Investigating the Effect of Binaural Beat Stimulation on the Annoyance of Tinnitus in Military Personnel
-
Mohammadsaleh Moosapour Bardsiri
,
Parsa Cheraghipour
,
Majid Irani
,
Seyed Meead Mousavi
,
Seyed Shahab Ghazi Mirsaeed
Abstract
Background and Aim: Prevalence of noise-induced tinnitus is approximately twice as high among military personnel and veterans as in the general population. So they appear to have poorer quality of life. Many forms of sound therapy have been applied to reduce the effects of subjective tinnitus. This study aimed to investigate the effect of binaural beat stimulation on the annoyance of tinnitus in military personnel with the experience of acoustic trauma-induced tinnitus.
Methods: This study was conducted on 60 men with mean(SD) age 38.30(6.12) years individuals suffering from chronic tinnitus. They were randomly assigned to either the experimental group who were exposed to an audio file with an embedded binaural beat in the alpha frequency range or the control group who were supposed to merely listen to their favorite music without any included beat stimulation. Tinnitus Handicap Inventory (THI) and Tinnitus Handicap Questionnaire (THQ) were used as outcome measures to collect the data after a period of one month.
Results: There were statistically significant differences (score decrease) between the two study groups after intervention in terms of THI (p<0.05) and THQ total score (p<0.05) and the subscales involving emotional effects of tinnitus.
Conclusion: Binaural beat stimulation in the alpha frequency range has the potential of inducing some positive effects on subjective feelings of chronic tinnitus sufferers.
[1] MacGregor AJ, Joseph AR, Dougherty AL. Prevalence of Tinnitus and Association with Self-Rated Health among Military Personnel Injured on Combat Deployment. Mil Med. 2020;185(9-10):e1608-14. [DOI:10.1093/milmed/usaa103]
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[3] Schmidt CJ, Kerns RD, Finkel S, Michaelides E, Henry JA. Cognitive Behavioral Therapy for Veterans With Tinnitus. Fed Pract. 2018;35(8):36-46.
[4] Hu J, Xu J, Streelman M, Xu H, Guthrie O. The Correlation of the Tinnitus Handicap Inventory with Depression and Anxiety in Veterans with Tinnitus. Int J Otolaryngol. 2015;2015:689375. [DOI:10.1155/2015/689375]
[5] Tang D, Li H, Chen L. Advances in Understanding, Diagnosis, and Treatment of Tinnitus. Adv Exp Med Biol. 2019;1130:109-28. [DOI:10.1007/978-981-13-6123-4_7]
[6] Cederroth CR, Gallus S, Hall DA, Kleinjung T, Langguth B, Maruotti A, et al. Editorial: Towards an Understanding of Tinnitus Heterogeneity. Front Aging Neurosci. 2019;11:53. [DOI:10.3389/fnagi.2019.00053]
[7] Jastreboff PJ. Phantom auditory perception (tinnitus): mechanisms of generation and perception. Neurosci Res. 1990;8(4):221-54. [DOI:10.1016/0168-0102(90)90031-9]
[8] Weisz N, Moratti S, Meinzer M, Dohrmann K, Elbert T. Tinnitus perception and distress is related to abnormal spontaneous brain activity as measured by magnetoencephalography. PLoS Med. 2005;2(6):e153. [DOI:10.1371/journal.pmed.0020153]
[9] Huang TL, Charyton C. A comprehensive review of the psychological effects of brainwave entrainment. Altern Ther Health Med. 2008;14(5):38-50.
