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Review

Cognitive Behavioral Therapy For Alleviating The Distress Caused By Tinnitus, Hyperacusis And Misophonia: Current Perspectives

ORCID Icon, , ORCID Icon & ORCID Icon
Pages 991-1002 | Published online: 23 Oct 2019

References

  • Aazh H, Moore BCJ, Glasberg BR. Simplified form of tinnitus retraining therapy in adults: a retrospective study. BMC Ear Nose Throat Disord. 2008;8:1–7. doi:10.1186/1472-6815-8-718366712
  • Tyler RS, Conrad-Armes D. Tinnitus pitch: a comparison of three measurement methods. Br J Audiol. 1983;17:101–107.6626779
  • Nicolas-Puel C, Faulconbridge RL, Guitton M, et al. Characteristics of tinnitus and etiology of associated hearing loss: a study of 123 patients. Int Tinnitus J. 2002;8:37–44.14763234
  • Tyler RS, Baker LJ. Difficulties experienced by tinnitus sufferers. J Speech Hear Disord. 1983;48:150–154. doi:10.1044/jshd.4802.1506621006
  • Mazurek B, Olze H, Haupt H, Szczepek AJ. The more the worse: the grade of noise-induced hearing loss associates with the severity of tinnitus. Int J Environ Res Public Health. 2010;7:3071–3079. doi:10.3390/ijerph708307120948948
  • Aazh H, Salvi R. The relationship between severity of hearing loss and subjective tinnitus loudness among patients seen in a specialist tinnitus and hyperacusis therapy clinic in UK. J Am Acad Audiol. 2018.
  • Bartels H, Middel BL, van der Laan BF, Staal MJ, Albers FW. The additive effect of co-occurring anxiety and depression on health status, quality of life and coping strategies in help-seeking tinnitus sufferers. Ear Hear. 2008;29:947–956. doi:10.1097/AUD.0b013e3181888f8318941410
  • Andersson G, Carlbring P, Kaldo V, Strom L. Screening of psychiatric disorders via the Internet. A pilot study with tinnitus patients. Nord J Psychiatry. 2004;58:287–291. doi:10.1080/0803948041000579215370777
  • Mathias K, Mezzasalma M, Nardi A. Prevalence of panic disorder in patients with tinnitus [in Portuguese]. Rev Psiquiatr Clín. 2011;38:139–142. doi:10.1590/S0101-60832011000400005
  • Adoga AA, Adoga AS, Obindo JT. Tinnitus and the prevalence of co-morbid psychological stress. Niger J Med. 2008;17:95–97.18390143
  • Aazh H, Moore BCJ. Usefulness of self-report questionnaires for psychological assessment of patients with tinnitus and hyperacusis and patients’ views of the questionnaires. Int J Audiol. 2017;56:489–498. doi:10.1080/14992027.2017.129885028277857
  • Zeman F, Koller M, Figueiredo R, et al. Tinnitus handicap inventory for evaluating treatment effects: which changes are clinically relevant? Otolaryngol Head Neck Surg. 2011;145:282–287. doi:10.1177/019459981140388221493265
  • Newman CW, Jacobson GP, Spitzer JB. Development of the tinnitus handicap inventory. Arch Otolaryngol Head Neck Surg. 1996;122:143–148. doi:10.1001/archotol.1996.018901400290078630207
  • Beck AT, Steer RA. Internal consistencies of the original and revised beck depression inventory. J Clin Psychol. 1984;40:1365–1367. doi:10.1002/1097-4679(198411)40:6<1365::aid-jclp2270400615>3.0.co;2-d6511949
  • Hebert S, Canlon B, Hasson D, et al. Tinnitus severity is reduced with reduction of depressive mood–a prospective population study in Sweden. PLoS One. 2012;7:e37733. doi:10.1371/journal.pone.003773322629449
  • Trevis KJ, McLachlan NM, Wilson SJ. Psychological mediators of chronic tinnitus: the critical role of depression. J Affect Disord. 2016;204:234–240. doi:10.1016/j.jad.2016.06.05527391257
  • Aazh H, Moore BCJ. Thoughts about suicide and self-harm in patients with tinnitus and hyperacusis. J Am Acad Audiol. 2018;29:255–261. doi:10.3766/jaaa.1618129488875
