The role of cognition in tinnitus

Andersson, Gerhard; McKenna, Laurence

doi:10.1080/03655230600895226

Cited by 124 publications

(110 citation statements)

References 20 publications

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“…Attentional deficits due to thalamocortical functions were reported by scalp-recorded auditory-evoked responses (P50 potential) but no correlations of sleep disturbance or tinnitus severity with reaction-time 16 have been found. It has been reported that tinnitus and cognition are inseparable 7 as neurobiological model involving (i) brain areas (nucleus accumbens/ limbic/ sympathetic); (ii) modified GABAergic, serotonergic, adrenergic and cholinergic afferents (iii) sensory perception 5,13,17 , and (iv) heterogenous multimodal processing that affects the patients' quality of life 13,18 so should be taken into account in diagnosis and rehabilitation 7,9 . Thus, objective of the present study was to find any association of auditory phantom sensation (subjective tinnitus) with cognitive performance of patients to enhance the knowledge for planning focused, targeted and cost effective management.…”

Section: Introductionmentioning

confidence: 99%

“…It is conscious perception due to the multiple, parallel and overlapping brain networks 4 . Chronic tinnitus is maladaptive neuronal plasticity and subsequent hyperactivity in primary and secondary auditory pathways, higher-order association areas and parts of the limbic system 2,3,[5][6][7] . Tinnitus might be associated with hyperacusis, sound distortion, sleep disturbances and psychological symptoms such as affective disorders, phonophobia, and/or depression 2,5,8 .…”

Section: Introductionmentioning

confidence: 99%

“…Tinnitus might be associated with hyperacusis, sound distortion, sleep disturbances and psychological symptoms such as affective disorders, phonophobia, and/or depression 2,5,8 . It is also associated with cognitive processing affecting perception, attention, thinking, memory, language, reasoning, processing speed, problem solving, and visual tasks (reading) 7,[9][10][11] .…”

Section: Introductionmentioning

confidence: 99%

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Association of Chronic Subjective Tinnitus with Neuro-Cognitive Performance

Gudwani¹,

Munjal²,

Panda³

et al. 2017

The International Tinnitus Journal

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Introduction: Chronic subjective tinnitus is associated with cognitive disruptions affecting perception, thinking, language, reasoning, problem solving, memory, visual tasks (reading) and attention. Objective: To evaluate existence of any association between tinnitus parameters and neuropsychological performance to explain cognitive processing. Materials and Methods: Study design was prospective, consisting 25 patients with idiopathic chronic subjective tinnitus and gave informed consent before planning their treatment. Neuropsychological profile included (i) performance on verbal information, comprehension, arithmetic and digit span; (ii) non-verbal performance for visual pattern completion analogies; (iii) memory performance for long-term, recent, delayed-recall, immediate-recall, verbal-retention, visualretention, visual recognition; (iv) reception, interpretation and execution for visual motor gestalt. Correlation between tinnitus onset duration/ loudness perception with neuropsychological profile was assessed by calculating Spearman's coefficient. Results: Findings suggest that tinnitus may interfere with cognitive processing especially performance on digit span, verbal comprehension, mental balance, attention & concentration, immediate recall, visual recognition and visual-motor gestalt subtests. Negative correlation between neurocognitive tasks with tinnitus loudness and onset duration indicated their association. Positive correlation between tinnitus and visual-motor gestalt performance indicated the brain dysfunction. Conclusion: Tinnitus association with non-auditory processing of verbal, visual and visuo-spatial information suggested neuroplastic changes that need to be targeted in cognitive rehabilitation.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Association of Chronic Subjective Tinnitus with Neuro-Cognitive Performance

