The association between tinnitus and mental health in a general population sample: Results from the HUNT Study

Krog, Norun Hjertager; Engdahl, Bo; Tambs, Kristian

doi:10.1016/j.jpsychores.2010.03.008

Cited by 163 publications

(118 citation statements)

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“…Epidemiologic studies reveal that tinnitus is experienced by 10%-15% of the adult populations in different countries (Heller, 2003;Hoffman & Reed, 2004;Shargorodsky, Curhan, & Farwell, 2010). It is often reported that for about 80% of those who experience tinnitus, the tinnitus is not particularly bothersome, and clinical intervention for the tinnitus is not required (Cima, Vlaeyen, Maes, Joore, & Anteunis, 2011;Davis & Refaie, 2000;Jastreboff & Hazell, 1998;Krog, Engdahl, & Tambs, 2010). When intervention for tinnitus is desired by, and appropriate for, a given patient, the amount of intervention provided should depend on the individual's specific needs Tyler & Baker, 1983).…”

Section: Discussionmentioning

confidence: 99%

Tinnitus and Hearing Survey: A Screening Tool to Differentiate Bothersome Tinnitus From Hearing Difficulties

et al. 2015

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Purpose: Individuals complaining of tinnitus often attribute hearing problems to the tinnitus. In such cases some (or all) of their reported "tinnitus distress" may in fact be caused by trouble communicating due to hearing problems. We developed the Tinnitus and Hearing Survey (THS) as a tool to rapidly differentiate hearing problems from tinnitus problems. Method: For 2 of our research studies, we administered the THS twice (mean of 16.5 days between tests) to 67 participants who did not receive intervention. These data allow for measures of statistical validation of the THS. Results: Reliability of the THS was good to excellent regarding internal consistency (a = .86-.94), test-retest reliability (r = .76-.83), and convergent validity between the Tinnitus Handicap Inventory (Newman, Jacobson, & Spitzer, 1996;Newman, Sandridge, & Jacobson, 1998) and the A (Tinnitus) subscale of the THS (r = .78). Factor analysis confirmed that the 2 subscales, A (Tinnitus) and B (Hearing), have strong internal structure, explaining 71.7% of the total variance, and low correlation with each other (r = .46), resulting in a small amount of shared variance (21%). Conclusion: These results provide evidence that the THS is statistically validated and reliable for use in assisting patients and clinicians in quickly (and collaboratively) determining whether intervention for tinnitus is appropriate.T innitus has been defined as head or ear noise lasting at least 5 min and occurring more than once a week (Dauman & Tyler, 1992). For most people who have tinnitus, the sound is constant or near-constant. Epidemiologic studies reveal that tinnitus is experienced by 10%-15% of the adult populations in different countries (Heller, 2003;Hoffman & Reed, 2004;Shargorodsky, Curhan, & Farwell, 2010). It is often reported that for about 80% of those who experience tinnitus, the tinnitus is not particularly bothersome, and clinical intervention for the tinnitus is not required (Cima, Vlaeyen, Maes, Joore, & Anteunis, 2011; Davis & Refaie, 2000;Jastreboff & Hazell, 1998;Krog, Engdahl, & Tambs, 2010). When intervention for tinnitus is desired by, and appropriate for, a given patient, the amount of intervention provided should depend on the individual's specific needs Tyler & Baker, 1983).Dobie's (2004) multilevel pyramid analogy is helpful in conceptualizing how tinnitus affects people differently (see Figure 1). The base of the pyramid contains those who have tinnitus but are not bothered by it. The next higher level contains people whose tinnitus is "bothersome," ranging from "mild" to "moderate" to "severe." The tip of the pyramid contains those relatively few individuals who are "debilitated" by their tinnitus. This pyramid analogy highlights the fact that most people who experience tinnitus do not need clinical intervention specific to the tinnitus. Those who do differ widely with respect to their clinical needs, ranging from answering a few questions (e.g., they want assurance that their tinnitus does not reflect some serious disease) to providin...

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Section: Discussionmentioning

confidence: 99%

Tinnitus and Hearing Survey: A Screening Tool to Differentiate Bothersome Tinnitus From Hearing Difficulties

et al. 2015

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“…As regards TMD, the literature findings suggest an association between this dysfunction and depression in different groups of TMD patients [13][14] , and the presence of chronic pain may be an important factor in this association 14 . On the other hand, tinnitus is considered a debilitating disorder, significantly associated with higher levels of depression 5,15 , and this overall association was independent of the presence or absence of the other health conditions 16 . Based on these statements, we hypothesize a possible triple association among chronic painful TMD, tinnitus, and depression.…”

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confidence: 99%

Painful temporomandibular disorders, self reported tinnitus, and depression are highly associated

Fernandes

Gonçalves

Siqueira

et al. 2013

Arq. Neuro-Psiquiatr.