[10] Tabarelli D, Brancaccio A, Zrenner C, Belardinelli P. Functional Connectivity States of Alpha Rhythm Sources in the Human Cortex at Rest: Implications for Real-Time Brain State Dependent EEG-TMS. Brain Sci. 2022;12(3):348. [DOI:10.3390/brainsci12030348]
[11] Strauß A, Wöstmann M, Obleser J. Cortical alpha oscillations as a tool for auditory selective inhibition. Front Hum Neurosci. 2014;8:350. [DOI:10.3389/fnhum.2014.00350]
[12] Weisz N, Dohrmann K, Elbert T. The relevance of spontaneous activity for the coding of the tinnitus sensation. Prog Brain Res. 2007;166:61-70. [DOI:10.1016/S0079-6123(07)66006-3]
[13] Posada-Quintero HF, Reljin N, Bolkhovsky JB, Orjuela-Cañón AD, Chon KH. Brain Activity Correlates With Cognitive Performance Deterioration During Sleep Deprivation. Front Neurosci. 2019;13:1001. [DOI:10.3389/fnins.2019.01001]
[14] Kahlbrock N, Weisz N. Transient reduction of tinnitus intensity is marked by concomitant reductions of delta band power. BMC Biol. 2008;6:4. [DOI:10.1186/1741-7007-6-4]
[15] Munro BA, Searchfield GD. The short-term effects of recorded ocean sound with and without alpha frequency binaural beats on tinnitus perception. Complement Ther Med. 2019;44:291-5. [DOI:10.1016/j.ctim.2019.05.005]
[16] Colzato LS, Barone H, Sellaro R, Hommel B. More attentional focusing through binaural beats: evidence from the global-local task. Psychol Res. 2017;81(1):271-7. [DOI:10.1007/s00426-015-0727-0]
[17] Chaieb L, Wilpert EC, Reber TP, Fell J. Auditory beat stimulation and its effects on cognition and mood States. Front Psychiatry. 2015;6:70. [DOI:10.3389/fpsyt.2015.00070]
[18] Solcà M, Mottaz A, Guggisberg AG. Binaural beats increase interhemispheric alpha-band coherence between auditory cortices. Hear Res. 2016;332:233-7. [DOI:10.1016/j.heares.2015.09.011]
[19] McConnell PA, Froeliger B, Garland EL, Ives JC, Sforzo GA. Auditory driving of the autonomic nervous system: Listening to theta-frequency binaural beats post-exercise increases parasympathetic activation and sympathetic withdrawal. Front Psychol. 2014;5:1248. [DOI:10.3389/fpsyg.2014.01248]
[20] López-Caballero F, Escera C. Binaural Beat: A Failure to Enhance EEG Power and Emotional Arousal. Front Hum Neurosci. 2017;11:557. [DOI:10.3389/fnhum.2017.00557]
[21] David JB, Naftali A, Katz A. Tinntrain: A multifactorial treatment for tinnitus using binaural beats. The Hear J. 2010;63(11):25-6,28. [DOI:10.1097/01.HJ.0000390818.17619.65]
[22] Wahbeh H, Calabrese C, Zwickey H. Binaural beat technology in humans: a pilot study to assess psychologic and physiologic effects. J Altern Complement Med. 2007;13(1):25-32. [DOI:10.1089/acm.2006.6196]
[23] Güntensperger D, Thüring C, Meyer M, Neff P, Kleinjung T. Neurofeedback for Tinnitus Treatment – Review and Current Concepts. Front Aging Neurosci. 2017;9:386. [DOI:10.3389/fnagi.2017.00386]
[24] Ioannou CI, Pereda E, Lindsen JP, Bhattacharya J. Electrical Brain Responses to an Auditory Illusion and the Impact of Musical Expertise. PLoS One. 2015;10(6):e0129486. [DOI:10.1371/journal.pone.0129486]
[25] Ibarra-Zarate DI, Naal-Ruiz NE, Alonso-Valerdi LM. Binaural sound therapy for tinnitus treatment: A psychometric and neurophysiological evaluation. Am J Otolaryngol. 2022;43(1):103248. [DOI:10.1016/j.amjoto.2021.103248]
[26] Arian Nahad H, Rouzbahani M, Jarollahi F, Jalaie S, Pourbakht A, Mokrian H, et al. Translation, validity, and reliability of a persian version of the iowa tinnitus handicap questionnaire. Iran J Otorhinolaryngol. 2014;26(2):79-87.
[27] Mahmoudian S, Shahmiri E, Rouzbahani M, Jafari Z, Keyhani M, Rahimi F, et al. Persian language version of the “Tinnitus Handicap Inventory”: translation, standardization, validity and reliability. Int Tinnitus J. 2011;16(2):93-103.
[28] Udupi VA, Uppunda AK, Mohan KM, Alex J, Mahendra MH. The relationship of perceived severity of tinnitus with depression, anxiety, hearing status, age and gender in individuals with tinnitus. Int Tinnitus J. 2013;18(1):29-34. [DOI:10.5935/0946-5448.20130005]
[29] Phneah SW, Nisar H. EEG-based alpha neurofeedback training for mood enhancement. Australas Phys Eng Sci Med. 2017;40(2):325-36. [DOI:10.1007/s13246-017-0538-2]
[30] Le Scouarnec RP, Poirier RM, Owens JE, Gauthier J, Taylor AG, Foresman PA. Use of binaural beat tapes for treatment of anxiety: a pilot study of tape preference and outcomes. Altern Ther Health Med. 2001;7(1):58-63.