  • Durai M, Searchfield G. Anxiety and depression, personality traits relevant to tinnitus: a scoping review. Int J Audiol. 2016;55:605–615. doi:10.1080/14992027.2016.119896627387463
  • Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983;67:361–370. doi:10.1111/j.1600-0447.1983.tb09716.x6880820
  • Bastien CH, Vallieres A, Morin CM. Validation of the insomnia severity index as an outcome measure for insomnia research. Sleep Med. 2001;2:297–307.11438246
  • Khalfa S, Dubal S, Veuillet E, et al. Psychometric normalization of a hyperacusis questionnaire. ORL J Otorhinolaryngol Relat Spec. 2002;64:436–442. doi:10.1159/00006757012499770
  • McKenna L, Handscomb L, Hoare DJ, Hall DA. A scientific cognitive-behavioral model of tinnitus: novel conceptualizations of tinnitus distress. Front Neurol. 2014;5:196. doi:10.3389/fneur.2014.0019625339938
  • Hallam RS, Jakes SC, Hinchcliffe R. Cognitive variables in tinnitus annoyance. Br J Clin Psychol. 1988;27(Pt 3):213–222.3191301
  • Aazh H, Moore BCJ. Effectiveness of audiologist-delivered cognitive behavioral therapy for tinnitus and hyperacusis rehabilitation: outcomes for patients treated in routine practice. Am J Audiol. 2018;27:547–558. doi:10.1044/2018_AJA-17-009630242355
  • Aazh H, Moore BCJ, Lammaing K, Cropley M. Tinnitus and hyperacusis therapy in a UK National Health Service audiology department: patients’ evaluations of the effectiveness of treatments. Int J Audiol. 2016;55:514–522. doi:10.1080/14992027.2016.117840027195947
  • Tyler RS, Pienkowski M, Rojas Roncancio E, et al. A review of hyperacusis and future directions: part I. definitions and manifestations. Am J Audiol. 2014;23:402–419. doi:10.1044/2014_AJA-14-001025104073
  • Tyler RS, Conrad Armes D. The determination of tinnitus loudness considering the effects of recruitment. J Speech Hear Res. 1983;26:59–72. doi:10.1044/jshr.2601.596865383
  • Schecklmann M, Landgrebe M, Langguth B. TRI database study group. Phenotypic characteristics of hyperacusis in tinnitus. PLoS One. 2014;9:e86944. doi:10.1371/journal.pone.008694424498000
  • Aazh H, McFerran D, Salvi R, et al. Insights from the First International Conference on Hyperacusis: causes, evaluation, diagnosis and treatment. Noise Health. 2014;16:123–126. doi:10.4103/1463-1741.13210024804717
  • Baguley DM. Hyperacusis. J R Soc Med. 2003;96:582–585. doi:10.1258/jrsm.96.12.58214645606
  • Juris L, Andersson G, Larsen HC, Ekselius L. Psychiatric comorbidity and personality traits in patients with hyperacusis. Int J Audiol. 2013;52:230–235. doi:10.3109/14992027.2012.74304323244506
  • Baguley D, Andersson G. Hyperacusis: Mechanisms, Diagnosis, and Therapies. San Diego: Plural Publishing Inc; 2007.
  • Juris L, Andersson G, Larsen HC, Ekselius L. Cognitive behaviour therapy for hyperacusis: a randomized controlled trial. Behav Res Ther. 2014;54c:30–37. doi:10.1016/j.brat.2014.01.001
  • Pienkowski M, Tyler RS, Roncancio ER, et al. A review of hyperacusis and future directions: part II. measurement, mechanisms, and treatment. Am J Audiol. 2014;23:420–436. doi:10.1044/2014_AJA-13-003725478787
  • Aazh H, Allott R. Cognitive behavioural therapy in management of hyperacusis: a narrative review and clinical implementation. Auditory Vestibular Res. 2016;25:63–74.
  • Jastreboff PJ, Jastreboff MM. Tinnitus retraining therapy for patients with tinnitus and decreased sound tolerance. Otolaryngol Clin North Am. 2003;36:321–336.12856300
  • Porcaro CK, Alavi E, Gollery T, Danesh AA. Misophonia: awareness and responsiveness in academia. J Postsecond Educ Disabil. 2019;32:108–118.
