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Index
Cover
Dedication
Title page
Copyright Page
Foreword
Preface
Chapter 1: Introduction
Definitions
Historical aspects
Chapter 2: Prevalence and natural history
Is tinnitus a universal phenomenon?
Prevalence studies
Incidence
Prevalence of tinnitus in childhood
Tinnitus in older adults
Other risk factors
Longitudinal studies
Localization of tinnitus
Seeking help
Chapter 3: Anatomy and physiology
Anatomy of the ear
Central auditory anatomy
Interactions with other systems
Plasticity
Habituation
Chapter 4: Mechanisms of tinnitus
Tinnitus and the ear
Tinnitus mechanisms associated with the outer and middle ear
Tinnitus mechanisms associated with the cochlea
Neurotransmitters and their receptors
Tinnitus and the brain
Abnormal synchrony
Modified cortical tonotopic frequency maps
Medial efferent system
Somatic modulation
Analogies with pain
Gaze evoked tinnitus
Ephaptic coupling
Stochastic resonance
5HT
Auditory–limbic interactions
Chapter 5: Medical models of tinnitus
Drug-induced tinnitus
Otosclerosis
Other forms of conductive hearing loss
Ménière’s disease
Vestibular schwannomas and other cerebellopontine angle lesions
Pulsatile tinnitus
Vascular loops
Superior semicircular canal dehiscence
Myoclonus and allied conditions
Spontaneous otoacoustic emissions
Temporomandibular disorder and tinnitus
Unilateral sudden sensorineural hearing loss
Chapter 6: Objective correlates of tinnitus
Reaction time
Evoked response audiometry
Auditory brainstem responses
Cortical evoked potentials
Positron emission tomography and related methods
Studies on anatomical differences associated with tinnitus
Measures of neural activity associated with tinnitus
Integrating the findings and future directions
Chapter 7: Consequences and moderating factors
Tinnitus and thinking
Psychological state
Personality and coping style
Arousal level
Selective attention
Sleep
Family relationships
Work
Gender
Other somatic symptoms
Hearing impairment
Smoking, alcohol and caffeine
Environment
Chapter 8: Psychological models of tinnitus
Introduction
Behavioural theories
Cognitive theories
Acceptance-based theory
Emotion-based theory
Cognitive-affective links: the changing state theory
Moderators and mediators
Chapter 9: The Jastreboff neurophysiological model
Chapter 10: How tinnitus is perceived and measured
Sound quality
Pitch
Loudness
Maskability
Effects of masking
Chapter 11: Self-report and interview measures of tinnitus severity and impact
Structured interviews
Tinnitus self-report measures
Tinnitus-specific questionnaires
Open-ended approaches
Chapter 12: Hyperacusis
Definitions and related constructs
Prevalence
Measurements of hyperacusis
Causes and mechanisms
Mechanisms
Treatment
Chapter 13: Traditional treatments
Surgical treatment
Destructive operations
Decompressive operations
Pharmacological
Local anaesthetics
Psychoactive drugs
Antispasmodics
Neuropathic pain drugs
Glutamate antagonists
Acamprosate
Antiepileptics
Drugs acting on dopamine receptors
Melatonin
Drugs affecting the circulation
Botox
Intratympanic drugs
Otoprotective agents
Sound therapy for tinnitus
Hearing aids
Electrical stimulation and cochlear implants
Biofeedback
Relaxation training therapy
Hypnotherapy
Psychodynamic and supportive therapy
Individual or group care?
Chapter 14: Tinnitus retraining therapy
Clinical protocol of tinnitus retraining therapy
Criticism of tinnitus retraining therapy
Evidence of efficacy
Chapter 15: A cognitive behavioural treatment programme
The cognitive behavioural treatment model and its rationale
Psychological assessment
Applied relaxation
Distraction and focusing
Sound enrichment
Sleep management
Hearing tactics
Cognitive therapy
Relapse prevention
Self-help and use of the Internet
Evidence base for cognitive behaviour therapy
The third wave of behaviour therapy
Who should provide cognitive behaviour therapy?
Chapter 16: Emerging treatment approaches
Transcranial magnetic stimulation
Direct brain stimulation
Other brain stimulation
Phase shift
Laser therapy
Coordinated reset stimulation
Other sound-based emergent approaches
Acceptance-based treatments
Chapter 17: Complementary medicine approaches to tinnitus
Homeopathic remedies
Acupuncture
Ginkgo biloba
Other CAM approaches to tinnitus
Dietary supplements
Stimulation of the ear
Ear candles
Chapter 18: Tinnitus and hyperacusis in childhood and adolescence
Prevalence and incidence of childhood tinnitus
Prevalence of childhood hyperacusis
Impact of tinnitus
Associated conditions
Management
Chapter 19: Special populations
Acoustic shock
Single-sided deafness
Low-frequency noise complaint
Musical hallucination
Armed forces and combat veterans
Functional tinnitus
Chapter 20: A multidisciplinary synthesis
Appendix 1: A treatment protocol for use in primary care, audiology and otolaryngology
Primary care
Secondary care
Tertiary care
Frequent questions
Appendix 2: Cognitive behaviour therapy
Education
Relaxation training
The cognitive component
References
Index
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