Assessment of tinnitus with tinnitus severity index, tinnitus handicap inventory and distortion product otoacoustic emissions in patients with normal hearing and hearing loss

Yenigün, Alper

doi:10.5606/kbbihtisas.2014.60783

Cited by 15 publications

(10 citation statements)

References 22 publications

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“…Studies using tinnitus-severity questionnaires have reported that individuals with hearing loss have more severe reactions to tinnitus than those with normal hearing (Savastano, 2008;Yenigün, Doğan, Aksoy, Akyüz, & Dabak, 2014). One study has even reported that the degree of tinnitus impact increases with the degree of hearing loss (Mazurek, Olze, Haupt, & Szczepek, 2010).…”

Section: Discussionmentioning

confidence: 99%

Tinnitus and Hearing Survey: A Screening Tool to Differentiate Bothersome Tinnitus From Hearing Difficulties

et al. 2015

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Purpose: Individuals complaining of tinnitus often attribute hearing problems to the tinnitus. In such cases some (or all) of their reported "tinnitus distress" may in fact be caused by trouble communicating due to hearing problems. We developed the Tinnitus and Hearing Survey (THS) as a tool to rapidly differentiate hearing problems from tinnitus problems. Method: For 2 of our research studies, we administered the THS twice (mean of 16.5 days between tests) to 67 participants who did not receive intervention. These data allow for measures of statistical validation of the THS. Results: Reliability of the THS was good to excellent regarding internal consistency (a = .86-.94), test-retest reliability (r = .76-.83), and convergent validity between the Tinnitus Handicap Inventory (Newman, Jacobson, & Spitzer, 1996;Newman, Sandridge, & Jacobson, 1998) and the A (Tinnitus) subscale of the THS (r = .78). Factor analysis confirmed that the 2 subscales, A (Tinnitus) and B (Hearing), have strong internal structure, explaining 71.7% of the total variance, and low correlation with each other (r = .46), resulting in a small amount of shared variance (21%). Conclusion: These results provide evidence that the THS is statistically validated and reliable for use in assisting patients and clinicians in quickly (and collaboratively) determining whether intervention for tinnitus is appropriate.T innitus has been defined as head or ear noise lasting at least 5 min and occurring more than once a week (Dauman & Tyler, 1992). For most people who have tinnitus, the sound is constant or near-constant. Epidemiologic studies reveal that tinnitus is experienced by 10%-15% of the adult populations in different countries (Heller, 2003;Hoffman & Reed, 2004;Shargorodsky, Curhan, & Farwell, 2010). It is often reported that for about 80% of those who experience tinnitus, the tinnitus is not particularly bothersome, and clinical intervention for the tinnitus is not required (Cima, Vlaeyen, Maes, Joore, & Anteunis, 2011; Davis & Refaie, 2000;Jastreboff & Hazell, 1998;Krog, Engdahl, & Tambs, 2010). When intervention for tinnitus is desired by, and appropriate for, a given patient, the amount of intervention provided should depend on the individual's specific needs Tyler & Baker, 1983).Dobie's (2004) multilevel pyramid analogy is helpful in conceptualizing how tinnitus affects people differently (see Figure 1). The base of the pyramid contains those who have tinnitus but are not bothered by it. The next higher level contains people whose tinnitus is "bothersome," ranging from "mild" to "moderate" to "severe." The tip of the pyramid contains those relatively few individuals who are "debilitated" by their tinnitus. This pyramid analogy highlights the fact that most people who experience tinnitus do not need clinical intervention specific to the tinnitus. Those who do differ widely with respect to their clinical needs, ranging from answering a few questions (e.g., they want assurance that their tinnitus does not reflect some serious disease) to providin...

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Section: Discussionmentioning

confidence: 99%

Tinnitus and Hearing Survey: A Screening Tool to Differentiate Bothersome Tinnitus From Hearing Difficulties

et al. 2015

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“…Tinnitus severity and subjective tinnitus-related discomfort are often more severe in subjects with hearing loss than in those with normal hearing. However, Yenigun et al (2014) found that the tinnitus severity index and THI results are significantly similar between the groups with normal hearing and hearing loss. Our data did not show a significant between-group difference in THI score when the patients were divided into subgroups based on the TP ( p = 0.716).…”

Section: Discussionmentioning

confidence: 79%

Phenotypic Profiling of People With Subjective Tinnitus and Without a Clinical Hearing Loss

Tang

Lü

Huang

et al. 2022

Front. Cell. Neurosci.

