Skip to main content
Log in

Group cognitive therapy for medical patients: An application to tinnitus

  • Published:
Cognitive Therapy and Research Aims and scope Submit manuscript

Abstract

Patients distressed by tinnitus were randomly allocated to one of five treatments: aural masker, placebo masker, waiting list, group cognitive therapy (GCT), or GCT plus masker. At followup, only patients receiving GCT (with or without a masker) were significantly improved over baseline on a tinnitus distress questionnaire. Irrational beliefs about tinnitus were modified in the baseline period only in patients receiving an explanatory booklet about cognitive therapy. These beliefs continued to change from baseline to followup only in GCT. Measures of general affective state changed little and not to a significantly greater extent in GCT than in other conditions. Overall results indicate a specific effect of GCT on tinnitus distress, not observed in alternative treatments.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979).Cognitive therapy of depression. New York: Guilford Press.

    Google Scholar 

  • Crown, S., & Crisp, A. H. (1979).Manual of the Crown Crisp Experiential Index. London, England: Hodder & Stoughton.

    Google Scholar 

  • Erlandsson, S., Ringdahl, A., Hutchins, T., & Carlsson, S. G. (1987). Treatment of tinnitus: A controlled comparison of masking and placebo.British Journal of Audiology, 21 37–44.

    PubMed  Google Scholar 

  • Hallam, R. S. (1987). Psychological approaches to the evaluation and management of tinnitus distress. In J. W. P. Hazell (Ed.),Tinnitus (pp. 156–175). Edinburgh, Scotland: Churchill Livingstone.

    Google Scholar 

  • Hallam, R. S., & Jakes, S. C. (1985). Tinnitus: Differential effects of therapy in a single case.Behaviour Research and Therapy, 23 691–695.

    PubMed  Google Scholar 

  • Hallam, R. S., & Jakes, S. C. (1987). An evaluation of relaxation training in chronic tinnitus sufferers. In H. Feldmann (Ed.),Proceedings of III international tinnitus seminar, Munster, 1987 (pp. 363–365). Karlsruhe, Germany: Harsch Verlage.

    Google Scholar 

  • Hallam, R. S., Jakes, S. C., & Hinchcliffe, R. (1988). Cognitive variables in tinnitus annoyance.British Journal of Clinical Psychology, 27 213–222.

    PubMed  Google Scholar 

  • Hallam, R. S., Rachman, S., & Hinchcliffe, R. (1984). Psychological aspects of tinnitus. In S. Rachman (Ed.),Medical psychology (Vol. 3, pp. 31–54). Oxford, England: Pergamon Press.

    Google Scholar 

  • Haralambous, G., Wilson, P. H., Platt-Hepworth, S., Tonkin, J. P., Hensley, V. R., & Kavanagh, D. (1987). EMG biofeedback in the treatment of tinnitus: An experimental evaluation.Behaviour Research and Therapy, 25 49–55.

    PubMed  Google Scholar 

  • Harrop-Griffiths, J., Katon, W., Dobie, R., Sakai, C., & Russo, J. (1987). Chronic tinnitus: Association with psychiatric diagnoses.Journal of Psychosomatic Research, 31 613–621.

    PubMed  Google Scholar 

  • Hazell, J. W. P. (1987). Masking therapy. In J. W. P. Hazell (Ed.),Tinnitus (pp. 96–117). Edinburgh, Scotland: Churchill Livingstone.

    Google Scholar 

  • Jakes, S. C., Hallam, R. S., Rachman, S., & Hinchcliffe, R. (1986). The effects of reassurance, relaxation training and distraction on chronic tinnitus sufferers.Behaviour Research and Therapy, 24 497–507.

    PubMed  Google Scholar 

  • Kirsch, C. A., Blanchard, E. B., & Parnes, S. M. (1989). A review of the efficacy of behavioral techniques in the treatment of subjective tinnitus.Annals of Behavioral Medicine, 11 58–65.

    Google Scholar 

  • McKenna, L., Hallam, R. S., & Hinchcliffe, R. (1991). The prevalence of psychological disturbance in neuro-otology outpatients.Clinical Otolaryngology, 16 452–456.

    PubMed  Google Scholar 

  • Sank, L. I., & Shaffer, C. S. (1984).A therapist's manual for cognitive behavior therapy in groups. New York: Plenum Press.

    Google Scholar 

  • Shulman, A., & Goldstein, B. (1987). Tinnitus masking — a longitudinal study of efficacy. Diagnosis and treatment, 1977–1986. In H. Feldmann (Ed.),Proceedings of III international tinnitus seminar, Munster, 1987 (pp. 251–256). Karlsruhe, Germany: Harsch Verlage.

    Google Scholar 

  • Stephens, S. D. G., & Corcoran, H. (1985). A controlled study of tinnitus masking.British Journal of Audiology, 19 159–167.

    PubMed  Google Scholar 

  • Stephens, S. D. G., & Hallam, R. S. (1985). The Crown-Crisp Experiential Index in patients complaining of tinnitus.British Journal of Audiology, 19 151–158.

    PubMed  Google Scholar 

  • Sweetow, R. W. (1984). Cognitive behavioural modification in tinnitus management.Hearing Instruments, 35 14–18.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Additional information

We gratefully acknowledge the support of the Locally Organised Research Scheme in funding this research.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Jakes, S.C., Hallam, R.S., McKenna, L. et al. Group cognitive therapy for medical patients: An application to tinnitus. Cogn Ther Res 16, 67–82 (1992). https://doi.org/10.1007/BF01172957

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01172957

Key words

Navigation