[31] Erlandsson SI, Holgers KM. The impact of perceived tinnitus severity on health-related quality of life with aspects of gender. Noise Health. 2001;3(10):39-51.
[32] Weiland TJ, Jelinek GA, Macarow KE, Samartzis P, Brown DM, Grierson EM, et al. Original sound compositions reduce anxiety in emergency department patients: a randomised controlled trial. Med J Aust. 2011;195(11-12):694-8. [DOI:10.5694/mja10.10662]
[33] Garcia-Argibay M, Santed MA, Reales JM. Efficacy of binaural auditory beats in cognition, anxiety, and pain perception: a meta-analysis. Psychol Res. 2019;83(2):357-72. [DOI:10.1007/s00426-018-1066-8]
[34] Otero M, Lea-Carnall C, Prado P, Escobar MJ, El-Deredy W. Modelling neural entrainment and its persistence: influence of frequency of stimulation and phase at the stimulus offset. Biomed Phys Eng Express. 2022;8(4):045014. [DOI:10.1088/2057-1976/ac605a]
[35] Weisz N, Hartmann T, Müller N, Lorenz I, Obleser J. Alpha rhythms in audition: cognitive and clinical perspectives. Front Psychol. 2011;2:73. [DOI:10.3389/fpsyg.2011.00073]
[36] Berger JI, Coomber B. Tinnitus-related changes in the inferior colliculus. Front Neurol. 2015;6:61. [DOI:10.3389/fneur.2015.00061]
[37] Gao X, Cao H, Ming D, Qi H, Wang X, Wang X, et al. Analysis of EEG activity in response to binaural beats with different frequencies. Int J Psychophysiol. 2014;94(3):399-406. [DOI:10.1016/j.ijpsycho.2014.10.010]
[38] Paszkiel S, Dobrakowski P, Łysiak A. The Impact of Different Sounds on Stress Level in the Context of EEG, Cardiac Measures and Subjective Stress Level: A Pilot Study. Brain Sci. 2020;10(10):728. [DOI:10.3390/brainsci10100728]
[39] Vanneste S, van Dongen M, De Vree B, Hiseni S, van der Velden E, Christos Strydis, et al. Does enriched acoustic environment in humans abolish chronic tinnitus clinically and electrophysiologically? A double blind placebo controlled study. Hear Res. 2013;296:141-8. [DOI:10.1016/j.heares.2012.10.003]
[40] Surr RK, Kolb JA, Cord MT, Garrus NP. Tinnitus Handicap Inventory (THI) as a hearing aid outcome measure. J Am Acad Audiol. 1999;10(9):489-95. [DOI:10.1055/s-0042-1748538]
[2] Neff P, Zielonka L, Meyer M, Langguth B, Schecklmann M, Schlee W. Comparison of Amplitude Modulated Sounds and Pure Tones at the Tinnitus Frequency: Residual Tinnitus Suppression and Stimulus Evaluation. Trends Hear. 2019;23:2331216519833841. [DOI:10.1177/2331216519833841]
[3] Schmidt CJ, Kerns RD, Finkel S, Michaelides E, Henry JA. Cognitive Behavioral Therapy for Veterans With Tinnitus. Fed Pract. 2018;35(8):36-46.
[4] Hu J, Xu J, Streelman M, Xu H, Guthrie O. The Correlation of the Tinnitus Handicap Inventory with Depression and Anxiety in Veterans with Tinnitus. Int J Otolaryngol. 2015;2015:689375. [DOI:10.1155/2015/689375]
[5] Tang D, Li H, Chen L. Advances in Understanding, Diagnosis, and Treatment of Tinnitus. Adv Exp Med Biol. 2019;1130:109-28. [DOI:10.1007/978-981-13-6123-4_7]
[6] Cederroth CR, Gallus S, Hall DA, Kleinjung T, Langguth B, Maruotti A, et al. Editorial: Towards an Understanding of Tinnitus Heterogeneity. Front Aging Neurosci. 2019;11:53. [DOI:10.3389/fnagi.2019.00053]
[7] Jastreboff PJ. Phantom auditory perception (tinnitus): mechanisms of generation and perception. Neurosci Res. 1990;8(4):221-54. [DOI:10.1016/0168-0102(90)90031-9]
[8] Weisz N, Moratti S, Meinzer M, Dohrmann K, Elbert T. Tinnitus perception and distress is related to abnormal spontaneous brain activity as measured by magnetoencephalography. PLoS Med. 2005;2(6):e153. [DOI:10.1371/journal.pmed.0020153]
[9] Huang TL, Charyton C. A comprehensive review of the psychological effects of brainwave entrainment. Altern Ther Health Med. 2008;14(5):38-50.
