Tinnitus: A Multidisciplinary Approach provides a broad account of tinnitus and hyperacusis, detailing the latest research and developments in clinical management, incorporating insights from audiology, otology, psychology, psychiatry and auditory neuroscience. It promotes a collaborative approach to treatment that will benefit patients and clinicians alike. The 2nd edition has been thoroughly updated and revised in line with the very latest developments in the field. The book contains 40% new material including two brand new chapters on neurophysiological models of tinnitus and emerging treatments; and the addition of a glossary as well as appendices detailing treatment protocols for use in an audiology and psychology context respectively.

motw/Tinnitus_ A Multidisciplinary Approach - David Baguley.pdf

Baguley, David; Andersson, Gerhard; McFerran, Don; McKenna, Laurence

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Wiley & Sons, Incorporated, John

John Wiley & Sons, Incorporated

John Wiley & Sons, Ltd

Second edition, Chichester, West Sussex, UK, 2013

2nd ed, Chichester, West Sussex, UK, 2013

United States, United States of America

2nd ed, Somerset, 2012

2, 2012-12-06

producers:
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Memory of the World Librarian: Quintus

Dedication
2
Title Page
3
Copyright
4
Contents 5
Foreword 7
Preface 9
Chapter 1: Introduction 10
Definitions 10
Historical aspects 12
Chapter 2: Prevalence and natural history 16
Is tinnitus a universal phenomenon? 16
Prevalence studies 17
Incidence 21
Prevalence of tinnitus in childhood 22
Tinnitus in older adults 22
Other risk factors 23
Longitudinal studies 25
Localization of tinnitus 25
Seeking help 26
Chapter 3: Anatomy and physiology 27
Anatomy of the ear 27
Outer ear 27
Tympanic membrane 28
Middle ear 28
Cochlea 29
Spiral ganglion 32
Internal auditory canal and cerebellopontine angle 32
Central auditory anatomy 32
Cochlear nucleus 33
Inferior colliculus 34
Medial geniculate body 34
Auditory and associative cortices 34
Descending auditory pathways 35
Superior olivary complex and medial olivo-cochlear bundle 35
Interactions with other systems 35
Plasticity 36
Habituation 36
Chapter 4: Mechanisms of tinnitus 38
Tinnitus and the ear 38
Tinnitus mechanisms associated with the outer and middle ear 39
Tinnitus mechanisms associated with the cochlea 39
Discordant damage of inner and outer hair cells 39
Discordant damage in normal hearing 40
Discordant damage in profound hearing loss 41
Otoacoustic emissions 41
Calcium 41
Neurotransmitters and their receptors 43
Alpha-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid receptors 43
N-methyl- 43
aspartate receptors 43
Tinnitus and the brain 44
Abnormal synchrony 45
Modified cortical tonotopic frequency maps 46
Medial efferent system 48
Somatic modulation 48
Analogies with pain 49
Gaze evoked tinnitus 49
Ephaptic coupling 49
Stochastic resonance 50
5HT 50
Auditory?limbic interactions 50
Chapter 5: Medical models of tinnitus 52
Drug-induced tinnitus 52
Otosclerosis 54
Other forms of conductive hearing loss 56
Ménière’s disease 57
Vestibular schwannomas and other cerebellopontine angle lesions 60
Pulsatile tinnitus 63
Vascular loops 66
Superior semicircular canal dehiscence 67
Myoclonus and allied conditions 68
Middle ear myoclonus 68
Palatal tremor palatal myoclonus 69
Tonic tensor tympani syndrome 70
Patulous Eustachian tube 70
Spontaneous otoacoustic emissions 71
Temporomandibular disorder and tinnitus 72
Unilateral sudden sensorineural hearing loss 73
Chapter 6: Objective correlates of tinnitus 76
Reaction time 76
Evoked response audiometry 77
Auditory brainstem responses 77
Cortical evoked potentials 78
Positron emission tomography and related methods 79
fMRI 85
Studies on anatomical differences associated with tinnitus 86
Measures of neural activity associated with tinnitus 87
Integrating the findings and future directions 87
Chapter 6: Consequences and moderating factors 90
Tinnitus and thinking 91
The thought content of tinnitus patients 91
The efficiency of tinnitus patients’ thoughts 91
Psychological state 93
Tinnitus and anxiety and depression 93
Tinnitus and suicide 95
Psychological state as a trigger for tinnitus 96
Personality and coping style 98
Arousal level 101
Increased arousal as a trigger for tinnitus 102
Selective attention 102
Sleep 104
Family relationships 106
Work 107
Gender 107
Other somatic symptoms 108
Hearing impairment 108
Smoking, alcohol and caffeine 109
Environment 110
Chapter 8: Psychological models of tinnitus 111
Introduction 111
Behavioural theories 111
Cognitive theories 113
Acceptance-based theory 115
Emotion-based theory 116
Cognitive-affective links: the changing state theory 116
Moderators and mediators 117
Chapter 9: The Jastreboff neurophysiological model 119
Chapter 10: How tinnitus is perceived and measured 123
Sound quality 123
Pitch 125
Loudness 126
Maskability 128
Effects of masking 130
Chapter 11: Self-report and interview measures of tinnitus severity and impact 131
Structured interviews 133
Tinnitus self-report measures 134
Visual analogue scales 134
Tinnitus-specific questionnaires 135
Open-ended approaches 138
Other useful self-report instruments 139
Discussion 140
Chapter 12: Hyperacusis 142
Definitions and related constructs 142
Prevalence 145
Measurements of hyperacusis 148
Causes and mechanisms 149
Mechanisms 151
Treatment 154
Chapter 13: Traditional treatments 157
Surgical treatment 157
Destructive operations 157
Decompressive operations 158
Pharmacological 158
Local anaesthetics 159
Psychoactive drugs 160
Tricyclic antidepressants 161
Selective serotonin reuptake inhibitors SSRIs 161
Neurokinin antagonists 161
Benzodiazepines 162
Antipsychotic drugs 162
Antispasmodics 162
Neuropathic pain drugs 162
Glutamate antagonists 163
Acamprosate 163
Antiepileptics 164
Drugs acting on dopamine receptors 164
Melatonin 164
Drugs affecting the circulation 165
Vasodilators 165
Diuretics 165
Anticoagulants 166
Prostaglandins 166
Botox 166
Intratympanic drugs 166
Otoprotective agents 167
Sound therapy for tinnitus 168
Hearing aids 170
Electrical stimulation and cochlear implants 170
Biofeedback 172
Relaxation training therapy 173
Hypnotherapy 174
Psychodynamic and supportive therapy 174
Individual or group care? 175
Chapter 14: Tinnitus retraining therapy 177
Clinical protocol of tinnitus retraining therapy 178
Criticism of tinnitus retraining therapy 181
Evidence of efficacy 182
Chapter 15: A cognitive behavioural treatment programme 184
The cognitive behavioural treatment model and its rationale 184
Psychological assessment 186
Applied relaxation 186
Distraction and focusing 187
Sound enrichment 188
Sleep management 188
Hearing tactics 189
Cognitive therapy 190
Relapse prevention 190
Self-help and use of the Internet 191
Evidence base for cognitive behaviour therapy 194
The third wave of behaviour therapy 196
Who should provide cognitive behaviour therapy? 198
Chapter 16: Emerging treatment approaches 200
Transcranial magnetic stimulation 200
Direct brain stimulation 202
Other brain stimulation 203
Phase shift 205
Laser therapy 206
Coordinated reset stimulation 206
Other sound-based emergent approaches 207
Acceptance-based treatments 207
Chapter 17: Complementary medicine approaches to tinnitus 209
Homeopathic remedies 210
Acupuncture 210
Ginkgo biloba 211
Other CAM approaches to tinnitus 213
Dietary supplements 214
Stimulation of the ear 215
Ear candles 215
Chapter 18: Tinnitus and hyperacusis in childhood and adolescence 217
Prevalence and incidence of childhood tinnitus 217
Tinnitus in the general paediatric population and among children with normal hearing 218
Tinnitus in children with hearing impairment 218
Prevalence of childhood hyperacusis 219
Impact of tinnitus 219
Associated conditions 220
Management 221
Chapter 19: Special populations 224
Acoustic shock 224
Single-sided deafness 226
Low-frequency noise complaint 227
Musical hallucination 228
Armed forces and combat veterans 228
Functional tinnitus 229
Chapter 20: A multidisciplinary synthesis 230
Appendix 1: A treatment protocol for use in primary care, audiology and otolaryngology 234
Primary care 234
Secondary care 236
Patients presenting with tinnitus as an incidental symptom 236
Patients presenting with tinnitus as the main problem 237
Tertiary care 242
Frequent questions 243
Suicide 243
Flying 243
Prescription drugs 243
Recreational drugs 244
Complementary and alternative medicine 244
Recreational noise 244
Using the Internet and other media 244
Diet and supplements 244
Appendix 2: Cognitive behaviour therapy 246
Education 246
Relaxation training 246
The cognitive component 247
References 251
Index 310

