with vagus nerve stimulation has been found to sharpen auditory neuron tuning, correcting perceptual impairments associated with tinnitus. This approach reverses neural plasticity induced by tinnitus, eliminating physiological and behavioral signs of the condition, suggesting that restoring normal neural activity to pathologically modified circuits could benefit conditions involving aberrant neural plasticity. These findings highlight potential strategies for addressing tinnitus by targeting neural plasticity and reconstructing tinnitus-like sounds for better understanding and treatment.
What is the most efficient wat treat tinnitus?5 answersPersonalized and customized music therapy has shown promising results in treating tinnitus efficiently. Studies have indicated that this therapy, when combined with a well-designed follow-up system, led to a significant reduction in Tinnitus Handicap Inventory (THI) and Visual Analogue Scale (VAS) scores. Additionally, music therapy has been found to reduce anxiety and depression levels in tinnitus patients, further enhancing its effectiveness. Integrative treatments like combining music therapy with cognitive-behavioral therapy (CBT) have also shown positive outcomes, improving tinnitus symptoms on both behavioral and neural levels. Moreover, the use of sound therapy, such as Enriched Acoustic Environment, tailored to individual patients' hearing profiles has been proposed as an optimal sound treatment for tinnitus management. These findings collectively suggest that personalized music therapy, combined with cognitive-behavioral approaches and tailored sound stimuli, can be highly efficient in treating tinnitus.
What are the current evidence-based practices for cognitive-behavioral therapy (CBT) in treating tinnitus?5 answersCurrent evidence-based practices for cognitive-behavioral therapy (CBT) in treating tinnitus involve various approaches. Studies highlight the effectiveness of CBT in reducing tinnitus-related distress. Real-world data from tinnitus treatment centers support the efficacy of CBT, showing clinically relevant improvements in distress levels. Additionally, internet-delivered CBT has been found to be effective in reducing tinnitus-induced distress, with promising results in alleviating tinnitus-related problems and symptoms of anxiety and depression. It is recommended to involve trained psychologists specialized in tinnitus management when implementing CBT for tinnitus patients. Overall, CBT, whether delivered face-to-face or via the internet, plays a crucial role in managing tinnitus distress and improving the quality of life for individuals suffering from this condition.
What are treatment for tinnitus?4 answersTreatment options for tinnitus include Cognitive Behavioural Therapy (CBT), pharmacologic treatments, counseling, cognitive behavioral therapies, tinnitus retraining therapy, and auditory system input such as hearing aids and cochlear implants. CBT is a well-documented, safe, and validated treatment for tinnitus that involves challenging negative thoughts and reducing emotional reactions. Pharmacologic treatments for tinnitus depend on various mechanisms and include medications such as anxiolytics, anticonvulsants, antidepressants, and N-methyl-D-aspartate antagonists. Other treatment options include binaural sound therapy (BST) and music therapy (MT), which aim to stimulate the auditory pathway and reverse neuroplasticity related to tinnitus. It is important to note that no medication has been specifically approved by the US Food and Drug Administration for the treatment of tinnitus. Further research is needed to understand the mechanisms of tinnitus and improve treatment options.
Will there ever be a cure for tinnitus?5 answersThere is currently no cure for tinnitus, and the available treatment options are limited. Most interventions aim to reduce the impact of tinnitus on quality of life and psychological distress, rather than specifically addressing the perception of tinnitus loudness. The lack of consensus and high-level evidence about treatment approaches has hindered progress in finding a cure. The neural correlate of tinnitus is still not well understood, which hampers the optimization of therapeutic protocols. Pharmacological interventions have been investigated, but no drugs have been universally effective in eliminating tinnitus. Herbal medicines, such as Ginkgo biloba, have been used for tinnitus treatment, but the evidence from randomized controlled trials is of insufficient quality and conflicting. Despite these challenges, there is a clear and urgent need for safe and effective pharmacotherapy for tinnitus.
What is the evidence that acamprosate is effective for tinnitus?5 answersThere is conflicting evidence regarding the effectiveness of acamprosate for tinnitus treatment. Two studies found no significant difference between acamprosate and placebo in improving tinnitus symptoms. However, another study reported that acamprosate showed a statistically significant improvement in reducing tinnitus severity compared to placebo. Acamprosate is a glutamate antagonist and GABA agonist, which may contribute to its potential effectiveness in treating tinnitus. Further research is needed to determine the true efficacy of acamprosate for tinnitus, with rigorous methodology, randomization, blinding, and adherence to reporting guidelines such as the CONSORT statement.

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