[10] Tabarelli D, Brancaccio A, Zrenner C, Belardinelli P. Functional Connectivity States of Alpha Rhythm Sources in the Human Cortex at Rest: Implications for Real-Time Brain State Dependent EEG-TMS. Brain Sci. 2022;12(3):348. [DOI:10.3390/brainsci12030348]
[11] Strauß A, Wöstmann M, Obleser J. Cortical alpha oscillations as a tool for auditory selective inhibition. Front Hum Neurosci. 2014;8:350. [DOI:10.3389/fnhum.2014.00350]
[12] Weisz N, Dohrmann K, Elbert T. The relevance of spontaneous activity for the coding of the tinnitus sensation. Prog Brain Res. 2007;166:61-70. [DOI:10.1016/S0079-6123(07)66006-3]
[13] Posada-Quintero HF, Reljin N, Bolkhovsky JB, Orjuela-Cañón AD, Chon KH. Brain Activity Correlates With Cognitive Performance Deterioration During Sleep Deprivation. Front Neurosci. 2019;13:1001. [DOI:10.3389/fnins.2019.01001]
[14] Kahlbrock N, Weisz N. Transient reduction of tinnitus intensity is marked by concomitant reductions of delta band power. BMC Biol. 2008;6:4. [DOI:10.1186/1741-7007-6-4]
[15] Munro BA, Searchfield GD. The short-term effects of recorded ocean sound with and without alpha frequency binaural beats on tinnitus perception. Complement Ther Med. 2019;44:291-5. [DOI:10.1016/j.ctim.2019.05.005]
[16] Colzato LS, Barone H, Sellaro R, Hommel B. More attentional focusing through binaural beats: evidence from the global-local task. Psychol Res. 2017;81(1):271-7. [DOI:10.1007/s00426-015-0727-0]
[17] Chaieb L, Wilpert EC, Reber TP, Fell J. Auditory beat stimulation and its effects on cognition and mood States. Front Psychiatry. 2015;6:70. [DOI:10.3389/fpsyt.2015.00070]
[18] Solcà M, Mottaz A, Guggisberg AG. Binaural beats increase interhemispheric alpha-band coherence between auditory cortices. Hear Res. 2016;332:233-7. [DOI:10.1016/j.heares.2015.09.011]
[19] McConnell PA, Froeliger B, Garland EL, Ives JC, Sforzo GA. Auditory driving of the autonomic nervous system: Listening to theta-frequency binaural beats post-exercise increases parasympathetic activation and sympathetic withdrawal. Front Psychol. 2014;5:1248. [DOI:10.3389/fpsyg.2014.01248]
[20] López-Caballero F, Escera C. Binaural Beat: A Failure to Enhance EEG Power and Emotional Arousal. Front Hum Neurosci. 2017;11:557. [DOI:10.3389/fnhum.2017.00557]
[21] David JB, Naftali A, Katz A. Tinntrain: A multifactorial treatment for tinnitus using binaural beats. The Hear J. 2010;63(11):25-6,28. [DOI:10.1097/01.HJ.0000390818.17619.65]
[22] Wahbeh H, Calabrese C, Zwickey H. Binaural beat technology in humans: a pilot study to assess psychologic and physiologic effects. J Altern Complement Med. 2007;13(1):25-32. [DOI:10.1089/acm.2006.6196]
[23] Güntensperger D, Thüring C, Meyer M, Neff P, Kleinjung T. Neurofeedback for Tinnitus Treatment – Review and Current Concepts. Front Aging Neurosci. 2017;9:386. [DOI:10.3389/fnagi.2017.00386]
[24] Ioannou CI, Pereda E, Lindsen JP, Bhattacharya J. Electrical Brain Responses to an Auditory Illusion and the Impact of Musical Expertise. PLoS One. 2015;10(6):e0129486. [DOI:10.1371/journal.pone.0129486]
[25] Ibarra-Zarate DI, Naal-Ruiz NE, Alonso-Valerdi LM. Binaural sound therapy for tinnitus treatment: A psychometric and neurophysiological evaluation. Am J Otolaryngol. 2022;43(1):103248. [DOI:10.1016/j.amjoto.2021.103248]
[26] Arian Nahad H, Rouzbahani M, Jarollahi F, Jalaie S, Pourbakht A, Mokrian H, et al. Translation, validity, and reliability of a persian version of the iowa tinnitus handicap questionnaire. Iran J Otorhinolaryngol. 2014;26(2):79-87.
