Association between Tinnitus and Sleep Disorders in the General Japanese Population

Izuhara, Keiichi; Wada, Keiko; Nakamura, Kozue; Tamai, Yuya; Tsuji, Michiko; Ito, Yatsuji; Nagata, Chisato

doi:10.1177/000348941312201107

Cited by 48 publications

(66 citation statements)

References 25 publications

(42 reference statements)

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“…Nevertheless, not all patients affected by tinnitus develop insomnia. In a Japanese population‐based cohort study of community adults, it was found that over 78% of the patients with tinnitus were not affected by insomnia . A retrospective sleep study of inpatients with insomnia and tinnitus, but without sleep apnea, periodic leg movements, or a severe psychiatric disorder, showed no differences in sustained attention tasks, subjective daytime tiredness, and depression rating scores when compared with age‐ and sex‐matched inpatients with primary insomnia but not tinnitus .…”

Section: Introductionmentioning

confidence: 99%

“…Difficulty in initiating and maintaining sleep and poor perceived quality of sleep were significantly associated with tinnitus. 9 A Nigerian study on 183 community elderly subjects with tinnitus also found that difficulty with falling asleep and early morning wakefulness were significant symptoms of their insomnia. 10 Nevertheless, not all patients affected by tinnitus develop insomnia.…”

Section: Introductionmentioning

confidence: 99%

“…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 . A Nigerian study on 183 community elderly subjects with tinnitus also found that difficulty with falling asleep and early morning wakefulness were significant symptoms of their insomnia .…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Risk of tinnitus in patients with sleep apnea: A nationwide, population‐based, case‐control study

Koo

Hwang

2016

The Laryngoscope

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Risk of tinnitus in patients with sleep apnea: A nationwide, population‐based, case‐control study

Koo

Hwang

2016

The Laryngoscope

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“…Notably, anxiety and depression severity have been correlated with tinnitus severity, and tinnitus prevalence may even decrease within a cohort as depression symptoms improve . Tinnitus is furthermore associated with sleep disorders, including insomnia, and can cause difficulty in initiating and maintaining sleep, and lead to poor overall quality of sleep . These patients often suffer from greater distress and difficulty with concentration, irritability, and loss of control …”

Section: Introductionmentioning

confidence: 99%

“…15 Tinnitus is furthermore associated with sleep disorders, including insomnia, and can cause difficulty in initiating and maintaining sleep, and lead to poor overall quality of sleep. 16 These patients often suffer from greater distress and difficulty with concentration, irritability, and loss of control. 17 In contrast, Shargorodsky et al, in their study of the National Health and Nutrition Examination Survey data, failed to find a significant association between frequent tinnitus and major depression.…”

Section: Introductionmentioning

confidence: 99%

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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Cross-sectional and Longitudinal Associations Between Tinnitus and Mental Health in a Population-Based Sample of Middle-aged and Elderly Persons

Oosterloo

Feijter

Croll

et al. 2021

JAMA Otolaryngol Head Neck Surg

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IMPORTANCE Tinnitus is a common disorder, but its impact on daily life varies widely in population-based samples. It is unclear whether this interference in daily life is associated with mental health problems that are commonly detected in clinical populations.OBJECTIVE To investigate the association of tinnitus and its interference in daily life with symptoms of depression and anxiety and poor sleep quality in a population-based sample of middle-aged and elderly persons in a cross-sectional analysis and during a 4-year follow-up. DESIGN, SETTING, AND PARTICIPANTS This cohort study evaluated data from the population-based Rotterdam Study of individuals 40 years or older living in Rotterdam, the Netherlands. Between 2011 and 2016, data on tinnitus were obtained during a home interview at least once for 6128 participants. Participants with information on depressive and anxiety symptoms and self-rated sleep quality, with Mini-Mental State Examination scores indicating unimpaired cognition, and with repeatedly obtained tinnitus and mental health outcome data were included. Data analyses were conducted between September 2019 and April 2020. MAIN OUTCOMES AND MEASURESThe presence of tinnitus and its interference with daily life were assessed during a home interview. Depressive symptoms were assessed with the Center for Epidemiologic Studies-Depression, anxiety symptoms with the Hospital Anxiety and Depression Scale, and sleep quality with the Pittsburgh Sleep Quality Index. Linear regression analyses and linear mixed models adjusted for relevant confounders were used to assess the cross-sectional and longitudinal association of tinnitus with mental health. RESULTSOf 5418 complete-case participants (mean [SD] age, 69.0 [9.8] years; 3131 [57.8%] women), 975 (mean [SD] age, 71.7 [4.5] years; 519 [53.2%] women) had repeated measurements available for follow-up analyses. Compared with participants without tinnitus and participants with nonbothersome tinnitus, participants with tinnitus interfering with daily life reported more depressive (difference, 0.20; 95% CI, 0.11-0.28) and anxiety (difference, 0.15; 95% CI, 0.08-0.22) symptoms and poorer sleep quality (difference, 0.10; 95% CI, 0.03-0.16). Compared with participants without tinnitus, participants with nonbothersome tinnitus also reported more depressive (difference, 0.06; 95% CI, 0.03-0.09) and anxiety (difference, 0.05; 95% CI, 0.02-0.07) symptoms and poorer sleep quality (difference, 0.05; 95% CI, 0.03-0.08). Individuals indicating more interference with daily life reported having more mental health problems. During a mean follow-up of 4.4 years (range, 3.5-5.1 years), participants with tinnitus reported more anxiety symptoms and poorer sleep quality than those without tinnitus.CONCLUSIONS AND RELEVANCE Findings of this population-based cohort study indicate that tinnitus was associated with more mental health problems in middle-aged and elderly persons in the general population, in particular when tinnitus interfered with daily life but not solely. Over time, more ...

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Association between Tinnitus and Sleep Disorders in the General Japanese Population

Abstract: Insomnia and other sleep disorders were significantly associated with tinnitus in Japanese adults.

Cited by 48 publications

References 25 publications

Risk of tinnitus in patients with sleep apnea: A nationwide, population‐based, case‐control study

Risk of tinnitus in patients with sleep apnea: A nationwide, population‐based, case‐control study

Relationships between tinnitus and the prevalence of anxiety and depression

Cross-sectional and Longitudinal Associations Between Tinnitus and Mental Health in a Population-Based Sample of Middle-aged and Elderly Persons

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