Self-reported and behavioral sound avoidance in tinnitus and hyperacusis subjects, and association with anxiety ratings

Blaesing, Lena; Kroener-Herwig, Birgit

doi:10.3109/14992027.2012.664290

Cited by 65 publications

(42 citation statements)

References 22 publications

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“…[7] Similar to the study by Andersson et al .,[7] the results from the present study imply middle aged and elderly being a risk group for hyperacusis. In accordance with the past findings of higher sound detection thresholds in hyperacusis,[1112] our results suggest that it is also common to experience reduced hearing. Although hyperacusis was found to be more common in men than in women in a Polish sample,[8] the opposite result was obtained from our Swedish sample.…”

Section: Discussionsupporting

confidence: 93%

“…Hyperacusis has also been found to be more common among men (61%),[8] whereas documentation appears to be lacking regarding marital status and education as well as lifestyle factors (eg, smoking habits and physical exercise) and perceived general health. As would be expected, not only markedly low uncomfortable loudness level but also higher sound detection thresholds[1112] have been shown in hyperacusis. Less is known about how common it is to experience reduced hearing in hyperacusis.…”

Section: Introductionmentioning

confidence: 61%

“…[4121314] To what extent individuals with hyperacusis in the general population cope with their condition by seeking medical attention lacks documentation to the best of our knowledge.…”

Section: Introductionmentioning

confidence: 99%

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Characteristics of hyperacusis in the general population

2016

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There is a need for better understanding of various characteristics in hyperacusis in the general population. The objectives of the present study were to investigate individuals in the general population with hyperacusis regarding demographics, lifestyle, perceived general health and hearing ability, hyperacusis-specific characteristics and behavior, and comorbidity. Using data from a large-scale population-based questionnaire study, we investigated individuals with physician-diagnosed (n=66) and self-reported (n=313) hyperacusis in comparison to individuals without hyperacusis (n=2995). High age, female sex, and high education were associated with hyperacusis, and that trying to avoid sound sources, being able to affect the sound environment, and having sough medical attention were common reactions and behaviors. Posttraumatic stress disorder, chronic fatigue syndrome, generalized anxiety disorder, depression, exhaustion, fibromyalgia, irritable bowel syndrome, migraine, hearing impairment, tinnitus, and back/joint/muscle disorders were comorbid with hyperacusis. The results provide ground for future study of these characteristic features being risk factors for development of hyperacusis and/or consequences of hyperacusis.

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Section: Discussionsupporting

confidence: 93%

Section: Introductionmentioning

confidence: 61%

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Characteristics of hyperacusis in the general population

2016

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“…Patients often present with emotional (anxiety, stress, depression), social (isolation, limitation in activities), and physical (pain, discomfort) symptoms. Individuals with hyperacusis suffer from a reduced quality of life, due to anxiety and noise-related avoidance in daily activities [1]. Although individuals with hyperacusis report varying degrees of intolerance to sound, the primary complaint is a physical and/or psychological reaction to sound.…”

Section: Introductionmentioning

confidence: 99%

Round and oval window reinforcement for the treatment of hyperacusis

Silverstein¹,

Wu²,

Hagan³

2015

American Journal of Otolaryngology

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“…Baguley and Andersson (1) clearly defined hyperacusis as an “experience of inordinate loudness to sound that is well tolerated by most people with an associated component of distress.” Individuals with hyperacusis find certain sounds more difficult to listen to than others and may cause pain in their ears. Further, their quality of life is often diminished, because of anxiety and avoidance of noise related activities (2,3). Previously published internet and general survey-based studies describe the prevalence of hyperacusis between 5.9 and 17.2% (4,5).…”

mentioning

confidence: 99%

Minimally Invasive Surgery for the Treatment of Hyperacusis

Silverstein

Ojo²,

Daugherty³

et al. 2016

Otology &Amp; Neurotology

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Objective:To evaluate the efficacy of a minimally invasive surgical procedure in patients with severe hyperacusis.Study Design:Prospective, longitudinal design.Setting:Tertiary referral center.Patients:Adult patients with history of severe hyperacusis.Intervention:Using a transcanal approach, the round and oval window was reinforced with temporalis fascia or tragal perichondrium in six subjects (nine ears) and was subdivided into two groups (unilateral or bilateral reinforcement procedure).Main Outcome Measures:Pre- and postoperative noise tolerance was measured using uncomfortable loudness level (ULL) test scores. In addition, a self-report hyperacusis questionnaire (HQ) was used to assess hypersensitivity to sound before and after the intervention.Results:Analysis of the data reveals improved postoperative mean ULL test scores of 14 dB (confidence interval [CI], 70–98 dB) in the unilateral group. For the bilateral group, improved mean scores were 13 dB (CI, 63–88 dB) in the first ear and 8 dB (CI, 71–86 dB) for the second ear. Further, a negative linear trend was observed in the mean subjective scores for the HQ when both groups measures were analyzed together decreasing from a mean score of 32.0 (standard deviation [SD] = 3.32) preoperative to a mean score of 11.5 (SD = 7.42) after surgery. Postoperatively, the patients reported no change in hearing and improved quality of life after the procedure.Conclusion:The results suggest that reinforcement of the round and oval window with temporalis fascia or tragal perichondrium may offer significant benefit for individuals with severe hyperacusis that has not responded to traditional therapy. ULL scores and self-report measures postoperatively demonstrate improved noise tolerance, high patient satisfaction, and enhanced quality of life.

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Self-reported and behavioral sound avoidance in tinnitus and hyperacusis subjects, and association with anxiety ratings

Abstract: These results suggest that hyperacusis is associated with noise-related avoidance behavior and anxiety. Systematic exposure to sound could play a significant role in the treatment of hyperacusis.

Cited by 65 publications

References 22 publications

Characteristics of hyperacusis in the general population

Characteristics of hyperacusis in the general population

Round and oval window reinforcement for the treatment of hyperacusis

Minimally Invasive Surgery for the Treatment of Hyperacusis

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