A contribution to the debate on tinnitus definition

Noreña, Arnaud; Lacher-Fougère, Stéphane; Fraysse, Marie-José; Bizaguet, Eric; Grevin, P.; Thai‐Van, Hung; Moati, Livia; Pajolec, Christine Le; Fournier, Philippe; Ohresser, Martine

doi:10.1016/bs.pbr.2021.01.029

Cited by 25 publications

(26 citation statements)

References 84 publications

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“…Two types of tinnitus exist: objective and subjective. Objective tinnitus is caused by an internally generated stimulus (i.e., stemming from physiological fluctuations typically in the auditory pathway) and subjective tinnitus is idiopathic (i.e., has no identifiable acoustic source) ( Noreña et al, 2021 ). Others have proposed tinnitus as a discrete psychiatric condition (i.e., tinnitus disorder) when associated with emotional distress and separate from tinnitus experiences without suffering ( De Ridder et al, 2021 ).…”

Section: Introductionmentioning

confidence: 99%

Toward a Multidimensional Understanding of Misophonia Using Cluster-Based Phenotyping

et al. 2022

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Misophonia is a condition characterized by hypersensitivity and strong emotional reactivity to specific auditory stimuli. Misophonia clinical presentations are relatively complex and reflect individualized experiences across clinical populations. Like some overlapping neurodevelopmental and neuropsychiatric disorders, misophonia is potentially syndromic where symptom patterns rather than any one symptom contribute to diagnosis. The current study conducted an exploratory k-means cluster analysis to evaluate symptom presentation in a non-clinical sample of young adult undergraduate students (N = 343). Individuals participated in a self-report spectrum characteristics survey indexing misophonia, tinnitus severity, sensory hypersensitivity, and social and psychiatric symptoms. Results supported a three-cluster solution that split participants on symptom presentation: cluster 1 presented with more severe misophonia symptoms but few overlapping formally diagnosed psychiatric co-occurring conditions; cluster 3 was characterized by a more nuanced clinical presentation of misophonia with broad-band sensory hypersensitivities, tinnitus, and increased incidence of social processing and psychiatric symptoms, and cluster 2 was relatively unaffected by misophonia or other sensitivities. Clustering results illustrate the spectrum characteristics of misophonia where symptom patterns range from more “pure” form misophonia to presentations that involve more broad-range sensory-related and psychiatric symptoms. Subgroups of individuals with misophonia may characterize differential neuropsychiatric risk patterns and stem from potentially different causative factors, highlighting the importance of exploring misophonia as a multidimensional condition of complex etiology.

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Section: Introductionmentioning

confidence: 99%

Toward a Multidimensional Understanding of Misophonia Using Cluster-Based Phenotyping

et al. 2022

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“…For Sham AS, deep pure tones at SL + 10 dB are used, varying randomly between [ 1 ] 100 and 200 Hz [ 2 ], 1.33 and 4 Hz presentation rate [ 3 ], randomly varying in intensity ± 10% around the SL + 10 dB level, and [ 4 ] randomly varying linear decay envelope between 250 and 750 ms. The AS sham condition is purposely constructed not to cover the tinnitus pitch range and to present very low sound energy, so as not to be able to generate tinnitus suppression.…”

Section: Interventionsmentioning

confidence: 99%

“…Tinnitus is the result of aberrant neuronal activity within the auditory pathways. This activity is erroneously interpreted as sound by the auditory centers [ 1 , 2 ]. It is present in 10–20% of the population, and the prevalence increases with advancing age, occurring in more than 30% of elderly people [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Transcranial electric and acoustic stimulation for tinnitus: study protocol for a randomized double-blind controlled trial assessing the influence of combined transcranial random noise and acoustic stimulation on tinnitus loudness and distress

