A comparison of the severity of tinnitus in patients with and without hearing loss using the tinnitus functional index (TFI)

Mahafza, Nadeem; Zhao, Fei; Refaie, Amr El; Chen, Feifan

doi:10.1080/14992027.2020.1804081

Cited by 17 publications

(10 citation statements)

References 40 publications

(46 reference statements)

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“…We found that participants with poor speech recognition abilities in noise, reflected by a high SRT, had a higher degree of tinnitus annoyance as compared with participants with good hearing. This is in accordance with several publications ( Hiller et al 2006 ; Moon et al 2018 ; Mahafza et al 2020 ), but not with others ( Holgers et al 2005 ; Hoekstra et al 2014 ). Several explanations might play a role in this association.…”

Section: Discussionsupporting

confidence: 93%

Factors Associated With the Development of Tinnitus and With the Degree of Annoyance Caused by Newly Developed Tinnitus

et al. 2022

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Objectives: Tinnitus is highly prevalent, but only a few risk factors for developing tinnitus are known and little is known about factors associated with the degree of annoyance of new-onset tinnitus. Longitudinal analysis can reveal risk factors associated with the development of tinnitus and might lead to targeted prevention. The aim of this study is twofold. (1) To identify risk factors that are longitudinally associated with the odds of developing tinnitus 5 years later. (2) To identify factors that are cross-sectionally associated with tinnitus annoyance in adults with new-onset tinnitus.Methods: Baseline, 5-year, and 10-year follow-up data of participants in the Netherlands Longitudinal Study on Hearing (NL-SH) were used. The NL-SH is a web-based prospective cohort study, which started in 2006 and includes both normal hearing and hearing-impaired adults aged 18 to 70 years at baseline. The NL-SH uses an online digit-triplet speech-innoise test to asses speech recognition ability in noise, and online questionnaires on various aspects of life. At follow-up, participants are asked (1) if they suffer from tinnitus and (2) to rate tinnitus annoyance on a 0 to 100 numeric rating scale. We investigated whether demographic (age, sex, living arrangement, educational level), lifestyle (history of tobacco smoking, alcohol use), health (asthma, severe heart disease, hypertension, history of stroke, osteoarthritis, rheumatoid arthritis, epilepsy, multiple sclerosis, and migraine), hearing (speech recognition ability in noise, hyperacusis, and occupational noise exposure), and psychological variables (distress, somatization, depression, and anxiety) were potential risk factors for new-onset tinnitus, or associated with annoyance caused by new-onset tinnitus. Generalized estimating equations were used to longitudinally analyze the association between potential risk factors and new-onset tinnitus measured 5 years later. A multivariable association model was constructed using a forward selection procedure with p < 0.05 for model entry. Linear regression analysis was used to cross-sectionally analyze the association between potential factors and tinnitus annoyance in new-onset tinnitus. For this purpose, a multivariable association model was constructed using a forward selection procedure with p <0.05 for model entry. Results:In total, 734 participants without tinnitus at baseline were included, from which 137 participants reported to suffer from new-onset tinnitus 5 or 10 years later. Risk factors for new-onset tinnitus were history of smoking (odds ratio 1.5, 95% confidence interval [CI] 1.0 to 2.2, p = 0.027) and higher levels of somatization (odds ratio 2.0, 95% CI 1.2 to 3.3, overall p = 0.024). Factors associated with the degree of tinnitus annoyance were increased levels of anxiety (β = 11.6, 95% CI 2.3-20.8, overall p = 0.035) and poor speech recognition ability in noise (β = 13.5, 95% CI, 4.4 to 22.6, overall p = 0.014).Conclusions: Higher levels of somatization and a history of smoking were found to be risk factors...

