Psychometric assessment of mental health in tinnitus patients, depressive and healthy controls

Ivanšić, Daniela; Besteher, Bianca; Palm, Julia; Guntinas‐Lichius, Orlando; Pantev, Christo; Nenadić, Igor; Dobel, Christian

doi:10.1016/j.psychres.2019.112582

Cited by 23 publications

(20 citation statements)

References 45 publications

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“…Chronic tinnitus denotes a subjective perception of sound in the absence of an external source. Whilst hearing loss can be associated with tinnitus, tinnitus-related distress arises mainly due to psychological factors [ 1 , 2 , 3 ].…”

Section: Introductionmentioning

confidence: 99%

“…Tinnitus-related distress is multidimensional and amplified via concomitant auditory phenomena such as hearing loss or hyperacusis, psychological stress cycles, psychological comorbidities such as impaired concentration, sleep problems, negative thinking, or catastrophizing tendencies as well as depression or anxiety disorders [ 6 , 7 , 8 , 9 , 10 ]. Furthermore, tinnitus patients are often diagnosed with additional affective symptoms [ 3 , 9 ] and also cognitive changes [ 5 , 9 , 11 , 12 , 13 , 14 ]. Tinnitus is therefore not a purely acoustic problem.…”

Section: Introductionmentioning

confidence: 99%

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Dimensions of Tinnitus-Related Distress

et al. 2022

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Objectives: (1) To determine which psychosocial aspects predict tinnitus-related distress in a large self-reported dataset of patients with chronic tinnitus, and (2) to identify underlying constructs by means of factor analysis. Methods: A cohort of 1958 patients of the Charité Tinnitus Center, Berlin completed a large questionnaire battery that comprised sociodemographic data, tinnitus-related distress, general psychological stress experience, emotional symptoms, and somatic complaints. To identify a construct of “tinnitus-related distress”, significant predictive items were grouped using factor analysis. Results: For the prediction of tinnitus-related distress (linear regression model with R2 = 0.7), depressive fatigue symptoms (concentration, sleep, rumination, joy decreased), the experience of emotional strain, somatization tendencies (pain, doctor contacts), and age appeared to play a role. The factor analysis revealed five factors: “stress”, “pain experience”, “fatigue”, “autonomy”, and low “educational level”. Conclusions: Tinnitus-related distress is predicted by psychological and sociodemographic indices. Relevant factors seem to be depressive exhaustion with somatic expressions such as sleep and concentration problems, somatization, general psychological stress, and reduced activity, in addition to higher age.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Dimensions of Tinnitus-Related Distress

et al. 2022

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“…In our study, one third of the individuals reported anxiety in the online survey and a quarter in the outpatient cohort. A recent case-control study reported that patients with severe tinnitus suffered from more psychiatric disorders, with higher prevalence of depression and somatization [39]. Sleep-disorder was a frequent complaint in our samples, and it showed a statistically significant difference between both groups, with higher rates in outpatients than in online participants.…”

Section: Discussionmentioning

confidence: 42%

Standardized Clinical Profiling in Spanish Patients with Chronic Tinnitus

Haro-Hernandez

Pérez-Carpena

Unnikrishnan

et al. 2022

JCM

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Background: Tinnitus is a heterogeneous condition. The aim of this study as to compare the online and hospital responses to the Spanish version of European School for Interdisciplinary Tinnitus Research screening-questionnaire (ESIT-SQ) in tinnitus individuals by an unsupervised age clustering. Methods: A cross-sectional study was performed including 434 white Spanish patients with chronic tinnitus to assess the demographic and clinical profile through the ESIT-SQ, with 204 outpatients and 230 individuals from an online survey; a K-means clustering algorithm was used to classify both responses according to age. Results: Online survey showed a high proportion of Meniere’s disease (MD) patients compared to both the general population and the outpatient cohort. The responses showed statistically significant differences between groups regarding education level, tinnitus-related hearing disorders (MD, hyperacusis), sleep difficulties, dyslipidemia, and other tinnitus characteristics, including duration, type of onset, the report of mitigating factors and the use of treatments. However, these differences were partially confirmed after adjusting for age. Conclusions: Self-reported tinnitus surveys are a low confidence source for tinnitus phenotyping. Additional clinical evaluation is needed for tinnitus research to reach the diagnosis. Age-based cluster analysis might help to better define clinical profiles and to compare responses in ESIT-SQ among subgroups of patients with tinnitus.

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“…They found that the expression of the general psychopathology factor was as high in severe tinnitus as in depressed patients, but more pronounced in mild tinnitus than in healthy controls. The somatization factor, on the other hand, was higher in both mild and severe tinnitus than in depressed patients or healthy controls (Ivansic et al, 2019).…”

Section: Discussionmentioning

confidence: 79%

“…It has been proposed that a hierarchical taxonomy consisting of a general psychopathology factor encompassing several dimensions/spectra (internalizing, thought disorder, disinhibited externalizing, antagonistic externalizing, detachment, and somatoform) comprised of different syndromes is suitable to characterize the majority of psychopathology (Kotov et al, 2017). In line with this approach, Ivansic et al (2019) found that mental health in tinnitus patients can best be described by a general psychopathology factor and a somatization factor. They found that the expression of the general psychopathology factor was as high in severe tinnitus as in depressed patients, but more pronounced in mild tinnitus than in healthy controls.…”

Section: Discussionmentioning

confidence: 99%