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Objective: The aim of this study was to investigate the association among painful temporomandibular disorders (TMD), self reported tinnitus, and levels of depression. Method: The sample consisted of 224 individuals with ages ranges from 18 to 76 years. The Research Diagnostic Criteria for Temporomandibular Disorders Axis I were used to classify TMD and Axis II were used for self reported tinnitus, and to score the levels of depression. The odds ratio (OR) with 95% confidence interval (CI) was applied. Results: The presence of painful TMD without tinnitus was significantly associated with moderate/severe levels of depression (OR=9.3, 95%; CI: 3.44-25.11). The concomitant presence of painful TMD and tinnitus self-report increased the magnitude of the association with moderate/severe levels of depression (OR=16.3, 95%; CI, 6.58-40.51). Conclusion: Painful temporomandibular disorders, high levels of depression, and self reported tinnitus are deeply associated. However, this association does not imply a causal relationship.Keywords: depression, facial pain, tinnitus. REsumoObjetivo: Investigar a associação entre disfunção temporomandibular (DTM) dolorosa, auto-relato de zumbido e níveis de depressão. Método: A amostra foi composta por 224 indivíduos com idades de 18 a 76 anos. O Research Diagnostic Criteria for Temporomandibular Disorders, eixo I, foi usado para classificar a DTM e o eixo II para obtenção do auto-relato de zumbido e dos níveis de depressão. Para a análise dos dados, foi aplicado o teste odds ratio (OR) com intervalo de confiança (IC) de 95%. Resultado: Somente a presença de DTM dolorosa estava significativamente associada aos níveis de depressão moderado/severo (OR=9,3, 95%; IC: 3,44-25,11). A presença concomitante de DTM dolorosa e auto-relato de zumbido aumentaram a magnitude da associação com os níveis de depressão moderado/severo (OR=16,3; 95% IC: 6,58-40,51). Conclusão: Disfunção temporomandibular dolorosa, altos níveis de depressão e auto-relato de zumbido estão fortemente associados. Entretanto, o desenho do estudo não permite estabelecer uma relação causal entre essas três entidades.Palavras-chave: depressão, dor facial, zumbido.Tinnitus is defined as a phantom sensation because sound is perceived in the absence of a physical sound source 1 . It is clinically heterogeneous, reflecting multiple etiologies, and its complexity is related to its biological and psychological components 2 . Studies have observed tinnitus complaints more often in patients with temporomandibular disorders (TMD) than in those without TMD [3][4] , and tinnitus patients had more TMD signs and symptoms 5. Furthermore, signs of TMD may be a risk factor for the development of tinnitus Temporomandibular disorders refer to a group of conditions characterized by signs and symptoms, including pain in the temporomandibular joint (TMJ), and/or masticatory muscles, and/or TMJ sounds, and deviations or restriction in mandibular range of motion 7 . The first hypothesis for the association between tinnitus and TMD was descri...

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“…18 . Por outro lado, Krog et al 19 encontraram fraca associação entre zumbidos e transtornos mentais, afirmando que os vários estudos clínicos em que essa relação é alta costumam ocorrer em amostras pequenas, cujos pacientes possuem zumbidos e buscam atendimento especializado em clínicas audiológicas, o que, talvez, não deva ser generalizado, uma vez que muitas pessoas com zumbidos não recorrem à ajuda de um especialista. Recentes estudos demonstraram a modulação serotoninérgica da via auditiva e tentaram estabelecer a hipótese de que níveis alterados de serotonina pudessem influenciar o aparecimento e/ou a manutenção dos zumbidos 9 .…”

Section: Resultsunclassified

Prevalência de transtorno de pânico em pacientes com zumbidos

Mathias¹,

Mezzasalma²,

Nardi³

2011

Rev. psiquiatr. clín.

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RESUMOContexto: Estudos sugerem associação entre zumbidos e transtornos psiquiátricos. Objetivo: Identificar a presença de transtorno de pânico em uma amostra de pacientes com queixas de zumbido. Método: Foram avaliados 50 pacientes com queixa primária de zumbido de um serviço ambulatorial de otorrinolaringologia, durante um período de dois meses. A identificação de transtornos psiquiátricos e do impacto do zumbido na qualidade de vida foi feita por meio do Mini International Neuropsychiatric Interview (MINI versão 5.0) e do Tinnitus Handicap Inventory. Todos os pacientes foram submetidos à avaliação audiológica e responderam a um questionário clínico-demográfico desenvolvido para este estudo. Resultados: Vinte (40%) pacientes apresentaram transtorno de pânico, sendo 8 com e 12 sem agorafobia; 41 (82%) pacientes apresentaram pelo menos um diagnóstico psiquiátrico, sendo os mais prevalentes: transtorno de pânico (40%), depressão maior (40%) e transtorno de ansiedade generalizada (34%). Conclusão: A prevalência de transtorno de pânico em nossa amostra de pacientes com zumbidos foi elevada, o que ratifica a importância da avaliação psiquiátrica nesses pacientes.Mathias KV, et al. / Rev Psiq Clín. 2011;38(4):139-42 Palavras-chave: Transtorno de pânico, zumbidos, comorbidades psiquiátricas. ABSTRACTBackground: Many studies suggest there is an association between tinnitus and psychiatric disorders. Objective: To identify the prevalence of panic disorder in a tinnitus patients' sample. Method: We evaluated 50 patients with the main complaint of tinnitus of an Otorhinolaryngology outpatient unit for two consecutive months. The evaluation of psychiatric disorders was made with the Mini International Neuropsychiatric Interview (M.I.N.I version 5.0) and the evaluation of the tinnitus' impact was made with the Tinnitus Handicap Inventory. All patients also were submitted to an audiological evaluation and answered a clinical--demographic questionnaire elaborated for this study. Results: Twenty (40%) patients had panic disorder, 8 with agoraphobia and 12 without agoraphobia; 41 patients (82%) had at least one psychiatric disorder, and the most prevalent were: panic disorder (40%), major depression (40%) and generalized anxiety disorder (34%). Discussion: The prevalence of panic disorder in this sample of tinnitus' patients was high, which reinforces the importance of a psychiatric evaluation on these patients.

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The association between tinnitus and mental health in a general population sample: Results from the HUNT Study

Cited by 163 publications

References 39 publications

Tinnitus and Hearing Survey: A Screening Tool to Differentiate Bothersome Tinnitus From Hearing Difficulties

Tinnitus and Hearing Survey: A Screening Tool to Differentiate Bothersome Tinnitus From Hearing Difficulties

Painful temporomandibular disorders, self reported tinnitus, and depression are highly associated

Prevalência de transtorno de pânico em pacientes com zumbidos

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