Prevalence and Characteristics of Patients with Severe Hyperacusis among Patients Seen in a Tinnitus and Hyperacusis Clinic

Aazh, Hashir; Moore, Brian C. J.

doi:10.3766/jaaa.17015

Cited by 17 publications

(22 citation statements)

References 31 publications

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“…Hyperacusis was considered as present when the average ULL at 0.25, 0.5, 1, 2, 4, and 8 kHz for the ear with the lower average ULL (across-frequency average ULL for the ear with the lower ULL [ULLmin]) was #77 dB HL . The criterion for severe hyperacusis was a ULL of #30 dB HL for at least one of the measured frequencies: 0.25, 0.5, 1, 2, 3, 4, 6, and 8 kHz for at least one ear (Aazh and Moore, 2018).…”

Section: Audiological Investigationsmentioning

confidence: 99%

The Relationship between Severity of Hearing Loss and Subjective Tinnitus Loudness among Patients Seen in a Specialist Tinnitus and Hyperacusis Therapy Clinic in UK

Aazh

Salvi

2019

J Am Acad Audiol

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Hearing loss is often associated with the phantom sound of tinnitus. However, the degree of the association between severity of hearing loss and tinnitus loudness taking into account the impact of other variables (e.g., emotional disturbances) is not fully understood. This is an important question for audiologists who are specialized in tinnitus rehabilitation as patients often ask whether the loudness of their tinnitus will increase if their hearing gets worse.To explore the relationship between tinnitus loudness and pure tone hearing thresholds.This was a retrospective cross-sectional study.445 consecutive patients who attended a Tinnitus and Hyperacusis Therapy Specialist Clinic in UK were included.The results of audiological tests and self-report questionnaires were gathered retrospectively from the records of the patients. Multiple-regression analysis was used to assess the relationship between tinnitus loudness, hearing loss and other variables.The regression model showed a significant relationship between the pure tone average (PTA) at the frequencies 0.25, 0.5, 1, 2, and 4 kHz of the better ear and the tinnitus loudness as measured via visual analogue scale (VAS), r (regression coefficient) = 0.022 (p < 0.001). Other variables significantly associated with tinnitus loudness were tinnitus annoyance (r = 0.49, p < 0.001) and the effect of tinnitus on life (r = 0.09, p = 0.006). The regression model explained 52% of the variance of tinnitus loudness.Although increased tinnitus loudness was associated with worse PTA, the relationship was very weak. Tinnitus annoyance and impact of tinnitus on life were more strongly correlated with tinnitus loudness than PTA.

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Section: Audiological Investigationsmentioning

confidence: 99%

The Relationship between Severity of Hearing Loss and Subjective Tinnitus Loudness among Patients Seen in a Specialist Tinnitus and Hyperacusis Therapy Clinic in UK

Aazh

Salvi

2019

J Am Acad Audiol

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“…Jastreboff and Jastreboff43 reported that misophonia is always experienced in cases of severe hyperacusis. Recent studies conducted in the UK suggest that severe hyperacusis is typically characterised by strong across-frequency variations in sensitivity to sound, which is an indication of adverse reactions only to specific sounds, a feature associated with misophonia 44,45…”

Section: Introductionmentioning

confidence: 99%

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

Aazh¹,

Landgrebe²,

Danesh³

et al. 2019

PRBM

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This article reviews the evidence related to the efficacy of Cognitive Behavioral Therapy (CBT) for alleviating the distress caused by tinnitus, hyperacusis and misophonia. Where available, the review was focused on meta-analyses of randomized controlled trials (RCTs) using either passive control groups (typically waiting list or education only) or active control groups (receiving some other form of treatment). Where data from RCTs were not available, case studies and retrospective studies were reviewed. Analyses were conducted separately for studies of patients with tinnitus, hyperacusis and misophonia. RCTs show that CBT is effective in alleviating the distress caused by tinnitus in comparison to passive control groups and sometimes active control groups. CBT for tinnitus can be effective both in individual and in group settings, whether delivered by psychiatrists, clinical psychologists, or specially trained audiologists. CBT for tinnitus can also be effective when delivered via the internet, when combined with help from audiologists. Usually, CBT does not reduce the loudness of tinnitus but it can improve quality of life. Case studies and some limited RCTs suggest that CBT can also be effective in alleviating the distress caused by hyperacusis and misophonia. However, RCTs with active control groups are currently lacking. There is strong evidence supporting the effectiveness of CBT in alleviating the distress caused by tinnitus. However, it is not yet clear whether CBT is more effective than some other forms of treatment. RCTs with active control groups are needed to establish more clearly the extent to which CBT is effective in alleviating the distress caused by hyperacusis and misophonia.

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“…Seventeen percent (7/41) of the young patients in the current study were diagnosed with severe hyperacusis, as indicated by ULLs of 30 dB HL or less for at least one of the measured frequencies for at least one ear. This proportion is considerably higher than the 4% prevalence of severe hyperacusis (13/362), among patients with an average age of years (SD = 16 years), diagnosed using the same criterion (Aazh & Moore, 2017c).…”

Section: Incidence Of Hyperacusismentioning

confidence: 65%

Uncomfortable loudness levels among children and adolescents seeking help for tinnitus and/or hyperacusis

Aazh

McFerran

Moore

2018

International Journal of Audiology

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Prevalence and Characteristics of Patients with Severe Hyperacusis among Patients Seen in a Tinnitus and Hyperacusis Clinic

Cited by 17 publications

References 31 publications

The Relationship between Severity of Hearing Loss and Subjective Tinnitus Loudness among Patients Seen in a Specialist Tinnitus and Hyperacusis Therapy Clinic in UK

The Relationship between Severity of Hearing Loss and Subjective Tinnitus Loudness among Patients Seen in a Specialist Tinnitus and Hyperacusis Therapy Clinic in UK

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

Uncomfortable loudness levels among children and adolescents seeking help for tinnitus and/or hyperacusis

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