{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T06:07:06Z","timestamp":1789020426784,"version":"build-2803163510"},"reference-count":44,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T00:00:00Z","timestamp":1788998400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychiatry"],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Ten to fifteen percent of the population experience tinnitus. It is necessary to develop effective treatments for patients suffering from tinnitus. This study aimed to explore the effectiveness of an internet-based treatment consisting of tinnitus retraining therapy and cognitive behavioral therapy for patients with primarily tinnitus. The secondary aims were to investigate changes in hyperacusis (hypersensitivity to sounds), misophonia (strong emotional reaction to a sound), depression, and anxiety.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A total of 144 patients diagnosed with tinnitus were included and assessed before treatment, and after 90 and 180 days. The results were differentiated for patients with mild, moderate, and severe+ tinnitus according to their scores on the Tinnitus Handicap Inventory (THI).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A significant change in scores on the THI (\n                      <jats:italic>d<\/jats:italic>\n                      \u00a0=\u00a00.41) was found from pre-treatment to the 180-day assessment for the total sample. A large effect size (\n                      <jats:italic>d<\/jats:italic>\n                      \u00a0=\u00a00.95) was found for the group with severe+ tinnitus and a small effect size for the group with mild tinnitus (\n                      <jats:italic>d<\/jats:italic>\n                      \u00a0=\u00a00.22). Further, there were small improvements in anxiety, depression, and hyperacusis, but no change in misophonia.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>In conclusion, this study indicate that the treatment can be helpful for people with tinnitus.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpsyt.2026.1868527","type":"journal-article","created":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T05:31:39Z","timestamp":1789018299000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Digital treatment for tinnitus combining tinnitus retraining therapy and cognitive behavioral therapy: a Norwegian naturalistic study"],"prefix":"10.3389","volume":"17","author":[{"given":"Katrine Sol","family":"Dalseng","sequence":"first","affiliation":[{"name":"Department of Psychology, Norwegian University of Science and Technology","place":["Trondheim, Norway"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natalia","family":"Liav\u00e5g","sequence":"additional","affiliation":[{"name":"Department of Psychology, Norwegian University of Science and Technology","place":["Trondheim, Norway"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dag Lyngve","family":"Sunde","sequence":"additional","affiliation":[{"name":"Department of Ear, Nose, Throat, and Maxillofacial Surgery, M\u00f8re og Romsdal Hospital Trust","place":["Molde, Norway"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stian","family":"Solem","sequence":"additional","affiliation":[{"name":"Department of Psychology, Norwegian University of Science and Technology","place":["Trondheim, Norway"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,9,10]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","DOI":"10.1016\/s0140-6736(13)60142-7","article-title":"Tinnitus","volume":"382","author":"Baguley","year":"2013","journal-title":"Lancet"},{"key":"B2","doi-asserted-by":"publisher","DOI":"10.3988\/jcn.2009.5.1.11","article-title":"Tinnitus: characteristics, causes, mechanisms, and treatments","volume":"5","author":"Han","year":"2009","journal-title":"J Clin Neurol"},{"key":"B3","doi-asserted-by":"publisher","DOI":"10.1080\/14992020500147557","article-title":"Evidence of psychosomatic influences in compensated and decompensated tinnitus","volume":"44","author":"Stobik","year":"2005","journal-title":"Int J Audiol"},{"key":"B4","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.cd007330.pub2","article-title":"Tinnitus retraining therapy (TRT) for tinnitus","volume":"3","author":"Phillips","year":"2010","journal-title":"Cochrane Database Sys Rev"},{"key":"B5","doi-asserted-by":"publisher","DOI":"10.1055\/s-0042-1748042","article-title":"Tinnitus retraining therapy (TRT) as a method for treatment of tinnitus and hyperacusis patients","volume":"11","author":"Jastreboff","year":"2000","journal-title":"J Am Acad Audiol"},{"key":"B6","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-024-08907-3","article-title":"Effects of tinnitus retraining therapy on patients with tinnitus: a systematic review of randomized controlled trials","volume":"282","author":"Alashram","year":"2025","journal-title":"Eur Arch Oto-Rhino-Laryngol"},{"key":"B7","doi-asserted-by":"publisher","DOI":"10.1016\/s0140-6736(12)60469-3","article-title":"Specialised treatment based on cognitive behaviour therapy versus usual care for tinnitus: a randomised controlled trial","volume":"379","author":"Cima","year":"2012","journal-title":"Lancet"},{"key":"B8","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2020.02048","article-title":"Bimodal therapy for chronic subjective tinnitus: a randomized controlled trial of EMDR and TRT versus CBT and TRT","volume":"11","author":"Luyten","year":"2020","journal-title":"Front Psychol"},{"key":"B9","unstructured":"Tinnitus: Assessment and Management. 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