  • Sheldrake J, Diehl PU, Schaette R. Audiometric characteristics of hyperacusis patients. Front Neurol. 2015;6:105. doi:10.3389/fneur.2015.0010526029161
  • Fackrell K, Fearnley C, Hoare DJ, Sereda M. Hyperacusis questionnaire as a tool for measuring hypersensitivity to sound in a tinnitus research population. Biomed Res Int. 2015;2015:290425. doi:10.1155/2015/29042526557658
  • Schecklmann M, Lehner A, Schlee W, et al. Validation of screening questions for hyperacusis in chronic tinnitus. Biomed Res Int. 2015;2015:191479. doi:10.1155/2015/19147926557654
  • Andersson G, Lindvall N, Hursti T, Carlbring P. Hypersensitivity to sound (hyperacusis): a prevalence study conducted via the Internet and post. Int J Audiol. 2002;41:545–554.12477175
  • Zaugg TL, Thielman EJ, Griest S, Henry JA. Subjective reports of trouble tolerating sound in daily life versus loudness discomfort levels. Am J Audiol. 2016;25:359–363. doi:10.1044/2016_AJA-15-003427768802
  • Jastreboff PJ, Jastreboff MM. Decreased sound tolerance: hyperacusis, misophonia, diplacousis, and polyacousis. Handb Clin Neurol. 2015;129:375–387. doi:10.1016/B978-0-444-62630-1.00021-425726280
  • Aazh H, Moore BCJ. Factors related to uncomfortable loudness levels for patients seen in a tinnitus and hyperacusis clinic. Int J Audiol. 2017;56:793–800. doi:10.1080/14992027.2017.133588828622055
  • Aazh H, Moore BCJ. Prevalence and characteristics of patients with severe hyperacusis among patients seen in a tinnitus and hyperacusis clinic. J Am Acad Audiol. 2018;29:626–633. doi:10.3766/jaaa.1701529988010
  • Schroder A, Vulink N, Denys D. Misophonia: diagnostic criteria for a new psychiatric disorder. PLoS One. 2013;8:e54706. doi:10.1371/journal.pone.005470623372758
  • Taylor S. Misophonia: a new mental disorder? Med Hypotheses. 2017;103:109–117. doi:10.1016/j.mehy.2017.05.00328571795
  • Erfanian M, Kartsonaki C, Keshavarz A. Misophonia and comorbid psychiatric symptoms: a preliminary study of clinical findings. Nord J Psychiatry. 2019;73:219–228. doi:10.1080/08039488.2019.160908631066600
  • Rouw R, Erfanian M. A large-scale study of misophonia. J Clin Psychol. 2017.
  • Bernstein RE, Angell KL, Dehle CM. A brief course of cognitive behavioural therapy for the treatment of misophonia: a case example. Cognit Behav Therapist. 2013;6:e10. doi:10.1017/S1754470X13000172
  • McGuire JF, Wu MS, Storch EA. Cognitive-behavioral therapy for 2 youths with misophonia. J Clin Psychiatry. 2015;76:573–574. doi:10.4088/JCP.14cr0934326035184
  • Webber TA, Johnson PL, Storch EA. Pediatric misophonia with comorbid obsessive-compulsive spectrum disorders. Gen Hosp Psychiatry. 2014;36:231.e1–2. doi:10.1016/j.genhosppsych.2013.10.018
  • Cavanna AE. What is misophonia and how can we treat it? Expert Rev Neurother. 2014;14:357–359. doi:10.1586/14737175.2014.89241824552574
  • Schroder AE, Vulink NC, van Loon AJ, Denys DA. Cognitive behavioral therapy is effective in misophonia: an open trial. J Affect Disord. 2017;217:289–294. doi:10.1016/j.jad.2017.04.01728441620
  • Edelstein M, Brang D, Rouw R, Ramachandran VS. Misophonia: physiological investigations and case descriptions. Front Hum Neurosci. 2013;7:296. doi:10.3389/fnhum.2013.0029623805089
  • Beck AT. Cognitive Therapy and the Emotional Disorders. New York: International Universities Press; 1976.
  • Clark DA, Beck AT, Alford BA. Scientific Foundations of Cognitive Theory and Therapy of Depression. New York: Wiley; 1999.
