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    Effects of cognitive behavioural therapy on insomnia in adults with tinnitus: systematic review and meta-analysis of randomised controlled trials

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    Authors
    Curtis, Ffion
    Laparidou, Despina
    Bridle, Christopher
    Law, Graham R.
    Durrant, Simon J.
    Rodriguez, Alina
    Pierzycki, Robert H.
    Siriwardena, Aloysius N.
    Affiliation
    University of Lincoln
    University of Bedfordshire
    Imperial College London
    NIHR Nottingham Biomedical Research Centre
    University of Nottingham
    Issue Date
    2020-12-01
    Subjects
    cognitive behaviour therapy
    insomnia
    tinnitus
    
    Metadata
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    Abstract
    Insomnia is common in patients with tinnitus and negatively affects tinnitus symptoms and quality of life. This systematic review aimed to synthesise evidence of the effectiveness of cognitive behavioural therapy (CBT) based interventions on insomnia in adults with tinnitus. We conducted a comprehensive database search (MEDLINE, CINAHL, Web of Science, CENTRAL, ClinicalTrials.gov and PROSPERO) for published, unpublished and ongoing randomised controlled trials of CBT in adults with tinnitus. Five trials met the inclusion criteria for the systematic review, with four of these providing data for the meta-analysis. This demonstrated a statistically significant reduction in Insomnia Severity Index (a standard diagnostic questionnaire of insomnia used in clinical settings) following CBT (−3.28, 95% CI -4.51, −2.05, P=<0.001). There was no evidence of statistical heterogeneity (I2 = 0%). Risk of bias was considered low in all categories except blinding of participants, personnel, and/or the assessment of outcomes. Here, for the first time, we demonstrate that CBT-based interventions can significantly improve sleep in adults with tinnitus.
    Citation
    Curtis F, Laparidou D, Bridle C, Law GR, Durrant S, Rodriguez A, Pierzycki RH, Siriwardena AN (2021) 'Effects of cognitive behavioural therapy on insomnia in adults with tinnitus: systematic review and meta-analysis of randomised controlled trials', Sleep Medicine Reviews, 56 (101405)
    Publisher
    Elsevier
    Journal
    Sleep Medicine Reviews
    URI
    http://hdl.handle.net/10547/624727
    DOI
    10.1016/j.smrv.2020.101405
    PubMed ID
    33360841
    Additional Links
    https://www.sciencedirect.com/science/article/pii/S1087079220301489?via%3Dihub
    Type
    Article
    Language
    en
    ISSN
    1087-0792
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.smrv.2020.101405
    Scopus Count
    Collections
    Psychology

    entitlement

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