Prevalence of Insomnia and Impact on Quality of Life among Community Elderly Subjects with Tinnitus

Lasisi, Akeem O.; Gureje, Oye

doi:10.1177/000348941112000402

Cited by 54 publications

(79 citation statements)

References 30 publications

(69 reference statements)

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“…Among patients with tinnitus, insomnia is often reported as the difficulty most frequently mentioned (Axelsson, & Ringdahl, 1989). Among elderly individuals in the community with tinnitus, the prevalence of insomnia was high at 51.9% in one study (Lasisi & Gureje, 2011). In addition, tinnitus appears to be more severe in tinnitus patients with insomnia (Axelsson, & Ringdahl, 1989).…”

Section: Introductionmentioning

confidence: 90%

Cognitive-Behavioral Therapy for Insomnia Co-Morbid with Hearing Impairment: A Randomized Controlled Trial

Jansson‐Fröjmark

Linton

Flink

et al. 2012

J Clin Psychol Med Settings

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The purpose of the current study was to examine the effects of cognitive behavior therapy (CBT-I) for insomnia on patients with insomnia co-morbid with hearing impairment. A randomized controlled design was used with a 3-month follow-up. Thirty-two patients with insomnia comorbid with hearing impairment were randomized to either CBT-I or a waitlist condition (WLC). The primary outcome was insomnia severity. Secondary outcomes were sleep diary parameters, dysfunction, anxiety, and depression. Compared to WLC, CBT-I resulted in lower insomnia severity at posttreatment and at follow-up (d = 1.18-1.56). Relative to WLC, CBT-I also led, at both assessment points, to reduced total wake time (d = 1.39) and increased sleep restoration (d = 1.03-1.07) and sleep quality (d = 0.91-1.16). Both groups increased their total sleep time, but no significant group difference emerged. Compared to WLC, CBT-I resulted in higher function (d = 0.81-0.96) and lower anxiety (d = 1.29-1.30) at both assessment points. Neither CBT-I nor WLC led to improvement on depression. Based on the Insomnia Severity Index, more CBT-I (53-77%) than WLC participants (0-7%) were treatment responders. Also, more CBT-I (24%) than WLC participants (0%) remitted. In patients with insomnia co-morbid with hearing impairment, CBT-I was effective in decreasing insomnia severity, subjective sleep parameters, dysfunction, and anxiety. These findings are in line with previous results on the effects of CBT-I in other medical conditions.

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Section: Introductionmentioning

confidence: 90%

Cognitive-Behavioral Therapy for Insomnia Co-Morbid with Hearing Impairment: A Randomized Controlled Trial

Jansson‐Fröjmark

Linton

Flink

et al. 2012

J Clin Psychol Med Settings

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show abstract

“…It excludes somatic symptoms and avoids potential confounding by somatic symptoms. It consists of independent subscales for anxiety and depression with scores in each scale interpreted in ranges as normal (0-7), mild (8-10), moderate (11)(12)(13)(14) and severe (15)(16)(17)(18)(19)(20)(21). The scoring system adopted by Snaith RP is used in this study in which a score of 11 or higher is regarded as mood disorder in anxiety and depression scales and a score of 8-10 being just suggestive of a disorder 21 .…”

Section: Assessment Toolsmentioning

confidence: 99%

“…Studies from Nigeria reporting the impact tinnitus has on the psychological and emotional well being of sufferers and the effect this has on their daily HRQoL are scarce. Literature review details studies done amongst the elderly population with others investigating the characterization of tinnitus and the experience of tinnitus from the use of ototoxic drugs [17][18][19] . Therefore this study aims to achieve this using the Hospital Anxiety and Depression (HADS) and the RAND-36 item health survey questionnaires.…”

Section: Introductionmentioning

confidence: 99%

The impact of tinnitus on adult Nigerians: health related Quality of Life assessment of sufferers using the Hospital Anxiety and Depression Scale (HADS) and the RAND-36 item health survey 1.0 questionnaire

Adoga¹,

Kokong²,

Nimkur³

et al. 2015

The International Tinnitus Journal

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“…Many factors influence the different values of prevalence as the onset of tinnitus, comorbidities associated to tinnitus, the use of subjective sleep studies with questionnaires rather than objective sleep studies with polysomnography. [18,19] Although tinnitus is not a specific sleep antagonist, when the environmental noise is lower in the night time, tinnitus awareness is higher with the arising of unhelpful thoughts, mood changes and physical reactions, which can lead to a vicious cycle with anxiety, increased arousal and distress. It is important to remember that sleep disorders can lead to consequences like mood disturbance and cognitive impairment, which play an important role in tinnitus therapy selection criteria and individual assessment.…”

Section: Introductionmentioning

confidence: 99%

Association between sleep disorders, hyperacusis and tinnitus: Evaluation with tinnitus questionnaires

2013

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Patients with tinnitus are heterogeneous and several factors influence the impact of this symptom on the quality of life. The aim of the study is to evaluate the relationship between age, gender, sleep disorders, hyperacusis and tinnitus annoyance and to demonstrate the utility of tinnitus questionnaires as screening tools for sleep disorders and hyperacusis in patients with tinnitus. 37 consecutive patients (18 males and 19 females) with subjective tinnitus lasting over 3 months were evaluated with a complete interview, otological examination, pure tone audiometry, Italian version of tinnitus sample case history (TSCH) and tinnitus handicap inventory (THI). Statistical analysis was performed with the Wilcoxon's rank sum test, the Spearman's rho non-parametric correlation and the logistic regression analysis. THI grades were slight (16%), mild (32%), moderate (30%), severe (19%) and catastrophic (3%). Based on the answers to TSCH 20 patients reported sleep disorders (54%) and 20 patients reported hyperacusis (54%). 11 patients (30%) reported sleep disorders and hyperacusis. No significant correlation was found between the severity of tinnitus and patients' age and gender. Significant correlation was found between sleep disorders (P = 0.0009) and tinnitus annoyance and between hyperacusis (P = 0.03) and tinnitus annoyance. TSCH and THI may be considered as screening tools in the clinical practice to evidence sleep disorders and hyperacusis in patients with tinnitus.

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Prevalence of Insomnia and Impact on Quality of Life among Community Elderly Subjects with Tinnitus

Abstract: We believe that insomnia is significantly more common among elderly subjects with tinnitus than among those without, and that its presence further depreciates the QoL in these elderly individuals.

Cited by 54 publications

References 30 publications

Cognitive-Behavioral Therapy for Insomnia Co-Morbid with Hearing Impairment: A Randomized Controlled Trial

Cognitive-Behavioral Therapy for Insomnia Co-Morbid with Hearing Impairment: A Randomized Controlled Trial

The impact of tinnitus on adult Nigerians: health related Quality of Life assessment of sufferers using the Hospital Anxiety and Depression Scale (HADS) and the RAND-36 item health survey 1.0 questionnaire

Association between sleep disorders, hyperacusis and tinnitus: Evaluation with tinnitus questionnaires

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