The Tinnitus Handicap Inventory as a Screening Test for Psychiatric Comorbidity in Patients with Tinnitus

Salviati, Massimo; Macrì, Francesco; Terlizzi, S.; Melcore, Claudia; Provenzano, A.; Capparelli, Emilia; Altissimi, G; Cianfrone, Giancarlo

doi:10.1016/j.psym.2012.05.007

Cited by 39 publications

(44 citation statements)

References 22 publications

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“…The hodological view of psychiatric comorbidities in tinnitus patients also gives rise to other considerations: (1) “

o δ \overset{o}{true} ς

” means “way,” but also “connection”: the management of tinnitus complexity requires a multidisciplinary approach where otolaryngologists should involve and “connect” several different medical specialists; (2) clinicians should have more accurate instruments to assess the psychiatric comorbidities and the global neurofunctional activity [11]; (3) other nonpsychiatric comorbid conditions potentially able to induce plastic rearrangements, such as muscle tension [4] and hyperinsulinemia [142, 143], should be taken into consideration; (4) from a “ methodological ” point of view, the studies on tinnitus pathogenesis and on treatment response should be personalized rather than standardized.…”

Section: Discussionmentioning

confidence: 99%

“…From an epidemiological point of view, the prevalence of comorbid psychiatric disorders among tinnitus patients ranges between 14% and 80% [7, 8], with such a large range probably due to the different methodologies of sampling and diagnosis used in the different clinical studies [9]. Two recent studies of our research team found comorbid psychiatric disorders in 48% [10] and 43% [11] of the enrolled tinnitus patients. It is also true, however, that patients suffering from tinnitus-related distress may more frequently seek clinical help and thereby may have a better chance to get enrolled in clinical studies than patients with well compensated tinnitus; for this reason, the prevalence of high psychiatric comorbidity in tinnitus may be only representative of the subpopulation of clinical help seekers.…”

Section: Introductionmentioning

confidence: 99%

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A Brain Centred View of Psychiatric Comorbidity in Tinnitus: From Otology to Hodology

et al. 2014

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Introduction. Comorbid psychiatric disorders are frequent among patients affected by tinnitus. There are mutual clinical influences between tinnitus and psychiatric disorders, as well as neurobiological relations based on partially overlapping hodological and neuroplastic phenomena. The aim of the present paper is to review the evidence of alterations in brain networks underlying tinnitus physiopathology and to discuss them in light of the current knowledge of the neurobiology of psychiatric disorders. Methods. Relevant literature was identified through a search on Medline and PubMed; search terms included tinnitus, brain, plasticity, cortex, network, and pathways. Results. Tinnitus phenomenon results from systemic-neurootological triggers followed by neuronal remapping within several auditory and nonauditory pathways. Plastic reorganization and white matter alterations within limbic system, arcuate fasciculus, insula, salience network, dorsolateral prefrontal cortex, auditory pathways, ffrontocortical, and thalamocortical networks are discussed. Discussion. Several overlapping brain network alterations do exist between tinnitus and psychiatric disorders. Tinnitus, initially related to a clinicoanatomical approach based on a cortical localizationism, could be better explained by an holistic or associationist approach considering psychic functions and tinnitus as emergent properties of partially overlapping large-scale neural networks.

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“…The hodological view of psychiatric comorbidities in tinnitus patients also gives rise to other considerations: (1) “

o δ \overset{o}{true} ς

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A Brain Centred View of Psychiatric Comorbidity in Tinnitus: From Otology to Hodology

et al. 2014

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“…The mean Hearing Handicap Inventory score was 5.29 for all patients, mean hyperacusis was 10.96, and mean GUF was 6.88. Following the protocol of our Tinnitus Unit, patients with a THI score higher than 38 underwent further psychiatric comorbidity examination [Salviati et al, 2013] through the Symptom Check List (SCL90-R) and the Stress-Related Vulnerability Scale questionnaires [Derogatis and Savitz, 2000;Tarsitani et al, 2010]; however, the results of these questionnaires did not highlight psychiatric comorbidity requiring further treatment for the patients included in the study.…”