"Tinnitus: A Multidisciplinary Approach" provides a broad account of tinnitus and hyperacusis, detailing the latest research and developments in clinical management, incorporating insights from audiology, otology, psychology, psychiatry and auditory neuroscience. It promotes a collaborative approach to treatment that will benefit patients and clinicians alike.The second edition has been thoroughly updated and revised in line with the very latest developments in the field and contains new material including three new chapters on tinnitus and hyperacusis in childhood, emerging treatments and special populations. It also offers the addition of appendices detailing treatment protocols for use in an audiology and psychology context respectively.Tinnitus provides the core information required by both audiology students and practitioners, and is a valuable reference for otologists, psychologists, psychiatrists and counselors.- Updated and revised edition with 40% new material- Focus on a collaborative approach to treatment- Internationally renowned team of authors

<p>Tinnitus: A Multidisciplinary Approach provides a broad account of tinnitus and hyperacusis, detailing the latest research and developments in clinical management, incorporating insights from audiology, otology, psychology, psychiatry and auditory neuroscience. It promotes a collaborative approach to treatment that will benefit patients and clinicians alike.<br></p><p>The 2nd edition has been thoroughly updated and revised in line with the very latest developments in the field. The book contains 40% new material including two brand new chapters on neurophysiological models of tinnitus and emerging treatments; and the addition of a glossary as well as appendices detailing treatment protocols for use in an audiology and psychology context respectively.<br></p>

2025-10-27