Auditory hallucinations in tinnitus patients: Emotional relationships and depression

Abstract

Summary Introduction: Over the last few years, our Tinnitus Research Group has identified an increasing number of patients with tinnitus who also complained of repeated perception of complex sounds, such as music and voices. Such hallucinatory phenomena motivated us to study their possible relation to the patients' psyches. Aims: To assess whether hallucinatory phenomena were related to the patients' psychosis and/or depression, and clarify their content and function in the patients' psyches. Method: Ten subjects (8 women; mean age = 65.7 years) were selected by otolaryngologists and evaluated by the same psychologists through semi-structured interviews, the Hamilton Depression Rating Scale, and psychoanalysis interviews. Results: We found no association between auditory hallucinations and psychosis; instead, this phenomenon was associated with depressive aspects. The patients' discourse revealed that hallucinatory phenomena played unconscious roles in their emotional life. In all cases, there was a remarkable and strong tendency to recall/repeat unpleasant facts/situations, which tended to exacerbate the distress caused by the tinnitus and hallucinatory phenomena and worsen depressive aspects. Conclusions: There is an important relationship between tinnitus, hallucinatory phenomena, and depression based on persistent recall of facts/situations leading to psychic distress. The knowledge of such findings represents a further step towards the need to adapt the treatment of this particular subgroup of tinnitus patients through interdisciplinary teamwork. Prospective.

Electrophysiological correlates of focused attention on low- and high-distressed tinnitus

“…Tinnitus can be considered an hallucination, since it is present in the absence of any actual sound. Musical phenomena in tinnitus patients are thought to be due not to psychosis but to their emotional experience [ 146 ]. Hence, increased higher beta power over the left posterior area in our HD group, compared to the LD group, might indicate that high-distress tinnitus, relative to a non-bothersome phantom sound, is a clear and strong auditory phenomenon.…”

The Influence of Tinnitus on the Audiometric Threshold of Sufferers

“…Tinnitus is usually described as a buzzing, ringing, humming, clicking, blowing or drum-like sound and involves the perception of pure tones or frequency ranges of noise similar to white noise with no particular pattern of organization. 4 5 …”

Transtorno Do Processamento Auditivo Central E Misofonia: Estudo De Caso

“…Um dos sentidos mais sensíveis do ser humano, a audição, pode se tornar um transtorno para quem sofre de hipersensibilidade auditiva. Ela é caracterizada por alterações na percepção do som, fazendo com que os ruídos, mesmo aqueles considerados suportáveis, incomodem a quem o escuta (SANCHEZ; PEDALINI; BENTO, 1999). O transtorno prejudica a qualidade de vida e pode comprometer a vida social.…”