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Our objective was to study the characteristics of patients with subjective tinnitus and normal hearing and to investigate whether the features correlated to different shapes on audiograms. In this retrospective study, 313 patients with subjective tinnitus and clinically normal hearing were enrolled from the tinnitus outpatient department of the Eye and ENT Hospital of Fudan University. The following phenotypic variables were collected: age, dominant tinnitus pitch (TP), tinnitus loudness, tinnitus duration, tinnitus severity, sex, education, hearing thresholds, tinnitus position, and tinnitus condition. The dominant TPs of patients with normal hearing were mostly high-pitched, with a mean of 4866.8 ± 2579.6 Hz; thus, we speculated that the condition is related to high-frequency hearing threshold elevations. We further divided the patients into four subgroups based on the matched TP: (i) TP ≤ 500 Hz (n = 34), (ii) 500 Hz < TP ≤ 3,000 Hz (n = 15), (iii) 3,000 Hz < TP ≤ 8,000 Hz (n = 259), and (iv) TP > 8,000 Hz (n = 5). We studied the phenotypic profiling of different audiograms and found that the group with TP of ≤500 Hz had an average “inverted-U” shaped audiogram, and the group with TP between 500 and 3,000 Hz had a slowly ascending slope audiogram below 2,000 Hz, followed by a drastically descending slope audiogram ranging from 2,000 to 8,000 Hz; further, the high-frequency (3,000–8,000 Hz) and ultra-high-frequency (>8,000 Hz) groups had flat curves below 2,000 Hz and steeper slope audiograms over 2,000 Hz. Our findings confirmed a consistency ratio between the distributions of dominant TPs and the frequencies of maximum hearing thresholds in both ears. The dominant TP was positively correlated with the maximum hearing threshold elevation frequency (left ear: r = 0.277, p < 0.05; right ear: r = 0.367, p < 0.001). Hearing threshold elevations, especially in high frequency, might explain the appearance of dominant high-frequency TP in patients without clinically defined hearing loss. This is consistent with the causal role of high-frequency coding in the generation of tinnitus.

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“…Patients with hearing loss have a high severity of tinnitus compared to patients with normal hearing, and the distress associated with sleeping increased with the tinnitus severity [16] . A recent study reported that the severity of tinnitus was significantly higher in tinnitus patients with hearing loss, as compared with tinnitus patients with normal hearing, and THI showed similar results between the two groups [17] . Table 3.…”

Section: Discussionmentioning

confidence: 84%

Tinnitus Retraining Therapy in Unilateral Tinnitus Patients with Single Side Deafness

Kim

Byun²,

Park³

2016

Int Adv Otol

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OBJECTIVE:The purpose of this study was to evaluate the audiologic and clinical characteristics of the tinnitus in single-sided deafness (SSD) patients and to determine whether tinnitus retraining therapy (TRT) is beneficial to those patients who suffer from tinnitus with SSD. MATERIALS and METHODS:Thirty-six tinnitus patients with unilateral sensorineural profound hearing loss were included in the SSD group, and 46 tinnitus patients with normal hearing were included in the normal hearing group (NH group). Tinnitus evaluation consisted of the Tinnitus Handicap Inventory (THI), and visual analog scales (VAS) were obtained at the initial interview and 6 months after TRT. The therapeutic response was analyzed and compared between the two groups. RESULTS:The subjective intensity of tinnitus and objective loudness were greater in the SSD group. According to the THI scores prior to TRT, the SSD group showed significantly higher values, except in the emotional subscale. The THI score was significantly improved after TRT in both groups. The total THI score and all the subscale scores were significantly reduced. The VAS average scores were reduced from 6.5 to 5.1 in the SSD group, without statistical significance, whereas in the NH group, the VAS average scores significantly decreased from 5.8 to 4.5 after TRT. CONCLUSION:TRT was effective in SSD patients with subjective tinnitus.

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Assessment of tinnitus with tinnitus severity index, tinnitus handicap inventory and distortion product otoacoustic emissions in patients with normal hearing and hearing loss

Cited by 15 publications

References 22 publications

Tinnitus and Hearing Survey: A Screening Tool to Differentiate Bothersome Tinnitus From Hearing Difficulties

Tinnitus and Hearing Survey: A Screening Tool to Differentiate Bothersome Tinnitus From Hearing Difficulties

Phenotypic Profiling of People With Subjective Tinnitus and Without a Clinical Hearing Loss

Tinnitus Retraining Therapy in Unilateral Tinnitus Patients with Single Side Deafness

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