TY - JOUR
T1 - Clinical interventions for hyperacusis in adults
T2 - A scoping review to assess the current position and determine priorities for research
AU - Fackrell, Kathryn
AU - Potgieter, Iskra
AU - Shekhawat, Giriraj S.
AU - Baguley, David M.
AU - Sereda, Magdalena
AU - Hoare, Derek J.
PY - 2017/10/9
Y1 - 2017/10/9
N2 - Background. There is no universally accepted definition for hyperacusis, but in general it is characterised by decreased sound tolerance to ordinary environmental sounds.Despite hyperacusis being prevalent and having significant clinical implications,much remains unknown about current management strategies. Purpose. To establish the current position of research on hyperacusis and identify research gaps to direct future research. Design and Sample. Using an established methodological framework, electronic and manual searches of databases and journals identified 43 records that met our inclusion criteria. Incorporating content and thematic analysis approaches, the definitions of hyperacusis, management strategies, and outcome measures were catalogued. Results. Only 67% of the studies provided a definition of hyperacusis, such as "reduced tolerance" or "oversensitivity to sound." Assessments and outcomemeasures included LoudnessDiscomfort Levels, theHyperacusis Questionnaire, andTinnitusRetraining Therapy (TRT) interview. Management strategies reported were Cognitive Behavioural Therapy, TRT, devices, pharmacological therapy, and surgery. Conclusions.Management strategies were typically evaluated in patients reporting hyperacusis as a secondary complaint or as part of a symptom set. As such the outcomes reported only provided an indication of their effectiveness for hyperacusis. Randomised Controlled Trials are needed to evaluate the effectiveness of management strategies for patients experiencing hyperacusis.
AB - Background. There is no universally accepted definition for hyperacusis, but in general it is characterised by decreased sound tolerance to ordinary environmental sounds.Despite hyperacusis being prevalent and having significant clinical implications,much remains unknown about current management strategies. Purpose. To establish the current position of research on hyperacusis and identify research gaps to direct future research. Design and Sample. Using an established methodological framework, electronic and manual searches of databases and journals identified 43 records that met our inclusion criteria. Incorporating content and thematic analysis approaches, the definitions of hyperacusis, management strategies, and outcome measures were catalogued. Results. Only 67% of the studies provided a definition of hyperacusis, such as "reduced tolerance" or "oversensitivity to sound." Assessments and outcomemeasures included LoudnessDiscomfort Levels, theHyperacusis Questionnaire, andTinnitusRetraining Therapy (TRT) interview. Management strategies reported were Cognitive Behavioural Therapy, TRT, devices, pharmacological therapy, and surgery. Conclusions.Management strategies were typically evaluated in patients reporting hyperacusis as a secondary complaint or as part of a symptom set. As such the outcomes reported only provided an indication of their effectiveness for hyperacusis. Randomised Controlled Trials are needed to evaluate the effectiveness of management strategies for patients experiencing hyperacusis.
KW - hyperacusis
KW - scoping review
KW - randomised controlled trials
KW - sound tolerance
UR - http://www.scopus.com/inward/record.url?scp=85042228260&partnerID=8YFLogxK
U2 - 10.1155/2017/2723715
DO - 10.1155/2017/2723715
M3 - Review article
C2 - 29312994
AN - SCOPUS:85042228260
VL - 2017
JO - BioMed Research International
JF - BioMed Research International
SN - 2314-6133
M1 - 2723715
ER -