Section: Questionnairesmentioning

confidence: 99%

Somatosensory Tinnitus: Correlation between Cranio-Cervico-Mandibular Disorder History and Somatic Modulation

et al. 2016

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In a subpopulation of patients, tinnitus can be modulated by movements of the jaw or head and neck due to complex somatosensory-auditory interactions. In some of these subjects, tinnitus could be related to an underlying temporomandibular (TMJ) or craniocervical (NECK) dysfunction that, if correctly identified, could streamline treatment and increase chances of tinnitus improvement. However, it is still unclear whether somatic modulation of tinnitus could be used as a screening tool for identifying such patients. In this study, we included 310 tinnitus patients with normal hearing, no psychiatric comorbidities, and a positive history of TMJ and/or NECK dysfunction and/or a positive modulation of tinnitus to evaluate the characteristics of somatic modulation, investigate the relationship between positive history and positive modulation, and identify factors most strongly associated with somatic modulation. Tinnitus modulation was present in 79.67% of the patients. We found a significant association within the same subjects between a positive history and a positive tinnitus modulation for the same region, mainly for TMJ in unilateral tinnitus patients and for TMJ + NECK in bilateral tinnitus patients. A strong correlation between history and modulation in the same somatic region within the same subgroups of subjects was also identified. Most TMJ maneuvers resulted in an increased loudness, while NECK maneuvers showed an increase in tinnitus loudness in about 59% of cases. High-pitched tinnitus and male gender were associated with a higher prevalence of modulation; no differences were found for tinnitus onset, Tinnitus Handicap Inventory score, and age. In this paper, we report a strong association between history and modulation for the same regions within the same patients; such an association should always be investigated to improve chances of a correct diagnosis of somatosensory tinnitus.

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“…It has been reported that 35%–40% of the adult population in developed countries experience persistent or transient tinnitus at some point in life, with 0.5%–2% of cases involving chronic (>6 months) tinnitus associated with emotional disturbances, deterioration of sleep quality, and social withdrawal. Subjective tinnitus is usually associated with hearing loss, and the condition is more common in men than in women 5,6. However, it is not possible to explain the whole picture of tinnitus on the basis of the associated otologic disturbances alone 7…”

Section: Introductionmentioning

confidence: 99%

Coexistence of anxiety sensitivity and psychiatric comorbidities in patients with chronic tinnitus

Gül¹,

Özkırış²,

Aydin³

et al. 2015

NDT

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BackgroundTinnitus refers to the objective or subjective perception of a series of sounds most frequently described as ringing in the ear or within the head itself. Anxiety and depressive disorders frequently accompany this complaint. In this study, we aimed to investigate the presence of psychiatric symptoms and the degree of anxiety sensitivity in patients with chronic tinnitus.MethodsFifty patients with chronic tinnitus who had been followed up for at least 6 months or longer were enrolled in this study. All subjects completed the Anxiety Sensitivity Index-3 (ASI-3), Stait-Trait Anxiety Inventory (STAI), and Symptom Check List-90-Revised (SCL-90-R) questionnaires. Fifty healthy volunteers were given the same tests and a statistical comparison of the psychometric outcome data was done for subjects with and without chronic tinnitus.ResultsPatients with chronic tinnitus demonstrated higher statistically meaningful scores than the healthy group. Comparison between chronic tinnitus group and control group scores showed that patient group has a high rate of statistically significant results than controls; ASI-3, STAI-2, SCL-90-R GSI, SCL-90-R Somatization, SCL-90-R Depression, SCL-90-R Anxiety (z=−8.00, P<0.01), SCL-90-R Phobic Anxiety.ConclusionHigher scores for anxiety sensitivity and other psychiatric symptoms in patients with chronic tinnitus reflects the prevalence of psychiatric disorders such as depression, anxiety, somatoform disorder, and chronic tinnitus. The finding of more psychiatric comorbidity in patients with chronic tinnitus indicates that planning and follow-up in both otolaryngology and psychiatry is necessary to improve the overall results of treatment.

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The Tinnitus Handicap Inventory as a Screening Test for Psychiatric Comorbidity in Patients with Tinnitus

Cited by 39 publications

References 22 publications

A Brain Centred View of Psychiatric Comorbidity in Tinnitus: From Otology to Hodology

A Brain Centred View of Psychiatric Comorbidity in Tinnitus: From Otology to Hodology

Somatosensory Tinnitus: Correlation between Cranio-Cervico-Mandibular Disorder History and Somatic Modulation

Coexistence of anxiety sensitivity and psychiatric comorbidities in patients with chronic tinnitus

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