The Association Between Effectiveness of Tinnitus Intervention and Cognitive Function—A Systematic Review
Author
Lan, Tianxiang
Cao, Zuwei
Zhao, Fei
Perham, Nick
Date
2021-01-06Acceptance date
2020-11-27
Type
Article
Publisher
Frontiers Media
ISSN
1664-1078
Metadata
Show full item recordAbstract
Tinnitus refers to the perception of sound in the absence of an external stimulus. This can be problematic and can lead to health problems in some sufferers, including effects on cognitive functions such as attention and memory. Although several studies have examined the effectiveness of tinnitus interventions, e.g., cognitive behavioral therapy and sound therapy, it is still unclear as to the overall quality and limitations of these studies and whether their results could be generalized. Clarification is also needed as to whether poor cognitive function will lead to a less favorable intervention outcome in tinnitus patients. The present systematic review was therefore designed to critically appraise and synthesize findings from randomized controlled trials (RCTs) of tinnitus intervention and its effects on cognition. The methodology followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA). Medline (PubMed), Embase, and PsycINFO were searched. Only RCTs that compared the effectiveness of a tinnitus intervention and a measure of cognitive function in adult participants with tinnitus were included. A total of 8 studies involving 610 participants tested using 11 cognitive function assessment tools (e.g., Stroop Color and Word Test and Visual Continuous Performance Task) and 5 tinnitus intervention outcome measurements (e.g., Tinnitus Handicap Inventory and Tinnitus Questionnaire) were included and analyzed. The outcomes of the review suggest that tinnitus intervention not only facilitates tinnitus management but also improves cognitive functions. It is likely that cognition and emotion play an important role in a patient's adjustment to tinnitus. Whether cognition can predict treatment outcomes is unclear due to insufficient evidence. Future research is needed using a standardized assessment protocol focusing on the effect of sound-based interventions on tinnitus severity and cognitive functions. Studies on whether cognitive function measurement can be used as a predictor for the effectiveness of tinnitus therapy are also needed.
Journal/conference proceeding
Frontiers in Psychology;
Citation
Lan, T., Cao, Z., Zhao, F. and Perham, N. (2021) 'The Association between Effectiveness of Tinnitus Intervention and Cognitive Function–A Systematic Review', Frontiers in Psychology, 11, p.3645. https://doi.org/10.3389/fpsyg.2020.553449
Description
Article published in Frontiers in Psychology available open access at https://doi.org/10.3389/fpsyg.2020.553449
Sponsorship
Cardiff Metropolitan University (Grant ID: Cardiff Metropolian (Internal))
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