{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,9]],"date-time":"2025-12-09T15:49:44Z","timestamp":1765295384238,"version":"build-2065373602"},"reference-count":34,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2023,5,25]],"date-time":"2023-05-25T00:00:00Z","timestamp":1684972800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Audiology Research"],"abstract":"<jats:p>Subjective tinnitus is a highly prevalent sound sensation produced in most cases by persistent neural activity in the auditory pathway of the patient. Audiologists should be confident that they can employ elements of sound therapy and related counseling to support patients in coping. However, patients with bothersome tinnitus may be challenged by mental health complications, and they struggle to find adequate care when tinnitus and psychological distress co-occur. Audiologists in many cases lack the confidence to provide in-depth counseling while mental health providers lack basic understanding of tinnitus, its mechanisms, and the elements of audiologic management that could support patients in coping. At the very least, audiologists should be able to explain the mechanisms involved in and contributing to negative tinnitus effects, conduct valid measures of these effects, and offer reasonable options for managing the consequences linked by the patient to bothersome tinnitus and sound-related sensations. This brief communication summarizes the current state of tinnitus-related opportunities offered in US audiology training programs, and the substantial need to improve both the education of practitioners and the delivery of services to patients in need.<\/jats:p>","DOI":"10.3390\/audiolres13030034","type":"journal-article","created":{"date-parts":[[2023,5,26]],"date-time":"2023-05-26T02:24:37Z","timestamp":1685067877000},"page":"389-397","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Tinnitus Education for Audiologists Is a Ship at Sea: Is It Coming or Going?"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2189-4843","authenticated-orcid":false,"given":"Marc","family":"Fagelson","sequence":"first","affiliation":[{"name":"Department of Audiology and Speech Language Pathology, East Tennessee State University, Johnson City, TN 37614, USA"},{"name":"James H. Quillen Mountain Home VAMC, Johnson City, TN 37684, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2023,5,25]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Moller, A., Langguth, B., DeRidder, D., and Kleinjung, T. (2011). Textbook of Tinnitus, Springer.","DOI":"10.1007\/978-1-60761-145-5"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"541","DOI":"10.1002\/jts.20138","article-title":"Tinnitus among Cambodian refugees: Relationship to PTSD severity","volume":"19","author":"Hinton","year":"2006","journal-title":"J. Trauma Stress"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1044\/1059-0889(2007\/015)","article-title":"The association between tinnitus and posttraumatic stress disorder","volume":"16","author":"Fagelson","year":"2007","journal-title":"Am. J. Audiol."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1016\/0378-5955(90)90202-Z","article-title":"On the pathophysiology of tinnitus: A review and a peripheral model","volume":"48","author":"Eggermont","year":"1990","journal-title":"Hear. Res."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"409","DOI":"10.3766\/jaaa.21.6.6","article-title":"Tinnitus onset rates from chemotherapeutic agents and ototoxic antibiotics: Results of a large prospective study","volume":"21","author":"Dille","year":"2010","journal-title":"J. Am. Acad. Audiol."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"1600","DOI":"10.1016\/S0140-6736(13)60142-7","article-title":"Tinnitus","volume":"382","author":"Baguley","year":"2013","journal-title":"Lancet"},{"key":"ref_7","first-page":"S1","article-title":"Clinical practice guideline: Tinnitus","volume":"151","author":"Tunkel","year":"2014","journal-title":"Otolaryngol.\u2014Head Neck Surg."},{"key":"ref_8","first-page":"156","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":"ref_9","unstructured":"Council on Academic Accreditation in Audiology and Speech-Language Pathology (2023, March 05). Standards for Accreditation of Graduate Education Programs in Audiology and Speech-Language Pathology. Available online: http:\/\/caa.asha.org\/wp-content\/uploads\/Accreditation-Standards-for-Graduate-Programs.pdf."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1007\/s00106-019-0633-7","article-title":"A multidisciplinary European guideline for tinnitus: Diagnostics, assessment, and treatment","volume":"67","author":"Cima","year":"2019","journal-title":"HNO"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"947","DOI":"10.1097\/AUD.0b013e3181888f83","article-title":"The Additive Effect of Co-Occurring Anxiety and Depression on Health Status, Quality of Life and Coping Strategies in Help-Seeking Tinnitus Sufferers","volume":"29","author":"Bartels","year":"2008","journal-title":"Ear Hear."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1044\/2020_AJA-20-00140","article-title":"Survey of Audiology Graduate Programs: Training Students in Tinnitus Management","volume":"30","author":"Henry","year":"2021","journal-title":"Am. J. Audiol."