Questionnaires to evaluate anxiety and depressive levels in tinnitus patients

Crocetti, Andrea; Forti, Stella; Ambrosetti, Umberto; Bo, Luca Del

doi:10.1016/j.otohns.2008.11.036

Cited by 95 publications

(72 citation statements)

References 16 publications

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“…A strong correlation resulted between THI scores and presence of anxiety/depression symptoms. This finding is in agreement with earlier studies reported in literature 37,38 . The results support the view that there is a connection between tinnitus and psychiatric disorders.…”

Section: Discussionsupporting

confidence: 94%

“…When this reaction does not create any relief, the individual submerges into a depressive state in which the subject is conscious of his/her inability to confront that stimulus. Similar findings have also been reported by Crocetti et al 38 This attracts a heightened concern in the Indian context as there are no adequate tinnitus specialty clinics for detailed assessment and providing treatment with a systematic approach such as tinnitus retraining therapy.…”

Section: Discussionsupporting

confidence: 84%

See 1 more Smart Citation

The relationship of perceived severity of tinnitus with depression, anxiety, hearing status, age and gender in individuals with tinnitus

Udupi¹,

Uppunda²,

Mohan

et al. 2013

The International Tinnitus Journal

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Section: Discussionsupporting

confidence: 94%

Section: Discussionsupporting

confidence: 84%

The relationship of perceived severity of tinnitus with depression, anxiety, hearing status, age and gender in individuals with tinnitus

Udupi¹,

Uppunda²,

Mohan

et al. 2013

The International Tinnitus Journal

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“…Some people distressed by their tinnitus report symptoms of depression and anxiety, such as sleep disturbance, difficulty concentrating, fatigue, irritability, and even suicidal ideation [25][26][27]. Psychological techniques had already been developed and used with patients who experience tinnitus.…”

Section: Cognitive-behavioral Therapymentioning

confidence: 99%

Pilot study to develop telehealth tinnitus management for persons with and without traumatic brain injury

Henry¹,

Zaugg²,

Myers³

et al. 2012

JRRD

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Abstract-Tinnitus, or "ringing in the ears," affects 10%-15% of adults; cases can be problematic and require lifelong management. Many people who have experienced traumatic brain injury (TBI) also experience tinnitus. We developed Progressive Tinnitus Management (PTM), which uses education and counseling to help patients learn how to self-manage their reactions to tinnitus. We adapted PTM by delivering the intervention via telephone and by adding cognitive-behavioral therapy. A pilot study was conducted to evaluate the feasibility and potential efficacy of this approach for individuals with and without TBI. Participants with clinically significant tinnitus were recruited into three groups: probable symptomatic mild TBI (n = 15), moderate to severe TBI (n = 9), and no symptomatic TBI (n = 12). Participants received telephone counseling (six sessions over 6 months) by an audiologist and a psychologist. Questionnaires were completed at baseline, 12 weeks, and 24 weeks. All groups showed trends reflecting improvement in self-perceived functional limitations due to tinnitus. A follow-up randomized clinical study is underway.Key words: blast injury, clinical trial, cognitive-behavioral therapy, education, hearing disorders, military Veterans, rehabilitation, telehealth, tinnitus, traumatic brain injury.Abbreviations: CBT = cognitive-behavioral therapy, ESS = Epworth Sleepiness Scale, HADS = Hospital Anxiety and Depression Scale, ICF = informed consent form, IED = improvised explosive device, IRB = institutional review board, LOC = loss of consciousness, m-sTBI = moderate to severe traumatic brain injury (group), mTBI = probable symptomatic mild traumatic brain injury (group), NCRAR = National Center for Rehabilitative Auditory Research, noTBI = no symptomatic traumatic brain injury (group), OIF = Operation Iraqi Freedom, PC-PTSD =

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“…This scale is composed of 25 questions and the scores can vary between 0 and 100. The THI specifies different ranges of an index score, namely light (0-16), mild (18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35)(36), moderate (38)(39)(40)(41)(42)(43)(44)(45)(46)(47)(48)(49)(50)(51)(52)(53)(54)(55)(56), severe (58-76) and catastrophic (78-100) handicap. Cronbach's alpha was .92 indicating very good internal consistency, comparable to the original version of the THI [22].…”

Section: Methodsmentioning

confidence: 99%

“…In a next step, the total sample was divided into two subgroups: a group with slight/mild tinnitus severity (THI score < 38) and a group with moderate, severe or catastrophic tinnitus severity (THI score ≥ 38) [30]. Again the THI was correlated with the four indices for influence of prime types (happy, sad, fearful, angry face).…”

Section: The Relation Between Affective Priming Indices (Happy Sad mentioning

confidence: 99%

Tinnitus, anxiety and automatic processing of affective information: an explorative study

Ooms

Vanheule

Meganck

et al. 2012

Eur Arch Otorhinolaryngol

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Anxiety is found to play an important role in the severity complaint of tinnitus patients. However, when investigating anxiety in tinnitus patients, most studies make use of verbal reports of affect (e.g. self-report questionnaires and/or interviews). These methods reflect conscious appraisals of anxiety, but don't map underlying processing mechanisms. Nonetheless, such mechanisms, like the automatic processing of affective information, are important as they modulate emotional experience and emotion-related behaviour. Research showed that highly anxious people process threatening information (e.g., fearful and angry faces) faster than non-anxious people. Therefore, this study investigates whether tinnitus patients process affective stimuli (happy, sad, fearful, and angry faces) in the same way as highly anxious people do. Our sample consisted out of 67 consecutive tinnitus patients. Relationships between tinnitus severity, pitch, loudness, hearing loss, and the automatic processing of affective information were explored. Results indicate that especially in severely distressed tinnitus patients, the severity complaint is highly related to the automatic processing of fearful (r= .37, p < .05), angry (r= .44, p < .00), and happy (r= -.44, p < .00) faces and these relationships became even stronger after controlling for hearing loss. Furthermore, in contrast with findings on the relation between audiological characteristics (pitch and loudness) and conscious report of anxiety, we did find that the audiological characteristic, loudness, tends to be in some degree related to the automatic processing of fearful faces (r = .25, p = .08). We conclude that tinnitus is an anxiety-related problem on an automatic processing level.

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Questionnaires to evaluate anxiety and depressive levels in tinnitus patients

Abstract: If a patient reports a THI greater than 38, the otolaryngologist should supplement diagnostic studies with a psychological consultation.

Cited by 95 publications

References 16 publications

The relationship of perceived severity of tinnitus with depression, anxiety, hearing status, age and gender in individuals with tinnitus

The relationship of perceived severity of tinnitus with depression, anxiety, hearing status, age and gender in individuals with tinnitus

Pilot study to develop telehealth tinnitus management for persons with and without traumatic brain injury

Tinnitus, anxiety and automatic processing of affective information: an explorative study

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