Relationship Between Tinnitus Severity and Psychiatric Disorders

Zöger, Sigyn; Svedlund, Jan; Holgers, Kajsa‐Mia

doi:10.1176/appi.psy.47.4.282

Cited by 200 publications

(167 citation statements)

References 47 publications

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“…Several studies showed an association between increased anxiety scores and the experience of tinnitus distress or maladaptive illness behaviours (Rutter & Stein, 1999;Savastano, Marioni, & Aita, 2007;Zöger, Svedlund et al, 2006). Higher anxiety levels and increased worrying can result in a more pronounced appraisal of tinnitus as dangerous and thus an increase in the experience of tinnitus distress.…”

Section: M=4024 Sd=1223)mentioning

confidence: 99%

“…To determine the relative magnitude of tinnitus acceptance as a mediator, we let the TAQ compete against other theoretically plausible mediators, i.e., anxiety and depression. Depression is one of the most common comorbidities in distressed, chronic tinnitus patients (Andersson, Carlbring, Kaldo, & Ström, 2004;Zöger, Svedlund, & Holgers, 2006), however, it is not clear if depression is caused by a distressing tinnitus or if a depressive symptomatology increases the likelihood to experience distress. In any case, depression and depressive styles of thinking might influence the relation between the tinnitus sound itself and the amount of distress.…”

Section: Introductionmentioning

confidence: 99%

“…In any case, depression and depressive styles of thinking might influence the relation between the tinnitus sound itself and the amount of distress. Anxiety is another commonly occurring comorbidity that might mediate the relation between tinnitus loudness and the experience of distress (Zöger, Svedlund et al, 2006). To date, only anxiety sensitivity, defined as an individual's fear of physical symptoms based on the belief that such symptoms might be harmful, has been studied in tinnitus patients.…”

Section: Introductionmentioning

confidence: 99%

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Acceptance of Tinnitus: Validation of the Tinnitus Acceptance Questionnaire

Weise

Kleinstäuber

Hesser

et al. 2013

Cognitive Behaviour Therapy

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The concept of acceptance has recently received growing attention within tinnitus research due to the fact that tinnitus acceptance is one of the major targets of psychotherapeutic treatments. Accordingly, acceptance-based treatments will most likely be increasingly offered to tinnitus patients and assessments of acceptance-related behaviours will thus be needed. The current study investigated the factorial structure of the Tinnitus Acceptance Questionnaire (TAQ) and the role of tinnitus acceptance as mediating link between sound perception (i.e., subjective loudness of tinnitus) and tinnitus distress.In total, 424 patients with chronic tinnitus completed the TAQ and validated measures of tinnitus distress, anxiety and depression online. Confirmatory factor analysis provided support to a good fit of the data to the hypothesised bifactor model (RMSEA = .065; CFI = .974; TLI = .958; SRMR = .032). In addition, mediation analysis, using a nonparametric joint coefficient approach, revealed that tinnitus specific acceptance partially mediated the relation between subjective tinnitus loudness and tinnitus distress (path ab=5.96; 95% CI: 4.49, 7.69). In a multiple mediator model, tinnitus acceptance had a significantly stronger indirect effect than anxiety.The results confirm the factorial structure of the TAQ and suggest the importance of a general acceptance factor that contributes important unique variance beyond that of the firstorder factors activity engagement and tinnitus suppression. Tinnitus acceptance as measured with the TAQ is proposed to be a key construct in tinnitus research and should be further implemented into treatment concepts to reduce tinnitus distress.

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Section: M=4024 Sd=1223)mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Acceptance of Tinnitus: Validation of the Tinnitus Acceptance Questionnaire

Weise

Kleinstäuber

Hesser

et al. 2013

Cognitive Behaviour Therapy

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“…Many tinnitus patients suffer from insomnia (Cronlein et al, 2016), concentration difficulties (Hallam, McKenna, & Shurlock, 2004; Rossiter, Stevens, & Walker, 2006) or headaches (Langguth et al, 2015). Comorbid mental symptoms of anxiety, depression and post-traumatic stress are common (Fagelson, 2007; Hinton, Chhean, Pich, Hofmann, & Barlow, 2006; McCormack et al, 2015; Pattyn et al, 2016; Zoger, Svedlund, & Holgers, 2006). The economic burden of tinnitus to society is substantial.…”

Section: Introductionmentioning

confidence: 99%

A trauma-focused approach for patients with tinnitus: the effectiveness of eye movement desensitization and reprocessing – a multicentre pilot trial

