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

Curtis, Ffion, Laparidou, Despina, Bridle, Chris ORCID: 0000-0003-3986-6680, Law, Graham R., Durrant, Simon, Rodriguez, Alina, Pierzycki, Robert H. and Siriwardena, Aloysius N. (2021) Effects of cognitive behavioural therapy on insomnia in adults with tinnitus: Systematic review and meta-analysis of randomised controlled trials. Sleep Medicine Reviews, 56. Art 101405. doi:10.1016/j.smrv.2020.101405

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database search (MEDLINE, CINAHL, Web of Science, CENTRAL, ClinicalTrials.gov and PROSPERO) for published, unpublished and ongoing randomised controlled trials of CBT in adults with tinnitus.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

Item Type:	Article
Article Type:	Article
Uncontrolled Keywords:	Insomnia; Cognitive behaviour therapy; Tinnitus
Divisions:	Schools and Research Institutes > School of Health and Social Care
Research Priority Areas:	Health, Life Sciences, Sport and Wellbeing
Depositing User:	Susan Turner
Date Deposited:	29 Apr 2024 12:47
Last Modified:	29 Apr 2024 12:47
URI:	https://eprints.glos.ac.uk/id/eprint/14021

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