The Effect of Insomnia on Tinnitus

Miguel, George S.; Yaremchuk, Kathleen; Roth, Thomas; Peterson, Ed

doi:10.1177/0003489414532779

Cited by 39 publications

(55 citation statements)

References 9 publications

(12 reference statements)

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“…Sleep disturbance and annoyance are among the more frequently reported problems facing individuals with chronic tinnitus, 25,26 and increased sleep disturbance has also been shown to closely correlate with increased tinnitus severity, 27 providing support for the hyperactive limbic and sympathetic system model for tinnitus intolerance. Similar to prior work correlating tinnitus symptoms with sleep disorders as measured by the Tinnitus Reaction Questionnaire and Insomnia Severity Index, 28 we found that tinnitus sufferers reported significantly fewer mean hours of sleep per night. Those with tinnitus symptoms had fewer mean hours of sleep per night (7.00 vs. 7.21 hours, P < .001), which equals over 80 minutes of sleep per week, or nearly equivalent to a whole night of sleep lost per month.…”

Section: Discussionsupporting

confidence: 87%

Relationships between tinnitus and the prevalence of anxiety and depression

2016

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Objective Quantify the relationships between tinnitus, anxiety and depression among adults. Study design Cross-sectional analysis of 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 hours of sleep were assessed. Results Among 21.4 ± 0.69 million adult tinnitus sufferers, 26.1% reported problems with anxiety in the preceding 12 months, while only 9.2% of those without tinnitus reported an anxiety problem (p<0.001). Similarly, 25.6% of respondents with tinnitus reported problems with depression, while only 9.1% of those without tinnitus reported depression symptoms (p<0.001). Those reporting tinnitus symptoms as “big” or “very big” problem were more likely to concurrently report anxiety (odds ratio 5.7; CI: 4.0–8.1; p<0.001) and depression (OR 4.8; CI: 3.5–6.7; p<0.001) symptoms. Tinnitus sufferers reported significantly fewer mean hours of sleep per night (7.00 vs 7.21; p<0.001) and greater mean days of work missed (6.94 vs 3.79, p<0.001) compared to those who did not report tinnitus. Mean days of alcohol consumption between the two groups were not significantly different. Conclusion Tinnitus symptoms are closely associated with anxiety, depression, shorter sleep duration, and greater workdays missed. These comorbidities and sequelae should be recognized and addressed to optimally manage patients with chronic and bothersome tinnitus.

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Section: Discussionsupporting

confidence: 87%

Relationships between tinnitus and the prevalence of anxiety and depression

2016

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“…Nevertheless, elevated sleep difficulties remain a significant contributor to perceived tinnitus-related emotional distress, and cases of undiagnosed insomnia may be present among tinnitus patients (Miguel et al 2014). Insomnia management should therefore still be considered for any patient experiencing tinnitus, including CI users.…”

Section: Discussionmentioning

confidence: 99%

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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“…Tinnitus can severely interfere with activities of daily living, with common comorbidities such as anxiety, irritability, depression, inability to concentration, and sleep disturbances . Studies based on both questionnaires and polysomnography reported that sleep disturbance are common in patients with tinnitus . A Japanese study of individuals aged 45 to 79 years revealed that loud or very loud tinnitus was associated with 2.8‐fold and 3.3‐fold increases in the odds ratios (ORs) of insomnia in men and women, respectively.…”

Section: Introductionmentioning

confidence: 99%

“…5 Studies based on both questionnaires and polysomnography reported that sleep disturbance are common in patients with tinnitus. [6][7][8] A Japanese study of individuals aged 45 to 79 years revealed that loud or very loud tinnitus was associated with 2.8-fold and 3.3-fold increases in the odds ratios (ORs) of insomnia in men and women, respectively. Difficulty in initiating and maintaining sleep and poor perceived quality of sleep were significantly associated with tinnitus.…”

Section: Introductionmentioning

confidence: 99%