  • Muran JC. A reformulation of the ABC model in cognitive psychotherapies: implications for assessment and treatment. Clin Psychol Rev. 1991;11:399–418. doi:10.1016/0272-7358(91)90115-B
  • Aazh H, Moore BCJ. Proportion and characteristics of patients who were offered, enrolled in and completed audiologist-delivered cognitive behavioural therapy for tinnitus and hyperacusis rehabilitation in a specialist UK clinic. Int J Audiol. 2018;57:415–425. doi:10.1080/14992027.2018.143140529415588
  • Maes IH, Cima RF, Anteunis LJ, et al. Cost-effectiveness of specialized treatment based on cognitive behavioral therapy versus usual care for tinnitus. Otol Neurotol. 2014;35:787–795. doi:10.1097/MAO.000000000000033124829038
  • Jasper K, Weise C, Conrad I, et al. Internet-based guided self-help versus group cognitive behavioral therapy for chronic tinnitus: a randomized controlled trial. Psychother Psychosom. 2014;83:234–246. doi:10.1159/00036070524970708
  • Kaldo V, Cars S, Rahnert M, Larsen HC, Andersson G. Use of a self-help book with weekly therapist contact to reduce tinnitus distress: a randomized controlled trial. J Psychosom Res. 2007;63:195–202. doi:10.1016/j.jpsychores.2007.04.00717662757
  • Martinez-Devesa P, Perera R, Theodoulou M, Waddell A. Cognitive behavioural therapy for tinnitus. Cochrane Database Syst Rev. 2010;8:Cd005233.
  • Hesser H, Weise C, Westin VZ, Andersson G. A systematic review and meta-analysis of randomized controlled trials of cognitive-behavioral therapy for tinnitus distress. Clin Psychol Rev. 2011;31:545–553. doi:10.1016/j.cpr.2010.12.00621237544
  • Grewal R, Spielmann PM, Jones SE, Hussain SS. Clinical efficacy of tinnitus retraining therapy and cognitive behavioural therapy in the treatment of subjective tinnitus: a systematic review. J Laryngol Otol. 2014;128:1028–1033. doi:10.1017/S002221511400284925417546
  • Hoare DJ, Kowalkowski VL, Kang S, Hall DA. Systematic review and meta-analyses of randomized controlled trials examining tinnitus management. Laryngoscope. 2011;121:1555–1564. doi:10.1002/lary.2182521671234
  • Zenner HP, Delb W, Kroner-Herwig B, et al. A multidisciplinary systematic review of the treatment for chronic idiopathic tinnitus. Eur Arch Otorhinolaryngol. 2017;274:2079–2091. doi:10.1007/s00405-016-4401-y27995315
  • Andersson G, Porsaeus D, Wiklund M, Kaldo V, Larsen HC. Treatment of tinnitus in the elderly: a controlled trial of cognitive behavior therapy. Int J Audiol. 2005;44:671–675.16379495
  • Kröner-Herwig B, Frenzel A, Fritsche G, Schilkowsky G, Esser G. The management of chronic tinnitus: comparison of an outpatient cognitive–behavioral group training to minimal-contact interventions. J Psychosom Res. 2003;54:381–389. doi:10.1016/s0022-3999(02)00400-212670617
  • Kröner-Herwig B, Hebing G, van Rijn-Kalkmann U, et al. The management of chronic tinnitus—comparison of a cognitive-behavioural group training with yoga. J Psychosom Res. 1995;39:153–165. doi:10.1016/0022-3999(94)00098-p7595873
  • Rief W, Weise C, Kley N, Martin A. Psychophysiologic treatment of chronic tinnitus: a randomized clinical trial. Psychosom Med. 2005;67:833–838. doi:10.1097/01.psy.0000174174.38908.c616204446
  • Weise C, Heinecke K, Rief W. Biofeedback-based behavioral treatment for chronic tinnitus: results of a randomized controlled trial. J Consult Clin Psychol. 2008;76:1046–1057. doi:10.1037/a001381119045972
  • Henry J, Wilson P. The psychological management of tinnitus: comparison of a combined cognitive educational program, education alone and a waiting-list control. Int Tinnitus J. 1996;2:9–20.10753339
