2015
DOI: 10.1155/2015/429469
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The Epworth Sleepiness Scale in the Assessment of Sleep Disturbance in Veterans with Tinnitus

Abstract: Purpose. Tinnitus and sleep disturbance are prevalent in veterans, and a better understanding of their relationship can help with tinnitus treatment. Materials and Methods. Retrospective chart review of 94 veterans seen in audiology clinic between 2010 and 2013 is presented. Results. The mean age was 62 years, and 93 of 94 veterans were males. The majority (96%) had hearing loss. The positive predictive value of the ESS for sleep disorder was 97% and the negative predictive value was 100%. Veterans with a Tinn… Show more

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Cited by 12 publications
(12 citation statements)
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“…This finding is in line with recent results of a significant correlation of 0.62 in 117 US tinnitus patients between the Tinnitus Reaction Questionnaire and the Insomnia Severity Index [ 23 ]. In another study of 97 veterans with tinnitus a small association of 0.214 between the Tinnitus Handicap Inventory (measuring tinnitus distress) and the Epworth Sleepiness Scale (measuring daytime sleepiness) was found [ 9 ]. Taken together these findings confirm consistently that sleep problems have an impact on tinnitus severity, but they also show that the exact magnitude of the relationship depends on sample selection and assessment instruments.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…This finding is in line with recent results of a significant correlation of 0.62 in 117 US tinnitus patients between the Tinnitus Reaction Questionnaire and the Insomnia Severity Index [ 23 ]. In another study of 97 veterans with tinnitus a small association of 0.214 between the Tinnitus Handicap Inventory (measuring tinnitus distress) and the Epworth Sleepiness Scale (measuring daytime sleepiness) was found [ 9 ]. Taken together these findings confirm consistently that sleep problems have an impact on tinnitus severity, but they also show that the exact magnitude of the relationship depends on sample selection and assessment instruments.…”
Section: Discussionmentioning
confidence: 99%
“…These mechanisms can lead to comorbid conditions such as concentration problems, depressivity, and sleep disturbances [ 6 ]. Accordingly, insomnia shows an increased prevalence in chronic tinnitus [ 7 , 8 ] and an impaired sleep quality is correlated with tinnitus distress and sleep quality [ 9 ]. Patients frequently report that tinnitus prevents them from falling asleep.…”
Section: Introductionmentioning
confidence: 99%
“…The provision of advice regarding sleep and lifestyle modifications is another form of psychological therapy for tinnitus [ 6 ], as even relatively healthy people with chronic tinnitus may suffer from sleep-related problems [ 7 ]. Sleep disturbances increase the risk of tinnitus [ 8 ] and associated functional impairment [ 9 , 10 ]. Insomnia increases patients' negative reactions to tinnitus [ 7 , 11 ], leading to depression [ 12 ].…”
Section: Introductionmentioning
confidence: 99%
“…The association between functional impairment and sleep disturbance becomes more noticeable over time [ 13 ]. The evaluation and treatment of sleep disturbances help reduce patients' subjective handling of tinnitus [ 11 ] and are important components of tinnitus management, resulting in improved outcomes [ 10 , 14 ]. The role of diet has also been mentioned in some studies [ 15 , 16 ].…”
Section: Introductionmentioning
confidence: 99%
“…In general, people who present with tinnitus are more likely to have sleep disorders, depression, anxiety, stress, and suicidal ideation 13 . Concentration, emotional stability, alertness, and adequate sleep may all in uence the ability of Service members to carry out their assigned tasks, especially military man.…”
Section: Discussionmentioning
confidence: 99%