Risks of tinnitus, sensorineural hearing impairment, and sudden deafness in patients with non-migraine headache

Chen, Yi‐Chun; Tsai, Shiang-Jiun; Chen, Jin-Cherng; Hwang, Juen-Haur

doi:10.1371/journal.pone.0222041

Cited by 20 publications

(25 citation statements)

References 32 publications

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“…As a consequence, the insomnia Cognitive Behavioral Therapy (i-CBT) was proposed as a treatment to reduce insomnia and distressing tinnitus (Marks et al, 2019). Chen et al (2019) found that patients with non-migraine headache are at significantly greater risk of tinnitus than those without chronic headache. Patients with migraine have also an increased risk to develop cochlear disorders and in particular tinnitus (Hwang et al, 2018).…”

Section: Discussionmentioning

confidence: 99%

Gender Comparison of Psychological Comorbidities in Tinnitus Patients – Results of a Cross-Sectional Study

et al. 2020

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Background: In the last decades, research focused on gender-related features in patients with tinnitus has often led to controversial results. The complex clinical picture of tinnitus patients often consists of an interdependent relationship between audiological symptoms and co-occurrent psychological disorders, which can complicate the diagnostic evaluation. Methods: Therefore, we studied 107 patients with tinnitus, investigating their psychological comorbidities in the light of gender differences. All patients were evaluated with ENT/audiological and psychological examination to consider presence/absence, type and gender distribution of psychopathological comorbidities. Patients completed questionnaires on tinnitus distress (Tinnitus Handicap Inventory, THI), anxiety (Beck Anxiety Inventory, BAI), depression (Beck Depression Inventory, BDI), metacognition (Metacognition Questionnaire-30, MCQ-30) and worry (Penn State Worry Questionnaire). The influence of gender on the relationship between tinnitus distress and psychological comorbidities was investigated with simple moderation analyses using the SPSS PROCESS macro. Results: The total sample included 65 male and 42 female patients (60.7 vs. 39.3%), matched for age and duration of tinnitus. We found no significant differences for tinnitus distress (THI total score, THI subscales) and MCQ-30 subscales, except for the control over thoughts, where men showed significantly higher scores than women (p = 0.045). Also, in our sample women showed significantly higher values for depression (BDI total score, p = 0.019), anxiety (BAI total score, p = 0.010) and worries (PSQW total score, p = 0.015). Moderation analyses revealed a significant influence of gender on the relationship of tinnitus distress with depression: higher scores of tinnitus distress were associated with significantly elevated levels of depression amongst men. No further gender influences could be observed in our sample. Discussion: In conclusion, our results indicate general gender differences for psychological comorbidities in tinnitus patients, with women reporting more depression, anxiety and worries. Men, on the other hand, showed a higher need to control their

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Section: Discussionmentioning

confidence: 99%

Gender Comparison of Psychological Comorbidities in Tinnitus Patients – Results of a Cross-Sectional Study

et al. 2020

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“…On the other hand, it was found that 26.6% of patients with headache and 20% of migraine sufferers complain of tinnitus [6,16]. Another study revealed that the risks of tinnitus, sudden deafness and sensorineural hearing loss, were significantly higher in patients with non-migraine headache comparing with the non-headache group [17,18]. Migraine was found to have higher prevalence in patients with otolaryngological disorders than in the general population [19].…”

Section: Introductionmentioning

confidence: 99%

“…It should be emphasized that all previous epidemiological studies regarding tinnitus and headache had one important limitation: the diagnosis of headache or/and tinnitus was based on self-reported headaches/tinnitus questionnaires or health insurance databases and were mostly retrospective [8,13,17,18,24]. Moreover, some of them considered only two types of headache: migraine and non-migraine headaches, and did not assess the severity and frequency of headache.…”

Section: Introductionmentioning

confidence: 99%

The Prevalence of Different Types of Headache in Patients with Subjective Tinnitus and Its Influence on Tinnitus Parameters: A Prospective Clinical Study

et al. 2020

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Both tinnitus and headache are very prevalent conditions in the general population, with bidirectional co-occurrence of them. A number of studies revealed a high prevalence of headache in tinnitus patients; however, most of them used self-reported symptoms, questionnaires, or health databases and were retrospective. The aim of this study was to evaluate the prevalence of different types of headache in a cohort of tinnitus patients and to assess the influence of headache on tinnitus parameters, focusing on appropriate headache and tinnitus diagnosis verified by clinical examination. This prospective study involved 286 patients diagnosed with subjective non-pulsating tinnitus. Patients’ clinical information was thoroughly assessed by the multidisciplinary team, including tinnitus characteristics and severity according to the Tinnitus Handicap Inventory (THI), loudness assessed by the Visual Analogue Scale (VAS), audiometry, type of headache diagnosed according to the third edition of the International Classification of Headache Disorders, severity of headache assessed by the Numeric Rating Scale (NRS), and impact of headache using the Headache Impact Test (HIT). In total, 141 (49.3%) tinnitus patients were diagnosed with headache, most of them with tension-type headache or migraine. They were significantly younger; mostly women; had bilateral tinnitus, vertigo, and depression more frequently; and had hearing loss less frequently as compared with the non-headache group. In total, 82 (58.16%) patients had the same localization of tinnitus and headache. Younger age, female gender, higher tinnitus burden measured by THI, and coexistence of hearing loss were independent variables connected with the occurrence of headache in the tinnitus group. According to our study, headaches impact tinnitus on many different levels and may be an important co-factor for tinnitus subtyping. We recommend screening for headache coexistence in all tinnitus patients.

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“…Due to all personal information is anonymous in the NHIRD, no informed consent was required and this study was exempt from full review by the Institutional Review Board of the Dalin Tzu Chi Hospital (B10501028). More detailed information on NHIRD has been described in our previous research 22–30 …”

Section: Methodsmentioning

confidence: 99%

“…More detailed information on NHIRD has been described in our previous research. [22][23][24][25][26][27][28][29][30]…”

Section: Data Sourcementioning

confidence: 99%

Association between nucleos(t)ide analogue therapy for hepatitis B and Sjögren’s syndrome: 15‐year analysis of the national database of Taiwan

Tung

Chen

et al. 2021

Journal of Viral Hepatitis

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Sjögren's syndrome (SS) is a common, systemic autoimmune disease with characteristic manifestation of xerophthalmia and xerostomia. 1,2 Prevalence rates for SS vary widely around the world, including 0.1%-3.3% prevalence in European countries and 0.16% prevalence in Taiwan. 3,4 Autoimmune-mediated inflammation of salivary and lacrimal glands results in focal lymphocytic adenitis and eventual destruction of glandular secretory function. 2 If left untreated, SS severely impairs quality of life. 5 To date, the causes for SS development are still

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Risks of tinnitus, sensorineural hearing impairment, and sudden deafness in patients with non-migraine headache

Cited by 20 publications

References 32 publications

Gender Comparison of Psychological Comorbidities in Tinnitus Patients – Results of a Cross-Sectional Study

Gender Comparison of Psychological Comorbidities in Tinnitus Patients – Results of a Cross-Sectional Study

The Prevalence of Different Types of Headache in Patients with Subjective Tinnitus and Its Influence on Tinnitus Parameters: A Prospective Clinical Study

Association between nucleos(t)ide analogue therapy for hepatitis B and Sjögren’s syndrome: 15‐year analysis of the national database of Taiwan

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