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tinnitus & hyperacusis therapy masterclass home tinnitus & hyperacusis therapy masterclass tinnitustherapy.org.uk specialist training on tinnitus and hyperacusis therapy venue: birkbeck college, university of london, 3-7 march 2014 this course is suitable for audiologists hearing therapists hearing aid dispensers psychologists psychiatrists otologists neurologists speech and language therapists occupational therapists teachers of the deaf contact: [email protected] copyright © rehabilitation & therapy skills development ltd specialist course for management of tinnitus and hyperacusis in children and adults course highlights participants will be provided with the specialist skill, knowledge and tools which are essential for developing a tinnitus & hyperacusis therapy clinic. participants will leave this practical course with a solid grounding in tinnitus and hyperacusis therapy that can be put into practice straight away. at every stage of learning, theory will be constantly applied to practical examples. there will be many case studies and practical training sessions on specialist cognitive behavioural therapy focused on tinnitus and hyperacusis, motivational interviewing and rogerian counselling. participants will be provided with a high quality course manual including worksheets, counselling tools and forms to use with their patients. participants will be provided with all documentation required for service development including templates for tinnitus clinic protocol, reports, clinical audit and service evaluation guidelines. registration click here dates: 8-10 july 2019 venue: birkbeck, university of london, london, united kingdom research updates on clinical matters related to tinnitus and hyperacusis rehabilitation 1. am j audiol. 2017 sep 18;26(3):226-232. doi: 10.1044/2017_aja-17-0011. incidence of discomfort during pure-tone audiometry and measurement of uncomfortable loudness levels among people seeking help for tinnitus and/or hyperacusis. aazh h(1), moore bcj(2). author information: (1)audiology department, royal surrey county hospital nhs foundation trust, guildford, united kingdom. (2)department of psychology, university of cambridge, united kingdom. purpose: the aim of this study was to assess the proportion of patients seen in a tinnitus and hyperacusis therapy clinic for whom presentation levels based on the british society of audiology (bsa)-recommended procedures for pure-tone audiometry and determination of uncomfortable loudness levels (ulls) exceed ulls, leading to discomfort during administration of these procedures. method: this was a retrospective cross-sectional study of 362 consecutive patients who attended a national health service audiology clinic for tinnitus and/or hyperacusis rehabilitation. results: for 21% of the patients, presentation levels based on the bsa procedure for pure-tone audiometry exceeded the ull for at least 1 of the measured frequencies (excluding the first frequency tested, 1 khz): 0.25, 0.5, 2, 3, 4, 6, and 8 khz. for 24% of patients, the starting presentation level of 60 db hearing level recommended for determination of ulls exceeded the ull for at least 1 frequency. conclusion: the starting presentation levels used for pure-tone audiometry and measurement of ulls should be lower than those recommended by the bsa for people with tinnitus and hyperacusis. doi: 10.1044/2017_aja-17-0011 pmid: 28810267 2. int j audiol. 2017 sep;56(9):677-684. doi: 10.1080/14992027.2017.1335887. epub 2017 jun 18. factors related to tinnitus and hyperacusis handicap in older people. aazh h(1), lammaing k(1), moore bcj(2). author information: (1)a audiology department , royal surrey county hospital nhs foundation trust , guildford , uk and. (2)b department of experimental psychology , university of cambridge , cambridge , uk. objective: the aim was to assess factors related to tinnitus and hyperacusis handicap in older people. design: retrospective cross-sectional. study sample: data were gathered for 184 patients with an average age of 69 years. results: tinnitus handicap as measured via the tinnitus handicap inventory (thi) was significantly predicted by tinnitus annoyance as measured via the visual analogue scale (vas) (regression coefficient, b = 2.9, p < 0.001) and the effect of tinnitus on the patient's life as measured via the vas (b = 3.9, p < 0.001). hyperacusis handicap as measured via the hyperacusis questionnaire (hq) was significantly predicted by the score on the depression subscale of the hospital anxiety and depression scale (hads) (b = 0.8, p < 0.001) and to a small extent by the thi score (b = 0.07, p = 0.048). insomnia scores as measured via the insomnia severity index (isi) were significantly predicted by scores on the depression subscale of the hads (b = 0.46, p = 0.007). conclusions: since tinnitus annoyance significantly predicts tinnitus handicap, it is important to explore factors associated with annoyance that may be useful in designing appropriate rehabilitative interventions aimed at reducing tinnitus handicap in older people. future studies should explore whether hyperacusis and insomnia in older people with tinnitus need to be managed in conjunction with treatment for depression. doi: 10.1080/14992027.2017.1335887 pmid: 28625091 3. int j audiol. 2017 oct;56(10):793-800. doi: 10.1080/14992027.2017.1335888. epub 2017 jun 16. factors related to uncomfortable loudness levels for patients seen in a tinnitus and hyperacusis clinic. aazh h(1), moore bcj(2). author information: (1)a audiology department , royal surrey county hospital nhs foundation trust , guildford , uk and. (2)b department of experimental psychology , university of cambridge , cambridge , uk. objectives: the aims were as follows: (1) to explore patterns of uncomfortable loudness levels (ulls) across frequency and their associated factors for patients with tinnitus and hyperacusis, and (2) to re-evaluate the criteria for diagnosing hyperacusis based on ulls and scores for the hyperacusis questionnaire (hq). design: this was a retrospective cross-sectional study. study sample: 573 consecutive patients for whom ulls had been measured were included. results: a good correspondence between the diagnosis of hyperacusis based on the across-frequency average ull for the ear with the lowest ulls (ullmin) and hyperacusis handicap based on hq scores was obtained with cut-off values of ullmin ≤77 db hl and hq score ≥ 22. a regression model showed significant relationships between ullmin and the score on the hq and age. the mean hq score for patients with a large interaural asymmetry in ulls was significantly higher than for the remainder. hyperacusis handicap was associated with strong across-frequency variations in ulls. conclusions: appropriate cut-off values for diagnosing hyperacusis are ullmin ≤77 db hl and hq score ≥22. large interaural asymmetry and large across-frequency variations in ulls are associated with higher hq scores. doi: 10.1080/14992027.2017.1335888 pmid: 28622055 4. int j audiol. 2017 jul;56(7):489-498. doi: 10.1080/14992027.2017.1298850. epub 2017 mar 9. usefulness of self-report questionnaires for psychological assessment of patients with tinnitus and hyperacusis and patients' views of the questionnaires. aazh h(1), moore bcj(2). author information: (1)a audiology department , royal surrey county hospital nhs foundation trust , guildford , uk and. (2)b department of experimental psychology , university of cambridge , cambridge , uk. objective: the objective was to determine the relevance and applicability of psychological questionnaires to patients seeking help for tinnitus and/or hyperacusis. design: this was a questionnaire-based survey. the following questionnaires were administered: generalised anxiety disorder (gad-7), short health anxiety inventory (shai), mini-social phobia inventory (mini-spin), obsessive compulsive inventory-revised (oci-r), panic disorder severity scale

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