Meta-analysis Update on Cognitive Behavioral Therapy for Tinnitus

Abstract Tinnitus is a common disease, its pathogenesis and etiology are very complex, and the exact cause of the disease has not yet been determined. However, there are still difficulties in the treatment of tinnitus. This meta-analysis was conducted to evaluate the effectiveness of cognitive behavioral therapy in the treatment of patients in otolaryngology-head and neck surgery with tinnitus. The study was registered on the PROSPERO website (registration number: CRD42024496003). Of the 211 articles reviewed, 26 high-quality studies were included, and 7 articles were supplemented from previous meta-analyses. These studies focused on cognitive behavioral therapy for the treatment of Tinnitus Questionnaire (TQ), Tinnitus Handicap Inventory (THI), Hospital Anxiety Depression Scale (HADS, A-anxiety, D-depression), Insomnia Severity Index (ISI), Tinnitus Reaction Questionnaire (TRQ), and Visual Analogue Scale (VAS) in patients with tinnitus. Compared with other treatments, patients with tinnitus received cognitive behavioral therapy and had significantly lower TQ, THI, HADS, ISI, TRQ, and VAS scores. In the review of the conclusions: cognitive behavioral therapy is expected to reduce the auditory psychological indicators of tinnitus, reduce the impact of tinnitus on patients' lives, improve the anxiety and depression state of tinnitus patients, and improve the sleep state of tinnitus patients. These findings suggest that cognitive behavioral therapy is an effective treatment to improve tinnitus symptoms, and that cognitive behavioral therapy can significantly improve the anxiety and depression state and sleep state of patients with tinnitus, and cognitive behavioral therapy may improve the symptoms of tinnitus from a psychological perspective by improving the anxiety and depression state and sleep state of patients. Research data supporting this publication are available from the NN repository at located at https://www.crd.york.ac.uk/PROSPERO/recorddashboard . The meta-analysis process was documented in the supplementary documents.