Martins

Kleinjung

Meyer

et al. 2022

Trials

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Background Tinnitus is the result of aberrant neuronal activity. As a novel treatment form, neuromodulation is used to modify neuronal activity of brain areas involved in tinnitus generation. Among the different forms of electric stimulation, transcranial random noise stimulation (tRNS) has been shown to be a promising treatment option for tinnitus. In addition, recent studies indicate that the reduction in tinnitus can be more pronounced when different modalities of stimulation techniques are combined (“bimodal stimulation”). TRNS can be used in combination with acoustic stimulation (AS), a further treatment option recognized in the literature. The aim of the proposed study is to investigate whether simultaneous tRNS and AS improve levels of tinnitus loudness and distress. Methods The intervention consists of bilateral high-definition tRNS (HD-tRNS) over the auditory cortex combined with the application of AS which is studied in a crossover design. The visits will be performed in 26 sessions. There will be 20 treatment sessions, divided into two blocks: active and sham HD-tRNS. Within the blocks, the interventions are divided into group A: HD-tRNS and AS, and group B: HD-tRNS alone. Furthermore, in addition to the assessments directly following the intervention sessions, there will be six extra sessions performed subsequently at the end of each block, after a period of some days (follow-ups 1 and 2) and a month after the last intervention (C). Primary outcome measures are analog scales for evaluation of subjective tinnitus loudness and distress, and the audiological measurement of minimum masking level (MML). Secondary outcome measures are brain activity as measured by electroencephalography and standardized questionnaires for evaluating tinnitus distress and severity. Discussion To the best of our knowledge, this is the first study which uses HD-tRNS combined with AS for tinnitus treatment. The crossover design permits the comparison between HD-tRNS active vs. sham and with vs. without AS. Thus, it will be possible to evaluate the efficacy of the combined approach to HD-tRNS alone. In addition, the use of different objective and subjective evaluations for tinnitus enable more reliable and valid results. Trial registration Swiss Ethics Committee (BASEC-Nr. 2020-02027); Swiss Federal Complementary Database (kofam.ch: SNCTP000004051); and ClinicalTrials.gov (clinicaltrials.gov: NCT04551404).

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“…O zumbido é definido como uma sensação auditiva sem um estímulo ou significado sonoro externo, que pode ser vivido como uma experiência desagradável, podendo impactar na qualidade de vida (1) . Pode ser contínuo, intermitente ou esporádico e ser sentido em uma das orelhas, em ambas, ou "na cabeça" (2) .…”

Section: Introductionunclassified

Associação do zumbido e a hipertensão arterial sistêmica autorreferida: estudo retrospectivo

Carneiro

Silva

Oliveira

et al. 2022

CoDAS

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RESUMO Objetivo Descrever dados da perda auditiva, da hipertensão arterial sistêmica e do zumbido dos indivíduos, e verificar a associação entre hipertensão arterial sistêmica autorreferida e zumbido, bem como correlacionar outras variáveis presentes na amostra: perda auditiva e zumbido, idade e zumbido e idade e hipertensão arterial sistêmica. Método Pesquisa quantitativa, descritiva e inferencial, retrospectiva com coleta de dados de 473 prontuários de adultos e idosos atendidos entre os anos 2008 e 2018. Selecionadas informações sobre idade, gênero, resultado da audiometria tonal liminar, zumbido, tipo e frequência do zumbido, presença de HAS e uso de medicamento para controle da doença. Resultados não foi encontrada associação entre hipertensão arterial sistêmica e zumbido ou entre perda auditiva e zumbido e entre idade e zumbido, todavia foi observada associação entre idade e hipertensão arterial sistêmica, por meio do teste Qui Quadrado. O tipo de zumbido mais comum foi o chiado e a maioria dos indivíduos que referiram sentir mais de um tipo de zumbido eram hipertensos. Conclusão os resultados encontrados e a literatura sugerem que a hipertensão arterial sistêmica pode ser um fator adicional ou um agravante de fatores preexistentes na geração do zumbido, porém não a causa primária.

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A contribution to the debate on tinnitus definition

Cited by 25 publications

References 84 publications

Toward a Multidimensional Understanding of Misophonia Using Cluster-Based Phenotyping

Toward a Multidimensional Understanding of Misophonia Using Cluster-Based Phenotyping

Transcranial electric and acoustic stimulation for tinnitus: study protocol for a randomized double-blind controlled trial assessing the influence of combined transcranial random noise and acoustic stimulation on tinnitus loudness and distress

Associação do zumbido e a hipertensão arterial sistêmica autorreferida: estudo retrospectivo

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