A Comparison of Different Methods for Assessing the ‘Intensity’ of Tinnitus

Hallam, Richard; Jakes, Simon; Chambers, Christine; Hinchcliffe, R.

doi:10.3109/00016488509182253

Cited by 57 publications

(30 citation statements)

References 5 publications

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“…depression and anxiety), but also to poor concentration, irritability, and locus of control. (Attias et al, 1995;Baskill et al, 1991;Coles et al, 1991;Collet et al, 1990;Erlandsson et al, 1992;Erlandsson & Holgers, 2001;Gerber et al, 1985/86;Halford 1991;Hallam et al, 1985;Hallberg & Erlandsson, 1993;Holgers et al, 2000;Kuk et al, 1990;Newman et al, 1994;Newman et al, 1998;Wilson et al, 1991).…”

Section: Sumariomentioning

confidence: 91%

Predictive factors for development of severe tinnitus suffering-further characterisation

Holgers

Zöger

Svedlund

2005

International Journal of Audiology

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The purpose of this study was to identify risk factors for Severe Tinnitus Suffering (STS) and to describe the results from psychiatric diagnostic interviews of STS positive and STS negative patients. Consecutive tinnitus patients (n = 127) completed the Nottingham Health Profile (NHP) and the Tinnitus Severity Questionnaire (TSQ) and answered general health questions at the first visit to the clinic and at eighteen months follow-up. Twenty-four months after the first tinnitus consultation, standardized diagnostic interviews (SCID-P), according to DSM-IIIR, were performed by an experienced psychiatrist. The calculated probability for STS was 93%, if three items from the NHP (18,32,33) were positive. STS positive patients had more anxiety disorders with more psychosocial stress and lower global assessment of function scores. Results suggest that the NHP may be a useful tool in the clinical management of tinnitus patients and emphasises the importance of identifying depressive and anxiety disorders in this population.

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Section: Sumariomentioning

confidence: 91%

Predictive factors for development of severe tinnitus suffering-further characterisation

Holgers

Zöger

Svedlund

2005

International Journal of Audiology

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“…The differentiation between loudness and annoyance has also been suggested by studies showing that only weak to moderate correlations exist between audiologically matched loudness and subjective distress [Meikle et al, 1984;Hallam et al, 1985;Folmer et al, 1999;Henry and Meikle, 2000]. Andersson et al [1999] used the Klockhoff and Lindblom system and found that grades II and III were predictable from a cluster of variables including tinnitus pitch, minimal masking level, avoidance of situations because of tinnitus and tinnitus tolerance at present in relation to onset.…”

Section: Discussionmentioning

confidence: 99%

When Tinnitus Loudness and Annoyance Are Discrepant: Audiological Characteristics and Psychological Profile

Hiller

Goebel

2007

Audiol Neurotol

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This study evaluates sociodemographic and clinical characteristics of patients reporting discrepant levels of tinnitus loudness and annoyance. 4958 subjects recruited from a national tinnitus association completed a comprehensive screening questionnaire including Klockhoff and Lindblom’s loudness grading system and the psychometric Mini-TQ (Tinnitus Questionnaire). There was a moderate correlation of 0.45 between loudness and annoyance. Of the subjects reporting very loud tinnitus, about one third had only mild or moderate annoyance scores. They were not different from those with high annoyance regarding age, gender and tinnitus duration, but annoyance was increased when subjects had additional hearing loss (OR = 1.71), vertigo/dizziness (OR = 1.94) or hyperacusis (OR = 4.96). Another significant predictor was history of neurological disease (OR = 3.16). Subjects reported low annoyance despite high loudness more often if not feeling low/depressed and not considering themselves as victims of their noises. A specific psychological profile was found to characterize annoyed tinnitus sufferers. Permanent awareness of the noises, decreased ability to ignore them and concentration difficulties were reported frequently even when overall annoyance scores were comparatively low. It is concluded that the coexistence of tinnitus with hearing loss, vertigo/dizziness and hyperacusis as complicating otological conditions seems to be of clinical relevance for the prediction of high annoyance levels. Tinnitus loudness and annoyance are not necessarily congruent and should be assessed separately.

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“…Several studies have attempted to investigate the causative factors of tinnitus. [3][4][5][6][7][8][9][10][11][12][13][14] Some have shown that the limitations due to tinnitus depend on primary psychological factors, such as difficulties in dealing with the problem, 8,12,[15][16][17] altered humor (depression and anxiety), low concentration, irritability, loss of control, 18 and a variety of psychiatric conditions and specific personality traits. 12,[15][16][17]19 Contrary to what was commonly thought, Jastreboff and Hazell 2 demonstrated that there are no psychoacoustic differences of tinnitus (intensity, frequency and minimum suppression level) among patients with tinnitus that suffer and those that do not.…”

Section: Introductionmentioning

confidence: 99%

Avaliação da relação entre severidade do zumbido e perda auditiva, sexo e idade do paciente

Pinto¹,

Sánchez²,

Tomita³

2010

Braz. j. otorhinolaryngol. (Impr.)

101

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Ti nnitus is a symptom present in approximately 15% of the world population. Most patients are between 40 and 80 years of age; the prevalence above 60 reaches 33%. About 20% have moderate to severe impact in the quality of life but the factors associated with the tinnitus annoyance are not completely known. Aim: The objective of this study is to evaluate the relationship between age, gender and hearing loss on tinnitus annoyance. Materials and methods: 68 patients were evaluated at the tinnitus center at our hospital, from March 2007 to march 2008, with a detailed interview, complete otolaryngological examination, the Portuguese version of the Tinnitus Handicap Inventory and pure tone audiometry. Results: Age varied from 24 to 83 (mean=59); the mean THI value was 39 (females: 36; males: 44). THI grades were: slight: 32.3%; mild: 19.1%; moderate: 20.6%; severe: 13.2% and catastrophic: 14.7%. No significant correlation was found between gender (p=0.30), age (p=0.77) hearing loss (p>0.05 for all averages analyzed) and tinnitus severity. Conclusion: Gender, age and hearing loss do not influence tinnitus annoyance, using the THI.

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A Comparison of Different Methods for Assessing the ‘Intensity’ of Tinnitus

Cited by 57 publications

References 5 publications

Predictive factors for development of severe tinnitus suffering-further characterisation

Predictive factors for development of severe tinnitus suffering-further characterisation

When Tinnitus Loudness and Annoyance Are Discrepant: Audiological Characteristics and Psychological Profile

Avaliação da relação entre severidade do zumbido e perda auditiva, sexo e idade do paciente

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