Parental Separation and Parental Mental Health in Childhood and Risk of Insomnia in Adulthood among Patients with Tinnitus

Abstract

Many patients seeking help for tinnitus also suffer from insomnia. Adverse childhood experiences may affect the likelihood of insomnia in later life for such patients.To explore whether parental separation and parental mental health during childhood are related to the severity of insomnia among patients with tinnitus and/or hyperacusis seen in an Audiology clinic.This was a retrospective cross-sectional study.One hundred seventy-four consecutive patients who attended a tinnitus/hyperacusis clinic in the United Kingdom were included.Data were based on responses to questionnaires for people seeking help for tinnitus.Sixteen percent of patients (27/174) reported that during the first 18 years of life, their parents were separated or divorced and 41% (72/174) reported that their parent(s) suffered from a mental illness. The mean score for the insomnia severity index (ISI) was not significantly affected by parental separation or divorce. However, the mean ISI score was significantly worse for patients whose parents had a mental illness. A multinomial logistic regression model, adjusted for the presence of hyperacusis, hearing loss, age, and gender, indicated that for individuals experiencing tinnitus, a history of parental mental illness during their childhood increased the chance of severe insomnia by a factor of 3.4 (95% confidence interval: 1.1 to 10.8, p = 0.04). The risk of having severe insomnia was 3.8 times greater for patients with hyperacusis than for those without.Among patients seeking help for tinnitus/hyperacusis, poor parental mental health was associated with severe insomnia.

Audiological and Other Factors Predicting the Presence of Misophonia Symptoms Among a Clinical Population Seeking Help for Tinnitus and/or Hyperacusis

“…A new finding of our study was that the proportion of patients with a childhood history of parental mental illness was higher for Miso Cat 1 (45%) than for Miso Cat 0 (27%). This is consistent with reports of a higher impact of tinnitus, hyperacusis-induced anxiety, and depression symptoms among patients who reported that during their first 18 years of life their parent(s) suffered from a mental illness ( Aazh et al, 2018 , 2019a , c , 2020 ). Mounting evidence suggests that adverse childhood experiences play a major lifelong role in mental and physical problems ( Anda et al, 2006 , 2010 ; Erfanian, 2018 ).…”

Kecerdasan Emosi pada Siswa yang Orangtuanya Bercerai dan Tidak Bercerai (Utuh)

“…Remaja yang orangtua bercerai dapat memberikan respon yang beragam, seperti penjelasan Cummings & Davies (dalam Shaffer, 1999) bahwa perceraian orangtua membuat anak manjadi sangat sedih dan melampiaskan kesedihannya dengan bersikap menyakiti dan berperilaku agresif ketika berinteraksi dengan saudara maupun temannya. Namun, disisi lain remaja korban perceraian juga menunjukkan respon atau dampak positif seperti menjadi lebih mandiri, tidak mudah putus asa, serta dapat menyalurkan emosinya dengan hal-hal yang positif sehingga remaja dapat menghindari perlaku negatif dan menyelesaiakan permasalahan yang dihadapainya (Zuraida, 2018;Aazh, 2020;Abderrahmane, 2022;Barsisa, 2021;Chavda, 2023;Dianovinina, 2023;McKetta, 2018). Hal ini disebabkan oleh daya imajinasi dan abstraksi remaja yang telah berkembang sehingga remaja berpikir lebih logis dalam menyelesaikan masalah yang dihadapinya.…”