It seems likely that reduction of the distress caused by tinnitus resulting from participation in the iCBT(T) program led to the observed reductions in anxiety and depression. There was a nonsignificant trend for participants whose tinnitus started 1 month or less before commencing the iCBT(T) program to show greater improvements in their 4C and SAD-T scores than participants whose tinnitus started 6 months or more before commencing.
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The Effectiveness of Unguided Internet-Based Cognitive Behavioral Therapy for Tinnitus for Patients with Tinnitus Alone or Combined with Hyperacusis and/or Misophonia: A Preliminary Analysis.
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