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New Hyperacusis Therapy Combines Psychoeducation, Sound Exposure, and Counseling.

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Title: New Hyperacusis Therapy Combines Psychoeducation, Sound Exposure, and Counseling.
Authors: Thieren, Sandrien1 CSET@pento.nl, van Dommelen, Paula2, Benard, Michel R.1
Source: American Journal of Audiology. Sep2024, Vol. 33 Issue 3, p613-623. 11p.
Subject Terms: *Auditory perception testing, *Psychoeducation, *Audiometry, *Pre-tests & post-tests, *Speech audiometry, *Cognitive therapy, *Counseling, *Comparative studies, Tinnitus treatment, Hyperacusis, Sound, T-test (Statistics), Sex distribution, Questionnaires, Evaluation of medical care, Descriptive statistics, Age distribution, Combined modality therapy, Data analysis software, Confidence intervals, Regression analysis, Impedance audiometry, Sensitivity & specificity (Statistics)
Geographic Terms: Netherlands
Abstract: Purpose: The aim of this study was to investigate the short- and long-term effects of a new cognitive sound exposure therapy (CSET) in patients with hyperacusis. Method: A new therapy was developed to reduce hyperacusis using sound exposure combined with breathing and relaxation strategies from both accep- tance and commitment therapy and cognitive behavioral therapy. Patients who were referred to the Speech and Hearing Centers located in Hengelo and Zwolle in the Netherlands and aged ≥ 18 years with hyperacusis as main complaint and no or mild hearing loss were included in this study. Patients were seen for CSET between June 2020 and August 2022. The sessions took place biweekly. Sessions ended when exposure reached a level with a maximum of 70--80 dB SPL. Short-term effects between the start and the end of therapy were based on tolerable level of sound exposure (dB SPL), subjective-level hinderance of hypera- cusis, and sensitivity to sound using the Hyperacusis Questionnaire (HQ). The long-term effect was based on HQ 6 months after the end of therapy. Linear mixed-effects and regression models were applied to study outcomes over time. Results: In total, 30 patients, 15 men and 15 women, aged between 24 and 76 years were included in this study. The mean number of sessions during ther- apy was 6 and ranged between 4 and 8. Results showed an increase of exposure level (mean change was +23.7 dB with an SD of 7.9, p< .001), a decrease in sensitivity to daily sounds (mean [SD] change was -1.6 [2.1], p<.001),anda decrease in HQ (mean [SD] change was -9.8 [4.9], p< .001), between the start and the end of therapy. There was no significant change in HQ after the end of therapy and 6 months later; mean (SD) change was 0.2 (4.3), p=.81. Conclusions: The evaluation of CSET indicated a decrease in short- and long- term sensitivity to sound in patients with hyperacusis. Additionally, CSET has shown a positive impact, not only for the sounds used in the therapy sessions but also in transferring benefits to everyday sounds. The results of combining psychoeducation, sound exposure, and counseling are promising and warrant further evaluation. [ABSTRACT FROM AUTHOR]
Copyright of American Journal of Audiology is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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  Data: New Hyperacusis Therapy Combines Psychoeducation, Sound Exposure, and Counseling.
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  Data: Purpose: The aim of this study was to investigate the short- and long-term effects of a new cognitive sound exposure therapy (CSET) in patients with hyperacusis. Method: A new therapy was developed to reduce hyperacusis using sound exposure combined with breathing and relaxation strategies from both accep- tance and commitment therapy and cognitive behavioral therapy. Patients who were referred to the Speech and Hearing Centers located in Hengelo and Zwolle in the Netherlands and aged ≥ 18 years with hyperacusis as main complaint and no or mild hearing loss were included in this study. Patients were seen for CSET between June 2020 and August 2022. The sessions took place biweekly. Sessions ended when exposure reached a level with a maximum of 70--80 dB SPL. Short-term effects between the start and the end of therapy were based on tolerable level of sound exposure (dB SPL), subjective-level hinderance of hypera- cusis, and sensitivity to sound using the Hyperacusis Questionnaire (HQ). The long-term effect was based on HQ 6 months after the end of therapy. Linear mixed-effects and regression models were applied to study outcomes over time. Results: In total, 30 patients, 15 men and 15 women, aged between 24 and 76 years were included in this study. The mean number of sessions during ther- apy was 6 and ranged between 4 and 8. Results showed an increase of exposure level (mean change was +23.7 dB with an SD of 7.9, p&lt; .001), a decrease in sensitivity to daily sounds (mean [SD] change was -1.6 [2.1], p&lt;.001),anda decrease in HQ (mean [SD] change was -9.8 [4.9], p&lt; .001), between the start and the end of therapy. There was no significant change in HQ after the end of therapy and 6 months later; mean (SD) change was 0.2 (4.3), p=.81. Conclusions: The evaluation of CSET indicated a decrease in short- and long- term sensitivity to sound in patients with hyperacusis. Additionally, CSET has shown a positive impact, not only for the sounds used in the therapy sessions but also in transferring benefits to everyday sounds. The results of combining psychoeducation, sound exposure, and counseling are promising and warrant further evaluation. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of American Journal of Audiology is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1044/2024_AJA-23-00210
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 11
        StartPage: 613
    Subjects:
      – SubjectFull: Auditory perception testing
        Type: general
      – SubjectFull: Psychoeducation
        Type: general
      – SubjectFull: Audiometry
        Type: general
      – SubjectFull: Pre-tests & post-tests
        Type: general
      – SubjectFull: Speech audiometry
        Type: general
      – SubjectFull: Cognitive therapy
        Type: general
      – SubjectFull: Counseling
        Type: general
      – SubjectFull: Comparative studies
        Type: general
      – SubjectFull: Tinnitus treatment
        Type: general
      – SubjectFull: Hyperacusis
        Type: general
      – SubjectFull: Sound
        Type: general
      – SubjectFull: T-test (Statistics)
        Type: general
      – SubjectFull: Sex distribution
        Type: general
      – SubjectFull: Questionnaires
        Type: general
      – SubjectFull: Evaluation of medical care
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Age distribution
        Type: general
      – SubjectFull: Combined modality therapy
        Type: general
      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: Regression analysis
        Type: general
      – SubjectFull: Impedance audiometry
        Type: general
      – SubjectFull: Sensitivity & specificity (Statistics)
        Type: general
      – SubjectFull: Netherlands
        Type: general
    Titles:
      – TitleFull: New Hyperacusis Therapy Combines Psychoeducation, Sound Exposure, and Counseling.
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            NameFull: Thieren, Sandrien
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            NameFull: van Dommelen, Paula
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            NameFull: Benard, Michel R.
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            – D: 01
              M: 09
              Text: Sep2024
              Type: published
              Y: 2024
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