},{"key":"ref_13","doi-asserted-by":"crossref","unstructured":"Moller, A., Langguth, B., DeRidder, D., and Kleinjung, T. (2011). Textbook of Tinnitus, Springer.","DOI":"10.1007\/978-1-60761-145-5"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"1378","DOI":"10.1044\/2016_JSLHR-H-16-0126","article-title":"Randomized controlled trial in clinical settings to evaluate effectiveness of coping skills education used with Progressive Tinnitus Management","volume":"60","author":"Henry","year":"2017","journal-title":"J. Speech Lang. Hear. Res."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"425","DOI":"10.1016\/S0079-6123(07)66041-5","article-title":"Tinnitus activities treatment","volume":"166","author":"Tyler","year":"2007","journal-title":"Prog. Brain Res."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"1951","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":"ref_17","unstructured":"American Speech-Language-Hearing Association Continuing Education Office Personal communication."},{"key":"ref_18","unstructured":"(2023, May 15). AudiologyOnline. Available online: https:\/\/www.audiologyonline.com\/audiology-ceus\/tinnitus-and-hyperacusis\/."},{"key":"ref_19","unstructured":"Montano, J.J., and Spitzer, J.B. (2009). Adult Audiologic Rehabilitation, Plural Publishing Inc."},{"key":"ref_20","unstructured":"American Board of Audiology (2023, May 12). Handbook: Certificate Holder-Tinnitus Management. Available online: https:\/\/www.audiology.org\/wp-content\/uploads\/2021\/06\/CHTM-HB.draftRV5.pdf."},{"key":"ref_21","unstructured":"Brazell, T. Personal communication."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/bs.pbr.2020.12.002","article-title":"Tinnitus and Tinnitus Disorder: Theoretical and Operational Definitions (An international multidisciplinary proposal)","volume":"260","author":"Schlee","year":"2021","journal-title":"Prog. Brain Res."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"287","DOI":"10.1177\/1363461508089768","article-title":"The \u2018Multiplex Model\u2019 of Somatic Symptoms: Application to Tinnitus among Traumatized Cambodian Refugees","volume":"45","author":"Hinton","year":"2008","journal-title":"Transcult. Psychiatry"},{"key":"ref_24","unstructured":"Shay, J. (1994). Achilles in Vietnam: Combat Trauma and the Undoing of Character, Scribner."},{"key":"ref_25","unstructured":"Herman, J.L. (1997). Trauma and Recovery, Basic Books."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1016\/S0005-7967(00)00087-5","article-title":"A cognitive neuroscience account of posttraumatic stress disorder and its treatment","volume":"39","author":"Brewin","year":"2001","journal-title":"Behav. Res. Ther."},{"key":"ref_27","unstructured":"Bandura, A. (1997). Self-Efficacy: The Exercise of Control, W. H. Freeman and Company."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1097\/AUD.0b013e31822f67c0","article-title":"The Tinnitus Functional Index: Development of a New Clinical Measure for Chronic, Intrusive Tinnitus","volume":"33","author":"Meikle","year":"2012","journal-title":"Ear Hear."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"424","DOI":"10.3766\/jaaa.22.7.4","article-title":"The Tinnitus Self-Efficacy Questionnaire","volume":"22","author":"Smith","year":"2011","journal-title":"J. Am. Acad. Audiol."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"541","DOI":"10.1097\/AUD.0000000000000290","article-title":"Tinnitus Self-Efficacy and Other Tinnitus Self-Report Variables in Patients with and without Posttraumatic Stress Disorder","volume":"37","author":"Fagelson","year":"2016","journal-title":"Ear Hear."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"1048","DOI":"10.1097\/00001888-200310000-00023","article-title":"The Centre for Medical Humanities, Royal Free and University College Medical School, London, England","volume":"78","author":"Kirklin","year":"2003","journal-title":"Acad. Med."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"192","DOI":"10.1097\/ACM.0b013e3181938bca","article-title":"Medical Humanities and Their Discontents: Definitions, Critiques, and Implications","volume":"84","author":"Shapiro","year":"2009","journal-title":"Acad. Med."},{"key":"ref_33","unstructured":"Baguley, D.M., and Fagelson, M. (2016). Tinnitus: Clinical and Research Perspectives, Plural Publishing."},{"key":"ref_34","unstructured":"Tyler, R. (2000). Tinnitus Handbook, Plural Publishing."}],"container-title":["Audiology Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2039-4349\/13\/3\/34\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T19:41:56Z","timestamp":1760125316000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2039-4349\/13\/3\/34"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5,25]]},"references-count":34,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2023,6]]}},"alternative-id":["audiolres13030034"],"URL":"https:\/\/doi.org\/10.3390\/audiolres13030034","relation":{},"ISSN":["2039-4349"],"issn-type":[{"type":"electronic","value":"2039-4349"}],"subject":[],"published":{"date-parts":[[2023,5,25]]}}}