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Audiologist-Supported Internet-Based Cognitive Behavioral Therapy for Tinnitus in the United States: A Pilot Trial
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In: ETSU Faculty Works (2021)
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Dismantling Internet-Based Cognitive Behavioral Therapy for Tinnitus. The Contribution of Applied Relaxation: A Randomized Controlled Trial
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In: ETSU Faculty Works (2021)
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| 3 |
Use of Open-Ended Questionnaires to Examine the Effects of Tinnitus and Its Relation to Patient-Reported Outcome Measures
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In: ETSU Faculty Works (2021)
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Tinnitus and auditory cortex; Using adapted functional near- infrared- spectroscopy to expand brain imaging in humans
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Auditory and vestibular symptoms after COVID-19 infection: a preliminary Brazilian report
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In: Revista CEFAC, Vol 23, Iss 6 (2021) (2021)
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| 6 |
Tinnitus Does Not Interfere with Auditory and Speech Perception.
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In: The Journal of neuroscience : the official journal of the Society for Neuroscience, vol 40, iss 31 (2020)
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Abstract:
Tinnitus is a sound heard by 15% of the general population in the absence of any external sound. Because external sounds can sometimes mask tinnitus, tinnitus is assumed to affect the perception of external sounds, leading to hypotheses such as "tinnitus filling in the temporal gap" in animal models and "tinnitus inducing hearing difficulty" in human subjects. Here we compared performance in temporal, spectral, intensive, masking and speech-in-noise perception tasks between 45 human listeners with chronic tinnitus (18 females and 27 males with a range of ages and degrees of hearing loss) and 27 young, normal-hearing listeners without tinnitus (11 females and 16 males). After controlling for age, hearing loss, and stimulus variables, we discovered that, contradictory to the widely held assumption, tinnitus does not interfere with the perception of external sounds in 32 of the 36 measures. We interpret the present result to reflect a bottom-up pathway for the external sound and a separate top-down pathway for tinnitus. We propose that these two perceptual pathways can be independently modulated by attention, which leads to the asymmetrical interaction between external and internal sounds, and several other puzzling tinnitus phenomena such as discrepancy in loudness between tinnitus rating and matching. The present results suggest not only a need for new theories involving attention and central noise in animal tinnitus models but also a shift in focus from treating tinnitus to managing its comorbid conditions when addressing complaints about hearing difficulty in individuals with tinnitus.SIGNIFICANCE STATEMENT Tinnitus, or ringing in the ears, is a neurologic disorder that affects 15% of the general population. Here we discovered an asymmetrical relationship between tinnitus and external sounds: although external sounds have been widely used to cover up tinnitus, tinnitus does not impair, and sometimes even improves, the perception of external sounds. This counterintuitive discovery contradicts the general belief held by scientists, clinicians, and even individuals with tinnitus themselves, who often report hearing difficulty, especially in noise. We attribute the counterintuitive discovery to two independent pathways: the bottom-up perception of external sounds and the top-down perception of tinnitus. Clinically, the present work suggests a shift in focus from treating tinnitus itself to treating its comorbid conditions and secondary effects.
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Keyword:
animal model; attention; auditory perception; Medical and Health Sciences; neural noise; Neurology & Neurosurgery; Psychology and Cognitive Sciences; speech recognition; tinnitus
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URL: https://escholarship.org/uc/item/5vm148kd
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| 7 |
Features, Functionality, and Acceptability of Internet-Based Cognitive Behavioral Therapy for Tinnitus in the United States
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In: ETSU Faculty Works (2020)
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| 8 |
What’s That Ringing in Your Ears?
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In: ETSU Faculty Works (2020)
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| 9 |
Internet-based Cognitive Behavioral Therapy (ICBT) for Tinnitus in the U.S
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In: ETSU Faculty Works (2020)
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| 10 |
Translation and Adaptation of Three English Tinnitus Patient-Reported Outcome Measures to Spanish
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In: ETSU Faculty Works (2020)
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| 11 |
The Case for Employing Elements of Tauma Counseling for Patients with Tinnitus
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In: ETSU Faculty Works (2020)
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| 12 |
The use of the Dangerous Decibels® program for refrigeration company workers and their children: an intergenerational pilot study
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In: Revista CEFAC, Vol 22, Iss 1 (2020) (2020)
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| 13 |
Development of an educational tool on tinnitus in a website format
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In: Revista CEFAC, Vol 22, Iss 6 (2020) (2020)
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| 14 |
Improving Accessibility of an Internet-Intervention for Tinnitus
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In: ETSU Faculty Works (2019)
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| 16 |
Readability Following Cultural and Linguistic Adaptations of an Internet-Based Intervention for Tinnitus for Use in the United States
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In: ETSU Faculty Works (2019)
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| 17 |
Aging and Central Auditory Disinhibition: Is It a Reflection of Homeostatic Downregulation or Metabolic Vulnerability?
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In: Brain Sciences ; Volume 9 ; Issue 12 (2019)
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| 18 |
A Cross-Sectional Questionnaire Study of Tinnitus Awareness and Impact in a Population of Adult Cochlear Implant Users.
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Recording of tinnitus psychoacoustic measurements: an integrative literature review
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In: Revista CEFAC, Vol 21, Iss 5 (2019) (2019)
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