Rikkert

Rood

Roos

et al. 2018

European Journal of Psychotraumatology

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Background: While normal tinnitus is a short-term sensation of limited duration, in 10–15% of the general population it develops into a chronic condition. For 3–6% it seriously interferes with many aspects of life. Objective: The aim of this trial was to assess effectiveness of a trauma-focused approach, eye movement desensitization and reprocessing (EMDR), in reducing tinnitus distress. Methods: The sample consisted of 35 adults with high levels of chronic tinnitus distress from five general hospitals in the Netherlands. Participants served as their own controls. After pre-assessment (T1), participants waited for a period of 3 months, after which they were assessed again (T2) before they received six 90 min manualized EMDR treatment sessions in which tinnitus-related traumatic or stressful events were the focus of treatment. Standardized self-report measures, the Tinnitus Functional Index (TFI), Mini-Tinnitus Questionnaire (Mini-TQ), Symptom Checklist-90 (SCL-90) and the Self-Rating Inventory List for Post-traumatic Stress Disorder (SRIP), were completed again halfway through treatment (T3), post-treatment (T4) and at 3 months’ follow-up (T5). Results: Repeated measures analysis of variance revealed significant improvement after EMDR treatment on the primary outcome, TFI. Compared to the waiting-list condition, scores significantly decreased in EMDR treatment [t(34) = −4.25, p < .001, Cohen’s dz = .72]. Secondary outcomes, Mini-TQ and SCL-90, also decreased significantly. The treatment effects remained stable at 3 months’ follow-up. No adverse events or side effects were noted in this trial. Conclusions: This is the first study to suggest that EMDR is effective in reducing tinnitus distress. Randomized controlled trials are warranted.

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“…Hronični tinitus dovodi do emocionalnih patnji, smanjuje radnu sposobnost, remeti interpersonalne odnose na poslu i u porodici, a mogu da se jave i napadi panike. Takođe osobe sa hroničnim tinitusom izbjegavaju svakodnevne aktivnosti u kojima su do pojave tinitusa uživali [11].…”

Section: Diskusijaunclassified

Prisustvo depresije kod bolesnika sa hroničnim subjektivnim tinitusom

Šolaja

Ćurčić

Balaban

et al. 2017

Biomedicinska istraž.

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Kratak sadržajUvod. Tinitus se definiše kao percepcija zvuka u ušima ili glavi bez prisutnih vanjskih izvora zvuka. Zujanje u uhu i nesposobnost bolesnika da se prilagode ovoj pojavi može da dovede do ispoljavanja emocionalnih tegoba, kao što su depresija i anksioznost. Cilj ove studije je bio da se procijeni stepen depresivnih tegoba koje prate hronični tinitus i ispita veza između prisustva tinitusa i simptoma depresije kod pacijenata sa hroničnim subjektivnim tinitusom.Metode. Studijom su obuhvaćena 73 bolesnika sa tinitusom i 47 ispitanika bez tinitusa, a obje grupe su uparene po polu i uzrastu. Bolesnici su podvrgnuti otorinolaringološkom pregledu i popunili su samostalno Tinitus hendikep upitnik i Beck-ov upitnik depresije. Tonalna liminarna audiometrija je urađena kod obje grupe ispitanika.Rezultati. Audiološkim ispitivanjem je otkriveno da 7 (9,6%) bolesnika sa tinitusom nema oštećenje sluha, a većina (41-56,2%) je imalo nagluvost lakog stepena, dok je među ispitanicima bez tinitusa 28 (59,6%) imalo normalan sluh. Bolesnici su najčešće imali visoke frekvencije tinitusa (63-86,3%), a u odnosu na intenzitet 48 (65,8%) bolesnika je imalo srednje jak tinitus (5-20 dB). Tinitus hendikep upitnikom dobijen je skor koji je klasifikaovao subjektivni doživljaj hendikepa kao zanemarljiv kod 26 (35,6%) bolesnika, blag kod 12 (16,4%), umjeren kod 23 (31,5%), težak kod 7 (9,6%) i veoma težak kod 5 (6,8%) bolesnika. Beck-ovim upitnikom depresije utvrđeno je normalno raspoloženje kod 59 (80,8%) bolesnika, odnosno kod 43 (91,5%) ispitanika bez tinitusa (U=1282.0, Z=-2.35, p<0,05). Između skorova dobijenih korišćenjem ova dva upitnika utvrđen je visok stepen korelacije (ρ=0,436, p<0,001).Zaključak. Značajna korelacija između skorova dobijenih Tinitus hendikep upitnikom i Beck-ovim upitnikom depresije ima značaja u pristupu liječenju ovih bolesnika. Kako depresija dodatno smanjuje kvalitet života, neophodno je da se adekvatnim tretmanom utiče na bržu adaptaciju na tinitus.

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Relationship Between Tinnitus Severity and Psychiatric Disorders

Cited by 200 publications

References 47 publications

Acceptance of Tinnitus: Validation of the Tinnitus Acceptance Questionnaire

Acceptance of Tinnitus: Validation of the Tinnitus Acceptance Questionnaire

A trauma-focused approach for patients with tinnitus: the effectiveness of eye movement desensitization and reprocessing – a multicentre pilot trial

Prisustvo depresije kod bolesnika sa hroničnim subjektivnim tinitusom

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