Analysis of mental disorders in tinnitus patients performed with Composite International Diagnostic Interview

Zirke, Nina; Seydel, C.; Arsoy, D.; Klapp, Burghard F.; Haupt, H.; Szczepek, Agnieszka J.; Olze, Heidi; Goebel, Gerhard; Mazurek, Birgit

doi:10.1007/s11136-012-0338-9

Cited by 55 publications

(40 citation statements)

References 49 publications

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“…In the chronic pain literature, research suggests that attention factors selectively modulate the awareness of pain, while mood selectively modulates the unpleasantness of the pain (Bushnell et al, 2013). Impaired cognitive control has also been implicated in anxiety (Derryberry and Reed, 2002) and depression (Fales et al, 2008), with both psychological conditions having a high incidence rate in CT populations (Zirke et al, 2013). As such, we propose that the ongoing awareness and severity of CT is underpinned by a failure of top–down cognitive resources, specifically cognitive and emotional control, resulting in a reduced ability to switch attention away from the tinnitus sound.…”

Section: Discussionmentioning

confidence: 99%

Cognitive Mechanisms in Chronic Tinnitus: Psychological Markers of a Failure to Switch Attention

2016

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The cognitive mechanisms underpinning chronic tinnitus (CT; phantom auditory perceptions) are underexplored but may reflect a failure to switch attention away from a tinnitus sound. Here, we investigated a range of components that influence the ability to switch attention, including cognitive control, inhibition, working memory and mood, on the presence and severity of CT. Our participants with tinnitus showed significant impairments in cognitive control and inhibition as well as lower levels of emotional well-being, compared to healthy-hearing participants. Moreover, the subjective cognitive complaints of tinnitus participants correlated with their emotional well-being whereas complaints in healthy participants correlated with objective cognitive functioning. Combined, cognitive control and depressive symptoms correctly classified 67% of participants. These results demonstrate the core role of cognition in CT. They also provide the foundations for a neurocognitive account of the maintenance of tinnitus, involving impaired interactions between the neurocognitive networks underpinning attention-switching and mood.

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Section: Discussionmentioning

confidence: 99%

Cognitive Mechanisms in Chronic Tinnitus: Psychological Markers of a Failure to Switch Attention

2016

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“…Despite heavy auditory impairment of the target group, there were no differences between GAD‐7 scores pre‐ and post‐CI implantation, indicating affective stability of the patients our study sample. Zirke et al report high GAD‐7 scores in patients with chronic tinnitus and auditory disorders. Likewise, Andersson et al reported a link between psychopathological comorbidities in patients with auditory handicaps.…”

Section: Discussionmentioning

confidence: 99%

Impact of cochlear implantation on quality of life and mental comorbidity in patients aged 80 years

et al. 2016

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“…Ninety-three percent of patients who suffered from tinnitus reported psychiatric symptoms. Mental disorders, including depression, dysthymia, insomnia, loss of concentration, somatoform disorders, anxiety, and obsessive compulsive disorder have been reported to occur in up to 46% of patients 28. Some groups29 have found an important relationship between mental health and tinnitus or sensitivity to noise.…”

Section: Discussionmentioning

confidence: 99%

Coexistence of anxiety sensitivity and psychiatric comorbidities in patients with chronic tinnitus

Gül¹,

Özkırış²,

Aydin³

et al. 2015

NDT

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BackgroundTinnitus refers to the objective or subjective perception of a series of sounds most frequently described as ringing in the ear or within the head itself. Anxiety and depressive disorders frequently accompany this complaint. In this study, we aimed to investigate the presence of psychiatric symptoms and the degree of anxiety sensitivity in patients with chronic tinnitus.MethodsFifty patients with chronic tinnitus who had been followed up for at least 6 months or longer were enrolled in this study. All subjects completed the Anxiety Sensitivity Index-3 (ASI-3), Stait-Trait Anxiety Inventory (STAI), and Symptom Check List-90-Revised (SCL-90-R) questionnaires. Fifty healthy volunteers were given the same tests and a statistical comparison of the psychometric outcome data was done for subjects with and without chronic tinnitus.ResultsPatients with chronic tinnitus demonstrated higher statistically meaningful scores than the healthy group. Comparison between chronic tinnitus group and control group scores showed that patient group has a high rate of statistically significant results than controls; ASI-3, STAI-2, SCL-90-R GSI, SCL-90-R Somatization, SCL-90-R Depression, SCL-90-R Anxiety (z=−8.00, P<0.01), SCL-90-R Phobic Anxiety.ConclusionHigher scores for anxiety sensitivity and other psychiatric symptoms in patients with chronic tinnitus reflects the prevalence of psychiatric disorders such as depression, anxiety, somatoform disorder, and chronic tinnitus. The finding of more psychiatric comorbidity in patients with chronic tinnitus indicates that planning and follow-up in both otolaryngology and psychiatry is necessary to improve the overall results of treatment.

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Analysis of mental disorders in tinnitus patients performed with Composite International Diagnostic Interview

Cited by 55 publications

References 49 publications

Cognitive Mechanisms in Chronic Tinnitus: Psychological Markers of a Failure to Switch Attention

Cognitive Mechanisms in Chronic Tinnitus: Psychological Markers of a Failure to Switch Attention

Impact of cochlear implantation on quality of life and mental comorbidity in patients aged 80 years

Coexistence of anxiety sensitivity and psychiatric comorbidities in patients with chronic tinnitus

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