  • Goebel G, Hiller W. [The tinnitus questionnaire. A standard instrument for grading the degree of tinnitus. Results of a multicenter study with the tinnitus questionnaire]. Hno. 1994;42:166–172.8175381
  • Andersson G, Strömgren T, Ström L. Randomised controlled trial of Internet based cognitive behavior therapy for distress associated with tinnitus. Psychosom Med. 2002;64:810–816. doi:10.1097/01.psy.0000031577.42041.f812271112
  • Lindberg P, Scott B, Melin L, Lyttkens L. The psychological treatment of tinnitus: an experimental evaluation. Behav Res Ther. 1989;27:593–603. doi:10.1016/0005-7967(89)90143-52692553
  • Scott B, Lindberg P, Lyttkens L, Melin L. Psychological treatment of tinnitus. An experimental group study. Scand Audiol. 1985;14:223–230.3912955
  • Seydel C, Haupt H, Szczepek AJ, Klapp BF, Mazurek B. Long-term improvement in tinnitus after modified tinnitus retraining therapy enhanced by a variety of psychological approaches. Audiol Neurotol. 2010;15:69–80. doi:10.1159/000231632
  • Zachriat C, Kroner-Herwig B. Treating chronic tinnitus: comparison of cognitive-behavioural and habituation-based treatments. Cogn Behav Ther. 2004;33:187–198. doi:10.1080/1650607041002956815625793
  • Hesser H, Gustafsson T, Lunden C, et al. A randomized controlled trial of Internet-delivered cognitive behavior therapy and acceptance and commitment therapy in the treatment of tinnitus. J Consult Clin Psychol. 2012;80:649–661. doi:10.1037/a002702122250855
  • Westin VZ, Schulin M, Hesser H, et al. Acceptance and commitment therapy versus tinnitus retraining therapy in the treatment of tinnitus: a randomised controlled trial. Behav Res Ther. 2011;49:737–747. doi:10.1016/j.brat.2011.08.00121864830
  • Abbott JA, Kaldo V, Klein B, et al. A cluster randomised trial of an internet-based intervention program for tinnitus distress in an industrial setting. Cogn Behav Ther. 2009;38:162–173. doi:10.1080/1650607090276317419675959
  • Wilson PH, Henry J, Bowen M, Haralambous G. Tinnitus reaction questionnaire: psychometric properties of a measure of distress associated with tinnitus. J Speech Hear Res. 1991;34:197–201.2008074
  • Henry JL, Wilson PH. An evaluation of two types of cognitive intervention in the management of chronic tinnitus. Scand J Behav Ther. 1998;27:156–166. doi:10.1080/02845719808408510
  • Nyenhuis N, Golm D, Kroner-Herwig B. A systematic review and meta-analysis on the efficacy of self-help interventions in tinnitus. Cogn Behav Ther. 2013;42:159–169. doi:10.1080/16506073.2013.80349623777192
  • Kaldo V, Levin S, Widarsson J, et al. Internet versus group cognitive-behavioral treatment of distress associated with tinnitus: a randomized controlled trial. Behav Ther. 2008;39:348–359. doi:10.1016/j.beth.2007.10.00319027431
  • Konzag TA, Rubler D, Bloching M, et al. [Counselling versus a self-help manual for tinnitus outpatients: a comparison of effectiveness]. Hno. 2006;54:599–604. doi:10.1007/s00106-005-1350-y16328200
  • Malouff JM, Noble W, Schutte NS, Bhullar N. The effectiveness of bibliotherapy in alleviating tinnitus-related distress. J Psychosom Res. 2010;68:245–251. doi:10.1016/j.jpsychores.2009.07.02320159209
  • Nyenhuis N, Zastrutzki S, Weise C, Jager B, Kroner-Herwig B. The efficacy of minimal contact interventions for acute tinnitus: a randomised controlled study. Cogn Behav Ther. 2013;42:127–138. doi:10.1080/16506073.2012.65530522413736
  • Jastreboff PJ, Hazell JW. Tinnitus Retraining Therapy: Implementing the Neurophysiological Model. UK: Cambridge University Press; 2004.
  • Higgins JPT, Green S. Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0. London, UK: The Cochrane Collaboration; 2011.
