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

Ffion Curtis
,
Despina Laparidou
,
Christopher Bridle
,
Graham R. Law
,
Simon J. Durrant
,
Alina Rodriguez

Research Output: Contribution to journal Article Peer-review

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database search (MEDLINE, CINAHL, Web of Science, CENTRAL, ClinicalTrials.gov and PROSPERO) for published, unpublished and ongoing randomised controlled trials of CBT in adults with tinnitus.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.

Publication Information

Output type

Research Output: Contribution to journal Article Peer-review

Original language

English

Journal (Volume, Issue Number)

Sleep Medicine Reviews (Volume 56, Issue 101405)

Publication milestones

Accepted/In press - 28/07/2020
Published - 01/12/2020

Publication status

Published - 01/12/2020

ISSN

1087-0792

External Publication IDs

handle.net: 10547/624727
Scopus: 85098144167

Access to documents

10.1016/j.smrv.2020.101405

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