[27] Mahmoudian S, Shahmiri E, Rouzbahani M, Jafari Z, Keyhani M, Rahimi F, et al. Persian language version of the “Tinnitus Handicap Inventory”: translation, standardization, validity and reliability. Int Tinnitus J. 2011;16(2):93-103.
[28] Udupi VA, Uppunda AK, Mohan KM, Alex J, Mahendra MH. The relationship of perceived severity of tinnitus with depression, anxiety, hearing status, age and gender in individuals with tinnitus. Int Tinnitus J. 2013;18(1):29-34. [DOI:10.5935/0946-5448.20130005]
[29] Phneah SW, Nisar H. EEG-based alpha neurofeedback training for mood enhancement. Australas Phys Eng Sci Med. 2017;40(2):325-36. [DOI:10.1007/s13246-017-0538-2]
[30] Le Scouarnec RP, Poirier RM, Owens JE, Gauthier J, Taylor AG, Foresman PA. Use of binaural beat tapes for treatment of anxiety: a pilot study of tape preference and outcomes. Altern Ther Health Med. 2001;7(1):58-63.
[31] Erlandsson SI, Holgers KM. The impact of perceived tinnitus severity on health-related quality of life with aspects of gender. Noise Health. 2001;3(10):39-51.
[32] Weiland TJ, Jelinek GA, Macarow KE, Samartzis P, Brown DM, Grierson EM, et al. Original sound compositions reduce anxiety in emergency department patients: a randomised controlled trial. Med J Aust. 2011;195(11-12):694-8. [DOI:10.5694/mja10.10662]
[33] Garcia-Argibay M, Santed MA, Reales JM. Efficacy of binaural auditory beats in cognition, anxiety, and pain perception: a meta-analysis. Psychol Res. 2019;83(2):357-72. [DOI:10.1007/s00426-018-1066-8]
[34] Otero M, Lea-Carnall C, Prado P, Escobar MJ, El-Deredy W. Modelling neural entrainment and its persistence: influence of frequency of stimulation and phase at the stimulus offset. Biomed Phys Eng Express. 2022;8(4):045014. [DOI:10.1088/2057-1976/ac605a]
[35] Weisz N, Hartmann T, Müller N, Lorenz I, Obleser J. Alpha rhythms in audition: cognitive and clinical perspectives. Front Psychol. 2011;2:73. [DOI:10.3389/fpsyg.2011.00073]
[36] Berger JI, Coomber B. Tinnitus-related changes in the inferior colliculus. Front Neurol. 2015;6:61. [DOI:10.3389/fneur.2015.00061]
[37] Gao X, Cao H, Ming D, Qi H, Wang X, Wang X, et al. Analysis of EEG activity in response to binaural beats with different frequencies. Int J Psychophysiol. 2014;94(3):399-406. [DOI:10.1016/j.ijpsycho.2014.10.010]
[38] Paszkiel S, Dobrakowski P, Łysiak A. The Impact of Different Sounds on Stress Level in the Context of EEG, Cardiac Measures and Subjective Stress Level: A Pilot Study. Brain Sci. 2020;10(10):728. [DOI:10.3390/brainsci10100728]
[39] Vanneste S, van Dongen M, De Vree B, Hiseni S, van der Velden E, Christos Strydis, et al. Does enriched acoustic environment in humans abolish chronic tinnitus clinically and electrophysiologically? A double blind placebo controlled study. Hear Res. 2013;296:141-8. [DOI:10.1016/j.heares.2012.10.003]
[40] Surr RK, Kolb JA, Cord MT, Garrus NP. Tinnitus Handicap Inventory (THI) as a hearing aid outcome measure. J Am Acad Audiol. 1999;10(9):489-95. [DOI:10.1055/s-0042-1748538]
| Files | ||
| Issue | Vol 32 No 1 (2023) | |
| Section | Research Article(s) | |
| DOI | https://doi.org/10.18502/avr.v32i1.11314 | |
| Keywords | ||
| Tinnitus binaural beat stimulation tinnitus handicap inventory tinnitus handicap questionnaire | ||
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How to Cite
1.
Moosapour Bardsiri M, Cheraghipour P, Irani M, Mousavi SM, Ghazi Mirsaeed SS. Investigating the Effect of Binaural Beat Stimulation on the Annoyance of Tinnitus in Military Personnel. Aud Vestib Res. 2023;32(1):19-25.
