ICD-10 Symptom Rating questionnaire for assessment of psychological comorbidities in patients with chronic tinnitus

Brüeggemann, Petra; Seydel, C.; Schaefer, Christina; Szczepek, Agnieszka J.; Amarjargal, Nyamaa; Boecking, Benjamin; Rose, Matthias; Mazurek, Birgit

doi:10.1007/s00106-019-0625-7

Cited by 11 publications

(12 citation statements)

References 26 publications

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“…Positive correlation between self-reported tinnitus and stress measurements were reported in 15 studies (Muller et al, 2016;Bencsik et al, 2015;Ahmed et al, 2017;Panagiotopoulos et al, 2015;Park et al, 2017;Salviati et al, 2013;Brueggemann et al, 2019;Frachet et al, 2017;Han et al, 2019;Olze et al, 2011;Jackson, 2019;Gerber et al, 1985;Dineen et al, 1999). The strength of this correlation varied according to the instruments used from 0.26 (FTQ and PSQ-30) to 0.67 (THI and SVS) (Table 3).…”

Section: E) Correlations Between Self-reported Stress and Tinnitusmentioning

confidence: 77%

Tinnitus and stress in adults: a scoping review

Elarbed

Fackrell

Baguley

et al. 2020

International Journal of Audiology

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Section: E) Correlations Between Self-reported Stress and Tinnitusmentioning

confidence: 77%

Tinnitus and stress in adults: a scoping review

Elarbed

Fackrell

Baguley

et al. 2020

International Journal of Audiology

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“…Because of the complex and multifactorial etiology and maintenance of chronic tinnitus, cognitive behavioral therapy-based multidisciplinary treatment approaches are recommended (9,10). Multidisciplinary interventions for chronic tinnitus with cognitive behavioral therapy elements were found to be effective and have stable long-term effects (11)(12)(13)(14).…”

Section: Introductionmentioning

confidence: 99%

“…This study has four research questions. (1) Whether tinnitusrelated distress and perceived stress are reduced after compact multimodal tinnitus-specific cognitive behavioral therapy; which we expect to find based on previous studies that used a similar treatment approach (11)(12)(13)(14). ( 2) Whether haircortisol or hair-BDNF levels show measurable and meaningful changes after the intervention.…”

Section: Introductionmentioning

confidence: 99%

Psychological Treatment Effects Unrelated to Hair-Cortisol and Hair-BDNF Levels in Chronic Tinnitus

et al. 2022

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BackgroundCurrently, there are no objective markers to measure treatment efficacy in chronic (distressing) tinnitus. This study explores whether stress-related biomarkers cortisol and brain-derived neurotrophic factor (BDNF) measured in hair samples of chronic tinnitus patients change after compact multimodal tinnitus-specific cognitive behavioral therapy.MethodsIn this longitudinal study, hair-cortisol and hair-BDNF levels, self-reported tinnitus-related distress (Tinnitus Questionnaire; TQ), and perceived stress (Perceived Stress Questionnaire; PSQ-20) were assessed before and 3 months after 5 days of treatment in N = 80 chronic tinnitus patients. Linear mixed-effects models with backward elimination were used to assess treatment-induced changes, and a cross-lagged panel model (structural equation model) was used for additional exploratory analysis of the temporal associations between TQ and hair-BDNF.ResultsAt follow-up, a reduction in TQ (p < 0.001) and PSQ-20 scores (p = 0.045) was observed, which was not influenced by baseline hair-cortisol or hair-BDNF levels. No changes in biomarker levels were observed after treatment. The exploratory analysis tentatively suggests that a directional effect of baseline TQ scores on hair-BDNF levels at follow-up (trend; p = 0.070) was more likely than the opposite directional effect of baseline hair-BDNF levels on TQ scores at follow-up (n.s.).DiscussionWhile the treatment effectively reduced tinnitus-related distress and perceived stress in chronic tinnitus patients, this effect was not mirrored in biological changes. However, the lack of changes in hair-cortisol and hair-BDNF levels might have been influenced by the treatment duration, follow-up interval, or confounding medical factors, and therefore must be interpreted with caution. The relationship between tinnitus-related distress and hair-BDNF levels should be explored further to obtain a better understanding of stress-related effects in chronic tinnitus.

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“…Of the 33 included studies, 27 studies were cross-sectional cohort studies ( 16 , 42 – 67 ) as discussed in the following: One was a retrospective cohort study ( 68 ), four were case–control studies ( 69 – 72 ), and one was a prospective study ( 73 ). The studies were published between 2000 and 2021 and described 8,990 participants (range: 44–1,416 participants per study) ( Table 2 ).…”

Section: Resultsmentioning

confidence: 99%

Correlation Between Chronic Tinnitus Distress and Symptoms of Depression: A Systematic Review

et al. 2022

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ObjectivesIn this systematic review, we aim to evaluate the evidence regarding the correlation between tinnitus distress and the severity of depressive symptoms in patients with chronic tinnitus. Also, the prevalence of clinically relevant depressive symptoms scores in patients with chronic tinnitus was evaluated.MethodsWe performed a systematic review in PubMed, EMBASE, and the Cochrane library in June 2021 using the terms “depression” and “tinnitus,” and their synonyms, following PRISMA guidelines. Studies were selected on relevance and critically appraised regarding risk of bias using the Newcastle–Ottowa Quality Assessment Scale.ResultsA total of 1,912 articles were screened on title and abstract after the removal of the duplicates. Eventually, 33 (1.5%) articles were included for the final analysis. Only cross-sectional cohort studies and case–control studies with a low level of evidence and a high risk of bias due to the study design and patient selection were found. Statistically significant correlations between the experienced tinnitus distress and depressive symptoms were reported in 31 out of 33 studies. Clinically relevant depression scores had a prevalence of 4.6–41.7%.ConclusionsIn this systematic review, in which mostly cross-sectional studies were included, a statistically significant correlation was found between the experienced tinnitus distress and the reported severity of symptoms of depression in patients with chronic tinnitus. A wide range of clinically relevant depression scores were reported in included studies. Due to the high risk of bias of included studies it is not possible to provide a definite answer on the existence of this relationship. Future population-based studies are necessary to provide more clarity.

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ICD-10 Symptom Rating questionnaire for assessment of psychological comorbidities in patients with chronic tinnitus

Cited by 11 publications

References 26 publications

Tinnitus and stress in adults: a scoping review

Tinnitus and stress in adults: a scoping review

Psychological Treatment Effects Unrelated to Hair-Cortisol and Hair-BDNF Levels in Chronic Tinnitus

Correlation Between Chronic Tinnitus Distress and Symptoms of Depression: A Systematic Review

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