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Section: Discussionsupporting

confidence: 93%

Factors Associated With the Development of Tinnitus and With the Degree of Annoyance Caused by Newly Developed Tinnitus

et al. 2022

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“…Our study also showed that the risk of declining telehealth sessions was higher for those with worse VAS scores for tinnitus annoyance. This may partly reflect the fact that greater tinnitus annoyance is associated with higher PTAs (Aazh and Salvi 2018;Mahafza et al 2020). Future studies should use validated questionnaires to further explore reasons for declining telehealth appointments.…”

Section: Discussionmentioning

confidence: 99%

Telehealth tinnitus therapy during the COVID-19 outbreak in the UK: uptake and related factors

Aazh

Swanepoel

Moore

2020

International Journal of Audiology

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Objective: The Audiology Department at the Royal Surrey County Hospital usually offers face-to-face audiologist-delivered cognitive behavioural therapy (CBT) for tinnitus rehabilitation. During COVID-19 lockdown, patients were offered telehealth CBT via video using a web-based platform. This study evaluated the proportion of patients who took up the offer of telehealth sessions and factors related to this. Design: Retrospective service evaluation. Study sample: 113 consecutive patients whose care was interrupted by the lockdown. Results: 80% of patients accepted telehealth. The main reasons for declining were not having access to a suitable device and the belief that telehealth appointments would not be useful. Compared to having no hearing loss in the better ear, having a mild or moderate hearing loss increased the chance of declining telehealth by factors of 3.5 (p ¼ 0.04) and 14.9 (p ¼ 0.038), respectively. High tinnitus annoyance as measured via the visual analogue scale increased the chance of declining telehealth appointments by a factor of 1.4 (p ¼ 0.019). Conclusions: Although CBT via telehealth was acceptable to most patients, alternatives may be necessary for the 20% who declined. These tended to have worse hearing in their better ear and more annoying tinnitus.

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“…It includes the intrusiveness of tinnitus, control ability, cognition, sleep problems, auditory issues, relaxation ability, quality of life, and emotional distress. Data were collected using a validated Arabic version of the survey created by the University of Oregon Health and Science [ 12 ]. The total score of the TFI was determined by summing the points of the answered questions, dividing the sum by the number of questions, and multiplying it by 10.…”

Section: Methodsmentioning

confidence: 99%

“…Each domain was calculated separately. According to the total score, the participants were categorized into three groups: scores below 25 were categorized as mild, those between 25 and 50 were considered to have significant impairment, and those more than 50 were severely impaired [ 12 ].…”

Section: Methodsmentioning

confidence: 99%

Prevalence of Noise-Induced Tinnitus in Adults Aged 15 to 25 Years: A Cross-Sectional Study

Haji¹,

Qashar²,

Alqahtani³

et al. 2022

Cureus

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BackgroundTinnitus is a common complaint in the general population. Subjective tinnitus is defined as a conscious perception of sound with nonexistent external stimuli. Its exact pathophysiology remains unclear. Therefore, this study aimed to determine the prevalence of noise-induced tinnitus among adults aged 15-25 years in Makkah, Saudi Arabia. Study designConvenience sampling was used for participant recruitment using an online survey that was distributed online between February and April 2022. The participants performed audiometric hearing tests provided by the investigators. Hearing tests were performed at frequencies of 250, 500, 1000, 2000, 4000, and 8000 Hz. The test was considered normal if the achieved thresholds were 25 dB HL or less in at least four of the tested frequencies. Those with normal results were asked to fill out a survey inquiring about their demographic information, presence of tinnitus, and tinnitus functional index. ResultsWe included 119 young adults aged 15-25 years. Regarding tinnitus prevalence, 27 (22.7%) adults reported the development of tinnitus after exposure to loud noise, 39 (32.8%) had tinnitus of unknown cause, and 53 (44.5%) had no tinnitus. Regarding the continuity of sound, it was continuous in 14.8% of noise-induced tinnitus, compared to 38.5% of the other group, with a statistical significance of (P=.037). ConclusionThe current study revealed high prevalence of tinnitus, which was also suggested by the literature. Several triggers are purportedly related to the development of tinnitus. Constant exposure to loud noise is considered a significant risk factor for tinnitus. Young adults require proper education about the causes of tinnitus and other hearing abnormalities. More importantly, methods to protect and maintain their ear health.

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A comparison of the severity of tinnitus in patients with and without hearing loss using the tinnitus functional index (TFI)

Cited by 17 publications

References 40 publications

Factors Associated With the Development of Tinnitus and With the Degree of Annoyance Caused by Newly Developed Tinnitus

Factors Associated With the Development of Tinnitus and With the Degree of Annoyance Caused by Newly Developed Tinnitus

Telehealth tinnitus therapy during the COVID-19 outbreak in the UK: uptake and related factors

Prevalence of Noise-Induced Tinnitus in Adults Aged 15 to 25 Years: A Cross-Sectional Study

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