“…Further presumed causes of the heterogeneity are comorbidities, which may start with anxiety ( McCormack et al, 2015 ) or insomnia ( Lasisi and Gureje, 2011 ; Wallhäusser-Franke et al, 2013 ), continue to hyperacusis ( Goebel and Floezinger, 2008 ), and escalate to depression ( McKenna et al, 1991 ; Zöger et al, 2006 ; Zirke et al, 2013 ; Trevis et al, 2018 ). Other epiphenomena, including tinnitus-related distress ( Hesser and Andersson, 2014 ; Brüggemann et al, 2016 ), personality traits ( Konareva, 2006 ; Simões et al, 2019 ), and tinnitus-specific brain oscillation accompanied with structural and functional alterations in auditory and non-auditory brain areas ( Schlee et al, 2009 ; Adjamian et al, 2014 ) have been considered to contribute to or moderate the various manifestations of the phantom percept. Finally, all possible combinations of the mentioned phenomena complement the heterogeneous appearance ( Henry et al, 2005 ; Vanneste et al, 2010 ; Joos et al, 2012 ; Vanneste and De Ridder, 2012 ; Meyer et al, 2014 ).…”