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Clinical interventions for hyperacusis in adults: a scoping review to assess the current position and determine priorities for research

Fackrell, Kathryn; Potgieter, Iskra; Shekhawat, Giriraj S.; Baguley, David M.; Sereda, Magdalena; Hoare, Derek J.

Clinical interventions for hyperacusis in adults: a scoping review to assess the current position and determine priorities for research Thumbnail


Authors

Iskra Potgieter

Giriraj S. Shekhawat

David M. Baguley

DEREK HOARE derek.hoare@nottingham.ac.uk
Associate Professor in Hearing Sciences



Abstract

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 outcome measures included Loudness Discomfort Levels, the Hyperacusis Questionnaire, and Tinnitus Retraining 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.

Citation

Fackrell, K., Potgieter, I., Shekhawat, G. S., Baguley, D. M., Sereda, M., & Hoare, D. J. (2017). Clinical interventions for hyperacusis in adults: a scoping review to assess the current position and determine priorities for research. BioMed Research International, 2017, Article 2723715. https://doi.org/10.1155/2017/2723715

Journal Article Type Article
Acceptance Date Aug 16, 2017
Online Publication Date Oct 9, 2017
Publication Date Oct 9, 2017
Deposit Date Sep 12, 2018
Publicly Available Date Sep 13, 2018
Journal BioMed Research International
Print ISSN 2314-6133
Electronic ISSN 2314-6141
Publisher Hindawi
Peer Reviewed Peer Reviewed
Volume 2017
Article Number 2723715
DOI https://doi.org/10.1155/2017/2723715
Public URL https://nottingham-repository.worktribe.com/output/1032904
Publisher URL https://www.hindawi.com/journals/bmri/2017/2723715/
Contract Date Sep 13, 2018