zen and tinnitus

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  • 1. Tinnitus and Zen

2. Tinnitus & Zen

  • - Purpose of the presentation
  • Why refocus on the Zen feature?
  • What is tinnitus and how is it treated?
  • What evidence do we have on Zen and tinnitus?
    • A Zen study by Robert Sweetow and Jennifer Henderson Sabes (UCSF)
      • Do hearing aid wearers find Zen tones relaxing?
      • Does a Zen tone background reduce tinnitus annoyance and stress?
  • Summary what to remember

3. Why refocusing Zen?

  • The purpose of refocusing on Zen is to show
    • The use of Zen for relaxation purposes
    • Knowledge about documentation on benefits of Zen
    • The use of Zen as a tool for tinnitus treatment
  • - from hearing aid users to tinnitus patients

4. Evidence based audiology

  • - a scientific approach

5. What exactly is tinnitus?

  • The sensation of sound that is not audible to others
  • Not a disease in itself but a symptom of a range of underlying diseases
  • All kinds of sounds not only ringing
  • Can problably be caused by damage anywhere in the auditory system

(Vernon & Moeller, 1995,Henry et al., 2008) 6. Odds of having Tinnitus (Vernon & Moeller, 1995) 7. Most common difficulties attributed to tinnitus

  • Sleeping problems
  • That the tinnitus is persistent
  • Speech understanding
  • Despair, frustration, depression
  • Annoyance, irritation,
  • inability to relax (stress)
  • Concentration

Tyler and Baker 1983 8. Stress and tinnitus

  • - a constant fight or flight response

Threat Release of stress hormones Fast reaction possible Threat vanished Stress hormone levels back to normal 9. Tinnitus management procedures Counselling SoundTherapy Cognitive Strategies No tinnitus treatment without counselling! 10. Current sound treatments Personal devices Other sound sources

    • Hearing aids

Noise generators

    • Maskers


    • Combination
    • instruments

Everyday sounds 11. Sound therapy purposes

  • Distraction
  • Masking (covering up)
  • Habituation

Cognitive Therapy Counseling SoundTherapy 12.

  • Presented at ACAud Congress 2009
  • Data submitted for publication, JAAA
  • Robert Sweetow
  • &
  • Jennifer Henderson Sabes
  • University of California, San Fransisco

A Zen study 13. A Zen study - questions

  • Do hearing aid wearers find Zen tones relaxing?
  • Does a Zen tone background reduce tinnitus annoyance and stress?

14. A Zen study protocol I

  • 20 UCSF subjects (aged 34-85), mild-to-moderately severe hearing loss.
      • 14 subjects with tinnitus as their primary problem (tinnitus > 1 year, seen previously in clinic for counseling more than 3 month prior to study)
      • 6 hearing impaired persons with mild or no tinnitus

15. A Zen study protocol II

  • The study included 5 visits:
    • Visit 1 : Use of music questions, THI, TRQ, Sleep Questionnaire, Asses your stress inventory etc. Hearing aid fitting.
    • Visit 2 : Determine preferred Zen setting, concentration test, instruction in using Zen (15 minutes per day).
    • Visit 3(1 month later) +4(3 months later) +5(6 months later): Repeated questionnaires on tinnitus and stress etc.

16. A Zen study results I 17. Zen Study - results I Relaxing 68% Neutral 18% Tensing 14% 18. A Zen study results II

  • Like music, it is not expected that Zen is liked by everyone and Zen is concequently not useful for tinnitus sufferers who dislike the tones

THIscore 12 subjects: effetcs of tinnitus milder after 6 months - for 5 the improvement were significant 19. A Zen study results III

  • Dohearing aid users find theZen Relaxing?
    • Yes, 86% found it easier to relax listening to Zen
  • Does Zen have a positive influence on tinnitus?
    • Yes, for some of the subjects. 37% had better scores in THI and TRQ after 6 month of daily Zen use

20. Zen and tinnitus

  • What to remember from this presentation

21. References

  • Sweetow, R.(2009): Relaxation and Tinnitus. Presentation at Australian College of Audiology National Congress 2009 (Data submitted for JAAA)
  • Henry, J. A., Trune, D. R., Robb, M. J. A., & Jastreboff, P. J.(2007). Tinnitus retraining therapy: Clinical guidelines. Plural Publishing Inc, 1-160
  • Henry, J. A., Zaugg, T. L., Myers, P. J., & Schechter, M. A.(2008). Using therapeutic sound with progressive audiologic tinnitus management.Trends in Amplification, 12(3), 188-209.
  • Tyler, R. S., & Baker, L. J.(1983). Difficulties experienced by tinnitus sufferers.Journal of Speech and Hearing Disorders, 48(2), 150-154.
  • Vernon,J. A. & Moeller, A. R. (1995). Mechanisms of Tinnitus. Allyn and Bacon. A Simon & Schulster Company. Needham Heights, MA 02194