  • Zenner HP, Vonthein R, Zenner B, et al. Standardized tinnitus-specific individual cognitive-behavioral therapy: a controlled outcome study with 286 tinnitus patients. Hear Res. 2013;298:117–125. doi:10.1016/j.heares.2012.11.01323287811
  • Andersson G, Kaldo V. Internet-based cognitive behavioral therapy for tinnitus. J Clin Psychol. 2004;60:171–178. doi:10.1002/jclp.1024314724924
  • Cima RF, Maes IH, Joore MA, et al. Specialised treatment based on cognitive behaviour therapy versus usual care for tinnitus: a randomised controlled trial. Lancet. 2012;379:1951–1959. doi:10.1016/S0140-6736(12)60469-322633033
  • Feeny D, Furlong W, Torrance GW, et al. Multiattribute and single-attribute utility functions for the health utilities index mark 3 system. Med Care. 2002;40:113–128. doi:10.1097/00005650-200202000-0000611802084
  • Beukes EW, Andersson G, Allen PM, Manchaiah V, Baguley DM. Effectiveness of guided internet-based cognitive behavioral therapy vs face-to-face clinical care for treatment of tinnitus: a randomized clinical trial. JAMA Otolaryngol Head Neck Surg. 2018;144:1126–1133. doi:10.1001/jamaoto.2018.223830286238
  • Beukes EW, Baguley DM, Allen PM, Manchaiah V, Andersson G. Audiologist-guided internet-based cognitive behavior therapy for adults with tinnitus in the United Kingdom: a randomized controlled trial. Ear Hear. 2018;39:423–433. doi:10.1097/AUD.000000000000050529095725
  • Meikle MB, Henry JA, Griest SE, et al. The tinnitus functional index: development of a new clinical measure for chronic, intrusive tinnitus. Ear Hear. 2012;33:153–176. doi:10.1097/AUD.0b013e31822f67c022156949
  • Aazh H, Moore BCJ. Incidence of discomfort during pure-tone audiometry and measurement of uncomfortable loudness levels among People seeking help for tinnitus and/or hyperacusis. Am J Audiol. 2017;26:226–232. doi:10.1044/2017_AJA-17-001128810267
  • Rogers C. Client-Centered Therapy. New York: Houghton Mifflin; 1965.
  • Wells A. Cognitive Therapy of Anxiety Disorders: A Practice Manual and Conceptual Guide. Chichester, UK: John Wiley & Sons Inc; 1997.
  • Aazh H. Feasibility of conducting a randomised controlled trial to evaluate the effect of motivational interviewing on hearing-aid use. Int J Audiol. 2016;55:149–156. doi:10.3109/14992027.2015.107473326328620
  • Aazh H. Patients’ experience of motivational interviewing for hearing aid use: a qualitative study embedded within a pilot randomised controlled trial. J Phonetics Audiology. 2016;2:1–13. doi:10.4172/2471-9455.1000110
  • Miller WR, Rollnick S. Motivational Interviewing: Helping People Change. New York, London: The Guilford Press; 2013.
  • Schulz KF, Altman DG, Moher D. CONSORT 2010 statement: updated guidelines for reporting parallel group randomised trials. BMC Med. 2010;8:18. doi:10.1186/1741-7015-8-1820334633
  • Pocock SJ. Clinical Trials: A Practical Approach. UK: Wiley Chichester; 1983.
  • Cohen J. Statistical Power Analysis for the Behavioral Sciences. New Jersey: Lawrenced Erlbaum Associates, Inc. Publishers; 1988.
  • Cavanna AE, Seri S. Misophonia: current perspectives. Neuropsychiatr Dis Treat. 2015;11:2117–2123. doi:10.2147/NDT.S8143826316758
  • Reid AM, Guzick AG, Gernand A, Olsen B. Intensive cognitive-behavioral therapy for comorbid misophonic and obsessive-compulsive symptoms: a systematic case study. J Obsessive Compuls Relat Disord. 2016;10:1–9. doi:10.1016/j.jocrd.2016.04.009
  • Dozier TH. Counterconditioning treatment for misophonia. Clin Case Stud. 2015;14:374–387. doi:10.1177/1534650114566924
  • Dozier TH. Treating the initial physical reflex of misophonia with the neural repatterning technique: a counterconditioning procedure. Psychol Thought. 2015;8:189–210. doi:10.5964/psyct.v8i2.138
  • American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders: DSM-IV-TR®. American Psychiatric Pub; 2000.