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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Frontiers Media S.A.
2020-04-01
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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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issn | 1662-5145 |
language | English |
last_indexed | 2024-04-12T08:45:51Z |
publishDate | 2020-04-01 |
publisher | Frontiers Media S.A. |
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series | Frontiers in Integrative Neuroscience |
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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