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Year 2024
Abstract Purpose: Cognitive behavioral therapy (CBT) is a key intervention for management of misophonia, hyperacusis, and tinnitus. The aim of this study was to perform a preliminary analysis comparing the scores for self-report questionnaires before and after audiologist-delivered CBT via video calls for adults with misophonia, hyperacusis, or tinnitus or a combination of these. Method: This was a retrospective cross-sectional study. The data for 37 consecutive patients who received CBT for misophonia, hyperacusis, or tinnitus from a private institute in the United Kingdom were analyzed. Self-report questionnaires taken as part of routine care were as follows: 4C Questionnaires for tinnitus, hyperacusis, and misophonia (4C-T, 4C-H, and 4C-M, respectively), Tinnitus Impact Questionnaire (TIQ), Hyperacusis Impact Questionnaire (HIQ), Misophonia Impact Questionnaire (MIQ), Sound Sensitivity Symptoms Questionnaire (SSSQ), and Screening for Anxiety and Depression in Tinnitus (SAD-T). Responses were also obtained to other questionnaires related to tinnitus, hyperacusis, insomnia, and anxiety and mood disorders. A linear mixed-model method was used to assess the changes in response to the questionnaires pretreatment and posttreatment. Results: Pretreatment–posttreatment comparisons showed that scores for the 4C-T, 4C-H, 4C-M, TIQ, HIQ, MIQ, SSSQ, and SAD-T improved, with effect sizes of 1.4, 1.2, 1.3, 2.6, 0.9, 0.7, 0.9, and 1.4, respectively (all p < .05). Conclusions: This preliminary analysis suggests that CBT via video calls may be effective in reducing the impact of misophonia, hyperacusis, and tinnitus. However, this study did not have a control group, so its results need to be interpreted with caution.
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  • (Aazh et al., 2024)
Import Date 06-27-2024
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Dv Relevance • describes a clinical examination of the effectiveness of tele health CBT on treatment of Misophonia and related disorders. • mildly interesting but not too much for me to pull for my personal research. a good source to go to if looking into/talking about CBT in misophonia.
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A Preliminary Analysis of the Clinical Effectiveness of Audiologist-Delivered Cognitive Behavioral Therapy Delivered via Video Calls for Rehabilitation of Misophonia, Hyperacusis, and Tinnitus

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Abstract
Background/Purpose Background-
- Cognitive Behavioral Therapy (CBT) is a key intervention for managing misophonia, hyperacusis, and tinnitus.
- Misophonia: Reduced tolerance to specific sounds, leading to social limitations, functional impairment, and poorer quality of life. Estimated prevalence in the UK is 18%.
- Hyperacusis: Perception of everyday sounds as too loud or painful, causing significant distress and impairment. Prevalence varies from less than 1% to 17%.
- Tinnitus: Perception of sound without external stimuli, leading to emotional distress, cognitive dysfunction, and functional disability. Prevalence in adults is about 14%.
- Existing research supports the efficacy of face-to-face CBT for these conditions, but the effectiveness of CBT delivered via video calls by audiologists has not been reported.

Purpose-
- To perform a preliminary analysis comparing self-report questionnaire scores before and after audiologists delivered CBT via video calls for adults with misophonia, hyperacusis, or tinnitus.
Participants/samples - Total number of participants: 37 consecutive patients.
- Demographic info: Not specified.
- Inclusion/exclusion criteria: Patients receiving CBT for misophonia, hyperacusis, or tinnitus from a private institute in the UK.
Measures - Self-report questionnaires: 4C questionnaires for tinnitus, hyperacusis, and misophonia; tinnitus impact questionnaire; hyperacusis impact questionnaire; misophonia impact questionnaire; sound sensitivity symptoms questionnaire; screening for anxiety and depression in tinnitus.
- Additional questionnaires: Related to tinnitus, hyperacusis, insomnia, anxiety, and mood disorders.
Procedures - Retrospective cross-sectional study.
- Linear mixed model method used to assess changes in questionnaire responses pre-treatment and post-treatment.
Results - Pretreatment vs. post-treatment comparisons showed improvement in scores for:
- 4C-T (effect size: 1.4)
- 4C-H (effect size: 1.2)
- 4C-M (effect size: 1.3)
- T-Q (effect size: 2.6)
- HEAT-MIQ (effect size: 0.9)
- SSS-Q (effect size: 0.7)
- SAD-T (effect size: 1.4)
- Improvements in sleep disturbances, anxiety, and mood disorders with medium to large effect sizes.
Discussion/Limits Conclusion-
- CBT via video calls may be effective in reducing the impact of misophonia, hyperacusis, and tinnitus.
- Effective in reducing general anxiety and depression symptoms, but less effective for specific anxiety disorders like panic disorder, health anxiety, social phobia, and OCD.
- Larger effect sizes observed in this study compared to previous face-to-face CBT studies, possibly due to methodological differences and more severe pretreatment scores.

Limitations-
- No control group, making it difficult to attribute improvements specifically to CBT.
- Retrospective design limited to data collected in routine clinical practice.
- Small sample size and exclusion of certain diagnostic groups.
- Some measures used were not validated.
future directions-
- Randomized controlled trials (RCTs) needed to more accurately assess the efficacy of audiologist-delivered CBT via video calls.
- Explore post-treatment support or interventions to further reduce the impact of these conditions.
- Larger cohorts required to assess changes in scores more robustly.
Relevance:: • describes a clinical examination of the effectiveness of tele health CBT on treatment of Misophonia and related disorders.
• mildly interesting but not too much for me to pull for my personal research. a good source to go to if looking into/talking about CBT in misophonia.

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