Efficacy of an Integrative Treatment for Tinnitus Combining Music and Cognitive-Behavioral Therapy—Assessed With Behavioral and EEG Data

Chronic tinnitus is a prevalent condition that could cause severe negative impact on an individual’s life. However, there has not been an established treatment due to a limited understanding of the pathophysiology of this multifarious disorder. In this study, we tested the efficacy of an integrative...

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Main Authors: Tianci Feng, Mingxia Wang, Hao Xiong, Yiqing Zheng, Haidi Yang
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-04-01
Series:Frontiers in Integrative Neuroscience
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fnint.2020.00012/full
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author Tianci Feng
Tianci Feng
Mingxia Wang
Hao Xiong
Yiqing Zheng
Yiqing Zheng
Haidi Yang
Haidi Yang
author_facet Tianci Feng
Tianci Feng
Mingxia Wang
Hao Xiong
Yiqing Zheng
Yiqing Zheng
Haidi Yang
Haidi Yang
author_sort Tianci Feng
collection DOAJ
description Chronic tinnitus is a prevalent condition that could cause severe negative impact on an individual’s life. However, there has not been an established treatment due to a limited understanding of the pathophysiology of this multifarious disorder. In this study, we tested the efficacy of an integrative treatment, combining music therapy with cognitive-behavioral therapy (CBT). We collected three groups of patients receiving three different treatments: Music-CBT, music therapy and CBT. We used both subjective (i.e., questionnaires) and objective (i.e., resting-state EEG data) measurements to assess the behavioral and neural changes brought upon by the treatments. Analyses of the subjective measurements found a significant improvement of scale scores in Music-CBT and CBT, but not in the Music group. Analysis of the EEG data further showed increased powers in alpha and theta band after the Music-CBT treatment, and increased gamma power after CBT, whereas no significant difference was found for the music therapy. Further source localization analysis of alpha and theta changes in the Music-CBT group found that primary sources of the changes were located at auditory processing regions such as superior temporal gyrus, and higher emotional and cognitive processing regions such as ventromedial prefrontal cortex (vMPFC), lateral prefrontal cortex and parahippocampus. These results indicated that Music-CBT was effective in improving tinnitus symptoms on both a behavioral and neural level, which is more robust than the music therapy or CBT alone.
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spelling doaj.art-1f1dfc79051e434c918ff4733a6f2e1c2022-12-22T03:39:42ZengFrontiers Media S.A.Frontiers in Integrative Neuroscience1662-51452020-04-011410.3389/fnint.2020.00012508055Efficacy of an Integrative Treatment for Tinnitus Combining Music and Cognitive-Behavioral Therapy—Assessed With Behavioral and EEG DataTianci Feng0Tianci Feng1Mingxia Wang2Hao Xiong3Yiqing Zheng4Yiqing Zheng5Haidi Yang6Haidi Yang7Department of Otolaryngology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, ChinaHearing and Speech Science Department, Xinhua College of Sun Yat-sen University, Guangzhou, ChinaHearing and Speech Science Department, Xinhua College of Sun Yat-sen University, Guangzhou, ChinaDepartment of Otolaryngology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, ChinaDepartment of Otolaryngology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, ChinaHearing and Speech Science Department, Xinhua College of Sun Yat-sen University, Guangzhou, ChinaDepartment of Otolaryngology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, ChinaHearing and Speech Science Department, Xinhua College of Sun Yat-sen University, Guangzhou, ChinaChronic tinnitus is a prevalent condition that could cause severe negative impact on an individual’s life. However, there has not been an established treatment due to a limited understanding of the pathophysiology of this multifarious disorder. In this study, we tested the efficacy of an integrative treatment, combining music therapy with cognitive-behavioral therapy (CBT). We collected three groups of patients receiving three different treatments: Music-CBT, music therapy and CBT. We used both subjective (i.e., questionnaires) and objective (i.e., resting-state EEG data) measurements to assess the behavioral and neural changes brought upon by the treatments. Analyses of the subjective measurements found a significant improvement of scale scores in Music-CBT and CBT, but not in the Music group. Analysis of the EEG data further showed increased powers in alpha and theta band after the Music-CBT treatment, and increased gamma power after CBT, whereas no significant difference was found for the music therapy. Further source localization analysis of alpha and theta changes in the Music-CBT group found that primary sources of the changes were located at auditory processing regions such as superior temporal gyrus, and higher emotional and cognitive processing regions such as ventromedial prefrontal cortex (vMPFC), lateral prefrontal cortex and parahippocampus. These results indicated that Music-CBT was effective in improving tinnitus symptoms on both a behavioral and neural level, which is more robust than the music therapy or CBT alone.https://www.frontiersin.org/article/10.3389/fnint.2020.00012/fullalpha wavephantom perceptCBTlateral inhibitionsLoreta
spellingShingle Tianci Feng
Tianci Feng
Mingxia Wang
Hao Xiong
Yiqing Zheng
Yiqing Zheng
Haidi Yang
Haidi Yang
Efficacy of an Integrative Treatment for Tinnitus Combining Music and Cognitive-Behavioral Therapy—Assessed With Behavioral and EEG Data
Frontiers in Integrative Neuroscience
alpha wave
phantom percept
CBT
lateral inhibition
sLoreta
title Efficacy of an Integrative Treatment for Tinnitus Combining Music and Cognitive-Behavioral Therapy—Assessed With Behavioral and EEG Data
title_full Efficacy of an Integrative Treatment for Tinnitus Combining Music and Cognitive-Behavioral Therapy—Assessed With Behavioral and EEG Data
title_fullStr Efficacy of an Integrative Treatment for Tinnitus Combining Music and Cognitive-Behavioral Therapy—Assessed With Behavioral and EEG Data
title_full_unstemmed Efficacy of an Integrative Treatment for Tinnitus Combining Music and Cognitive-Behavioral Therapy—Assessed With Behavioral and EEG Data
title_short Efficacy of an Integrative Treatment for Tinnitus Combining Music and Cognitive-Behavioral Therapy—Assessed With Behavioral and EEG Data
title_sort efficacy of an integrative treatment for tinnitus combining music and cognitive behavioral therapy assessed with behavioral and eeg data
topic alpha wave
phantom percept
CBT
lateral inhibition
sLoreta
url https://www.frontiersin.org/article/10.3389/fnint.2020.00012/full
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