Gudwani¹,

Munjal²,

Panda³

et al. 2017

The International Tinnitus Journal

View full text Add to dashboard Cite

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“…Several therapeutic approaches-including counseling and behavioral therapy (Andersson & McKenna, 2006;Cima, Andersson, Schmidt, & Henry, 2014;Tyler, Stouffer, & Schum, 1989;Wilson, Henry, Andersson, Hallam, & Lindberg, 1998), the provision of hearing aids (Kochkin & Tyler, 2008;Kochkin, Tyler, & Born, 2011;Searchfield, Kaur, & Martin, 2010;Shekhawat, Searchfield, & Stinear, 2013), and sound therapy devices (Hoare, Searchfield, El Refaie, & Henry, 2014;Tyler, Stocking, Secor, & Slattery, 2014)-can be effective for many people.…”

Section: Discussionmentioning

confidence: 99%

A Series of Case Studies of Tinnitus Suppression With Mixed Background Stimuli in a Cochlear Implant

et al. 2015

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Purpose Background sounds provided by a wearable sound playback device were mixed with the acoustical input picked up by a cochlear implant speech processor in an attempt to suppress tinnitus. Method First, patients were allowed to listen to several sounds and to select up to 4 sounds that they thought might be effective. These stimuli were programmed to loop continuously in the wearable playback device. Second, subjects were instructed to use 1 background sound each day on the wearable device, and they sequenced the selected background sounds during a 28-day trial. Patients were instructed to go to a website at the end of each day and rate the loudness and annoyance of the tinnitus as well as the acceptability of the background sound. Patients completed the Tinnitus Primary Function Questionnaire (Tyler, Stocking, Secor, & Slattery, 2014) at the beginning of the trial. Results Results indicated that background sounds were very effective at suppressing tinnitus. There was considerable variability in sounds preferred by the subjects. Conclusion The study shows that a background sound mixed with the microphone input can be effective for suppressing tinnitus during daily use of the sound processor in selected cochlear implant users.

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“…and consequent inappropriate behaviors (use of ear plugs, anxious or phobic reactions to ST perception) that promote the persistence of ST related discomfort (Andersson and McKenna 2006). It is for this reason that cognitive and behavioral therapies have been widely and successfully included in the multidisciplinary therapeutic management of tinnitus patients (Caffier et al 2006;Londero et al 2006).…”

Section: Subjective Tinnitus Pathophysiologymentioning

confidence: 99%

Auditory and visual 3D virtual reality therapy for chronic subjective tinnitus: theoretical framework

et al. 2009

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It is estimated that *10% of the adult population in developed countries is affected by subjective tinnitus. Physiopathology of subjective tinnitus remains incompletely explained. Nevertheless, subjective tinnitus is thought to result from hyperactivity and neuroplastic reorganization of cortical and subcortical networks following acoustic deafferentation induced by cochlear or auditory nerve damage. Involvement of both auditory and non-auditory central nervous pathways explains the conscious perception of tinnitus and also the potentially incapacitating discomfort experienced by some patients (sound hypersensitivity, sleep disorders, attention deficit, anxiety or depression). These clinical patterns are similar to those observed in chronic pain following amputation where conditioning techniques using virtual reality have been shown both to be theoretically interesting and effectively useful. This analogy led us to develop an innovative setup with dedicated auditory and visual 3D virtual reality environments in which unilateral subjective tinnitus sufferers are given the possibility to voluntarily manipulate an auditory and visual image of their tinnitus (tinnitus avatar).By doing so, the patients will be able to transfer their subjective auditory perception to the tinnitus avatar and to gain agency on this multimodal virtual percept they hear, see and spatially control. Repeated sessions of such virtual reality immersions are then supposed to contribute to tinnitus treatment by promoting cerebral plasticity. This paper describes the theoretical framework and setup adjustments required by this very first attempt to adapt virtual reality techniques to subjective tinnitus treatment. Therapeutic usefulness will be validated by a further controlled clinical trial.

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The role of cognition in tinnitus

Cited by 124 publications

References 20 publications

Association of Chronic Subjective Tinnitus with Neuro-Cognitive Performance

Association of Chronic Subjective Tinnitus with Neuro-Cognitive Performance

A Series of Case Studies of Tinnitus Suppression With Mixed Background Stimuli in a Cochlear Implant

Auditory and visual 3D virtual reality therapy for chronic subjective tinnitus: theoretical framework

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