Cognitive Behavioural Therapy Can Improve Sleep in Adults With Tinnitus

Sarfaroj Khan 


December 30, 2020


  • This meta-analysis suggests that cognitive behavioural therapy (CBT)-based interventions can significantly improve sleep in adults with tinnitus.

Why this matters

  • Robust randomised controlled trials are needed, particularly targeting tinnitus-related insomnia.

  • Future trials should explore digital CBT for insomnia in adults with tinnitus.

Study design

  • 5 studies met eligibility criteria after a search on MEDLINE, CINAHL, Web of Science, CENTRAL, and PROSPERO.

  • 4 of the studies provided data for the meta-analysis.

  • Funding: NIHR Nottingham Biomedical Research Centre and the University of Nottingham.

Key results

  • Meta-analysis of 4 studies revealed a statistically significant reduction in Insomnia Severity Index score following tinnitus CBT-based interventions (−3.28; 95% CI, −4.51 to −2.05; P<.001), which equates to a moderate effect size.

  • No evidence of statistical heterogeneity was found (I2=0%).


  • Small number of studies.


Little A, Byrne C, Coetzer R. The effectiveness of cognitive behaviour therapy for reducing anxiety symptoms following traumatic brain injury: A meta-analysis and systematic review. NeuroRehabilitation. 2020 Dec 24 [Epub ahead of print]. doi: 10.3233/NRE-201544. PMID: 33361617 View abstract

This clinical summary originally appeared on Univadis, part of the Medscape Professional Network.


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