Tinnitus Distress, Anxiety, Depression, and Hearing Problems among Cochlear Implant Patients with Tinnitus

Andersson, Gerhard; Freijd, Anders; Baguley, David; Idrizbegovic, Esma

doi:10.3766/jaaa.20.5.5

Cited by 73 publications

(85 citation statements)

References 23 publications

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“…The present results suggest that CI users may experience a relief in tinnitus persistence, but not a complete abolition of tinnitus or tinnitus-related distress. Studies investigating other aspects of tinnitus handicap in CI users are encouraging (e.g., anxiety and depression; Andersson et al 2009;Olze et al 2011;Kloostra et al 2015), but a more comprehensive characterization of tinnitus symptoms is still needed to understand the burden of tinnitus after cochlear implantation. It is only through such understanding that appropriate interventions for alleviating the burden of tinnitus in implant users can be identified and developed.…”

Section: Discussionmentioning

confidence: 99%

“…If one assumes reporting moderately or severely distressing tinnitus as "significant" enough to consider additional tinnitus management options after implantation (Andersson et al 2009), the estimate of 37% of CI users found in the present study (Table 3) would be somewhat higher than the 25% of "clinically significant" tinnitus estimated from data reported in other studies (Baguley 2010). If one also assumes that the candidate group was representative of those who are eligible to receive a CI in the UK, then the proportion of patients reporting current tinnitus of any kind (56%) was lower than the average estimate of 80% in CI candidates (lower limit of 67%) extrapolated from results of a number of studies (Baguley & Atlas 2007).…”

Section: Tinnitus Before and After Implantationmentioning

confidence: 99%

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Tinnitus and Sleep Difficulties After Cochlear Implantation

et al. 2016

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Objectives: To estimate and compare the prevalence of and associations between tinnitus and sleep difficulties in a sample of UK adult cochlear implant users and those identified as potential candidates for cochlear implantation. Design:The study was conducted using the UK Biobank resource, a population-based cohort of 40-to 69-year olds. Self-report data on hearing, tinnitus, sleep difficulties, and demographic variables were collected from cochlear implant users (n = 194) and individuals identified as potential candidates for cochlear implantation (n = 211). These "candidates" were selected based on (i) impaired hearing sensitivity, inferred from self-reported hearing aid use and (ii) impaired hearing function, inferred from an inability to report words accurately at negative signal to noise ratios on an unaided closed-set test of speech perception. Data on tinnitus (presence, persistence, and related distress) and on sleep difficulties were analyzed using logistic regression models controlling for gender, age, deprivation, and neuroticism.Results: The prevalence of tinnitus was similar among implant users (50%) and candidates (52%; p = 0.39). However, implant users were less likely to report that their tinnitus was distressing at its worst (41%) compared with candidates (63%; p = 0.02). The logistic regression model suggested that this difference between the two groups could be explained by the fact that tinnitus was less persistent in implant users (46%) compared with candidates (72%; p < 0.001). Self-reported difficulties with sleep were similar among implant users (75%) and candidates (82%; p = 0.28), but participants with tinnitus were more likely to report sleep difficulties than those without (p < 0.001). The prevalence of sleep difficulties was not related to tinnitus persistence (p = 0.28) or the extent to which tinnitus was distressing (p = 0.55). Conclusions:The lack of association between tinnitus persistence and sleep difficulties is compatible with the notion that tinnitus is suppressed in implant users primarily during active electrical stimulation and may return when the implant is switched off at night time. This explanation is supported by the similar prevalence of sleep problems among implant users and potential candidates for cochlear implantation, despite differences between the groups in tinnitus persistence and related emotional distress. Cochlear implantation may therefore not be an appropriate intervention where the primary aim is to alleviate sleep difficulties.

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Section: Discussionmentioning

confidence: 99%

Section: Tinnitus Before and After Implantationmentioning

confidence: 99%

Tinnitus and Sleep Difficulties After Cochlear Implantation

et al. 2016

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“…On the other hand, following CI, these patients may be treated with specific fitting of the implant and/or tinnitus therapy. Andersson et al [2009] also reported a correlation between tinnitus distress and anxiety or depression but analyzed the data after and not before CI.…”

Section: Discussionmentioning

confidence: 99%

“…Because our patients were deaf before the CI surgery, changes in frequency and intensity of tinnitus could not be evaluated. Some previous studies used validated questionnaires to assess the tinnitus handicap in the implanted patients [Andersson et al, 2009;Miyamoto et al, 1997;Pan et al, 2009;Quaranta et al, 2008;Souliere Jr. et al, 1992]. However, data regarding tinnitus impairment before and after CI often include general information: better, no change or worse [Mo et al, 2002;Tyler, 1994].…”

Section: Discussionmentioning

confidence: 99%

“…Recent study has shown that in 24.5% of the patients after CI, tinnitus is related to hearing problems, anxiety and depression [Andersson et al, 2009]. Despite the fact that the first data about improvement in the quality of life after implantation were published already in 1995 [Harris et al, 1995], detailed information on the connection between tinnitus severity and stress or quality of life in patients before and after CI is unavailable to date.…”

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confidence: 95%

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The Impact of Cochlear Implantation on Tinnitus, Stress and Quality of Life in Postlingually Deafened Patients

et al. 2011

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Tinnitus is a common complaint in the candidates for cochlear implantation (CI). Tinnitus-related distress has often been measured in these patients using categorical ratings, which lack information about tinnitus severity, stress and health-related quality of life or their correlation. Here, using 4 validated questionnaires, we evaluated psychometric parameters and the quality of life of 32 postlingually deafened patients before and after CI. The data regarding pre-CI were collected retrospectively. Of all patients included in this study, 28 (87.5%) suffered from tinnitus before implantation. Following a mean of 24 months after surgery, these patients reported a significant decrease (39.2%) of tinnitus impairment, as measured by the Tinnitus Questionnaire. In none of the 28 patients has tinnitus worsened. Moreover, the 4 tinnitus-free patients remained so after the CI surgery. In addition, the implant supply resulted in 36.7% reduction in perceived stress and in 15.4% reduction in evasive coping. In addition, the focus on positive coping has improved by 12.3%, whereas the health-related quality of life improved by 53.4% in all patients. Tinnitus impairment and stress were reduced more strongly in patients who had initially higher scores. Interestingly, a significant correlation between the psychometric scores was found mainly after CI. Our results indicate that patients with higher tinnitus-related distress have a lower quality of life, lesser coping abilities and perceive more stress, but before implantation it is masked by deafness. We conclude that tinnitus-related screening of patients before and after CI is an important step in the identification of individuals who would benefit from specific fitting and/or tinnitus therapy after implantation.

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2013

Tinnitus: A Multidisciplinary Approach

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Tinnitus Distress, Anxiety, Depression, and Hearing Problems among Cochlear Implant Patients with Tinnitus

Cited by 73 publications

References 23 publications

Tinnitus and Sleep Difficulties After Cochlear Implantation

Tinnitus and Sleep Difficulties After Cochlear Implantation

The Impact of Cochlear Implantation on Tinnitus, Stress and Quality of Life in Postlingually Deafened Patients

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