{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T20:23:04Z","timestamp":1787602984477,"version":"build-2736575974"},"reference-count":26,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T00:00:00Z","timestamp":1770854400000},"content-version":"vor","delay-in-days":11,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Brain and Behavior"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The aim of our study was to evaluate the effect of the 4\u20107\u20108 breathing exercise on tinnitus handicap, psychological factors, and sleep quality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The present study employed a parallel\u2010group randomized controlled trial design. A total of 23 patients with subjective tinnitus in the experimental group and 25 patients with subjective tinnitus in the control group took part in the study. Both groups received 1 hour of informative session on tinnitus, and the experimental group also performed 4\u20107\u20108 breathing exercises for 6 weeks. Visual analog scale (VAS), tinnitus handicap inventory (THI), insomnia severity index (ISI), trait anxiety inventory (TAI), and perceived stress scale\u201010 (PSS\u201010) were applied before and on the day the 6\u2010week program is done or 6 weeks after the informative session is completed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>When the experimental group and the control group were compared after the intervention, a significant decrease was found in all questionnaire and VAS scores of the experimental group. While the questionnaire and VAS scores of the control group after the session did not differ significantly from the baseline scores, all questionnaire scores of the experimental group after the 6\u2010week program showed a significant decrease compared to the pre\u2010application scores.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This exercise technique can be used as a simple, effective, and supportive therapy method in the clinical management of tinnitus patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>ClinicalTrials.gov identifier: NCT06360731<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/brb3.70854","type":"journal-article","created":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T10:38:27Z","timestamp":1770892707000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["The Effect of 4\u20107\u20108 Breathing Exercise Technique on Tinnitus Handicap, Psychological Factors, and Sleep Quality in Tinnitus Patients: A Randomized Controlled Study"],"prefix":"10.1002","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7108-9987","authenticated-orcid":false,"given":"Gulce","family":"Kirazli","sequence":"first","affiliation":[{"name":"Department of Audiology, Faculty of Health Sciences Ege University  Izmir Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0331-215X","authenticated-orcid":false,"given":"Suheda","family":"Baran","sequence":"additional","affiliation":[{"name":"Department of Audiology, Faculty of Health Sciences Bakircay University  Izmir Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9704-3522","authenticated-orcid":false,"given":"Gokce Saygi","family":"Uysal","sequence":"additional","affiliation":[{"name":"ENT Clinic Ankara Etlik City Hospital  Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-6460-3383","authenticated-orcid":false,"given":"Aykut","family":"Ozdogan","sequence":"additional","affiliation":[{"name":"ENT Clinic Ankara Etlik City Hospital  Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4236-434X","authenticated-orcid":false,"given":"Serpil Mungan","family":"Durankaya","sequence":"additional","affiliation":[{"name":"Audiometry Program, Vocational School of Healthcare Dokuz Eylul University  Izmir Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2116-9940","authenticated-orcid":false,"given":"Mehmet Fatih","family":"Ogut","sequence":"additional","affiliation":[{"name":"Department of ENT, Faculty of Medicine Ege University  Izmir Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,2,12]]},"reference":[{"key":"e_1_2_12_2_1","first-page":"94","article-title":"The Tinnitus Handicap Inventory: A Study of Validity and Reliability","volume":"13","author":"Aksoy S.","year":"2007","journal-title":"International Tinnitus 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