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Psychometric assessment of mental health in tinnitus patients, depressive and healthy controls

Published on Nov 1, 2019in Psychiatry Research-neuroimaging2.208
· DOI :10.1016/j.psychres.2019.112582
Daniela Ivansic2
Estimated H-index: 2
,
Bianca Besteher4
Estimated H-index: 4
+ 4 AuthorsChristian Dobel17
Estimated H-index: 17
Abstract
Abstract Tinnitus describes the perception of a sound without external source and is characterized by high comorbidity, e.g. depression. In many studies, tinnitus patients were compared to healthy controls while a comorbid psychiatric diagnosis was an exclusion criterion. Consequently, patients with severe tinnitus and psychiatric comorbidity were often neglected. In the current study, we tried to fill this gap and compared four groups including two control groups: (1) chronic tinnitus patients with mild tinnitus distress (N = 37), (2) chronic tinnitus patients with severe tinnitus distress (N = 24), (3) patients suffering from depression, but no tinnitus (major depressive disorder, MDD; N = 23) and (4) healthy controls (N = 42). We assessed their clinical profile with clinical questionnaires concerning anxiety, depression and somatoform symptoms. Data were analyzed with a canonical discriminant analysis resulting in two factors. Factor 1 was called general psychopathology, because most questionnaires loaded highly on it. Regarding this factor, patients with severe tinnitus distress and MDD controls were impaired equally strong. Patients with mild tinnitus distress were more strongly affected than healthy controls. Both tinnitus groups reached higher values than the two control groups with regard to factor 2, called somatization. These results stress the presence of significant general psychopathology even in mild tinnitus.
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References47
Newest
#1Rilana F. F. Cima (UM: Maastricht University)H-Index: 11
#2Birgit Mazurek (Charité)H-Index: 24
Last. Derek J. Hoare (NIHR: National Institute for Health Research)H-Index: 19
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8 CitationsSource
Emotionale Faktoren wie Depressionen und Angststorungen sowie somatoforme Storungen stellen ernst zu nehmende Pradiktoren fur eine schlechte Prognose der Tinnitusentwicklung dar, die im Gesundheitswesen oft zu wenig beachtet werden. Eine mogliche Folge ist das Unterschatzen der Beeintrachtigung und Belastung des Tinnituspatienten und eine moglicherweise falsche oder zu spate Weichenstellung im Rahmen der Therapie. In der S3-AWMF-Leitlinie „Tinnitus“ ist der Thematik psychischer Storung daher gro...
4 CitationsSource
#1Krysta J. Trevis (University of Melbourne)H-Index: 3
#2Neil M. McLachlan (University of Melbourne)H-Index: 10
Last. Sarah J. Wilson (University of Melbourne)H-Index: 31
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Abstract Chronic tinnitus, the phenomenon of a chronic ringing in the ears or head, has a significant negative impact on an individual's health and wellbeing. Despite this, there is no cure or consensus regarding factors maintaining ongoing awareness of the sensation in this population, or the severity of its impact. We aimed to comprehensively and systematically review behavioural studies investigating the psychological functioning of adults with chronic tinnitus. We identified 64 papers meetin...
12 CitationsSource
Objective Considering the heterogeneity of the symptoms shown by patients suffering from chronic tinnitus, there are surprisingly few interdisciplinary treatments available, and mostly available only for inpatients. In order to provide an interdisciplinary treatment, we developed a day care concept in which each patient was treated by an ENT doctor, a cognitive behavioral therapist, a specialist for medical rehabilitation and an audiologist (Jena Interdisciplinary Treatment for Tinnitus, JITT). ...
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#1Jay M. Bhatt (UCI: University of California, Irvine)H-Index: 5
#2Neil Bhattacharyya (Harvard University)H-Index: 50
Last. Harrison W. Lin (UCI: University of California, Irvine)H-Index: 20
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Objectives/Hypothesis Quantify the relationships between tinnitus, and anxiety and depression among adults. Study Design Cross-sectional analysis of a national health survey. Methods Adult respondents in the 2007 Integrated Health Interview Series tinnitus module were analyzed. Data for tinnitus symptoms and severity and reported anxiety and depression symptoms were extracted. Associations between tinnitus problems and anxiety, depression, lost workdays, days of alcohol consumption, and mean hou...
39 CitationsSource
#1Krysta J. Trevis (University of Melbourne)H-Index: 3
#2Neil M. McLachlan (University of Melbourne)H-Index: 10
Last. Sarah J. Wilson (University of Melbourne)H-Index: 31
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Abstract Background Maintenance of chronic tinnitus has been proposed to result from a vicious cycle of hypervigilance occurring when a phantom sound is associated with anxiety and limbic system overactivity. Depression, obsessive-compulsiveness, illness attitudes and coping strategies are known to impact tinnitus, but their relationship with the vicious cycle is unknown. As such, we aimed to identify psychological mediators of the vicious cycle. We also examined the relationship between coping ...
15 CitationsSource
#1Susan Tegg-Quinn (UWA: University of Western Australia)H-Index: 2
#2Rebecca J. Bennett (UWA: University of Western Australia)H-Index: 6
Last. David M. Baguley (ARU: Anglia Ruskin University)H-Index: 35
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The authors would like to acknowledge the support of the Ear Science Institute Australia and the Lions Hearing Clinic.
21 CitationsSource
#1Amber M. Leaver (UCLA: University of California, Los Angeles)H-Index: 20
#2Anna Seydell-Greenwald (GUMC: Georgetown University Medical Center)H-Index: 8
Last. Josef P. Rauschecker (GUMC: Georgetown University Medical Center)H-Index: 57
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Abstract Tinnitus is a widespread auditory disorder affecting approximately 10–15% of the population, often with debilitating consequences. Although tinnitus commonly begins with damage to the auditory system due to loud-noise exposure, aging, or other etiologies, the exact neurophysiological basis of chronic tinnitus remains unknown. Many researchers point to a central auditory origin of tinnitus; however, a growing body of evidence also implicates other brain regions, including the limbic syst...
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#1Fatima T. Husain (UIUC: University of Illinois at Urbana–Champaign)H-Index: 16
Abstract The article reviews current data about the neural correlates of an individual's reaction to tinnitus, primarily from studies that employ magnetic resonance imaging (MRI). Human studies employing brain imaging remain the most commonly used method to understand neural biomarkers of the reaction to tinnitus, a subjective hearing disorder. Evidence from anatomical and functional MRI studies is reviewed to better understand the large-scale neural networks implicated in tinnitus habituation a...
32 CitationsSource
#1Caner SahinH-Index: 2
#2Hatice Imer ArasH-Index: 1
Last. Mahmut Sinan Yilmaz (Sakarya University)H-Index: 7
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This study aimed to investigate the correlation of psychiatric disorders with tinnitus and tinnitus handicap scores. A total of 30 patients and 30 otherwise healthy people were enrolled for the study. Somatoform disorder questionnaire SDQ-20 was filled in by both the study and the control group. Tinnitus handicap scores were filled in study group. Tinnitus handicap scores were 28.1 ± 19.8, and somatoform disorder questionnaire scores were 30.5 ± 7.3 in the tinnitus group. In the control group th...
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