Systematic review on the evidences of an association between tinnitus and depression

Geocze, Luciana; Mucci, Samantha; Abranches, Denise Calutá; Marco, Mario Alfredo De; Penido, Norma de Oliveira

doi:10.5935/1808-8694.20130018

Cited by 73 publications

(68 citation statements)

References 31 publications

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“…The elevated prevalence of depression among tinnitus subjects has been reported to be as high as 60% to 80%, whereas nearly 50% with generalized anxiety disorders can have tinnitus symptoms . Geocze et al showed in a systematic review that a total of 18 studies between 1982 and 2011 found a positive correlation between tinnitus and depression . The authors postulate that there may be at least three potential relationships between depression and tinnitus: depression affecting tinnitus, tinnitus predisposing to depression, and tinnitus appearing as a comorbidity in patients with depression.…”

Section: Discussionmentioning

confidence: 99%

Relationships between tinnitus and the prevalence of anxiety and depression

2016

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Objective Quantify the relationships between tinnitus, anxiety and depression among adults. Study design Cross-sectional analysis of national health survey. Methods Adult respondents in the 2007 Integrated Health Interview Series tinnitus module were analyzed. Data for tinnitus symptoms and severity and reported anxiety and depression symptoms were extracted. Associations between tinnitus problems and anxiety, depression, lost workdays, days of alcohol consumption, and mean hours of sleep were assessed. Results Among 21.4 ± 0.69 million adult tinnitus sufferers, 26.1% reported problems with anxiety in the preceding 12 months, while only 9.2% of those without tinnitus reported an anxiety problem (p<0.001). Similarly, 25.6% of respondents with tinnitus reported problems with depression, while only 9.1% of those without tinnitus reported depression symptoms (p<0.001). Those reporting tinnitus symptoms as “big” or “very big” problem were more likely to concurrently report anxiety (odds ratio 5.7; CI: 4.0–8.1; p<0.001) and depression (OR 4.8; CI: 3.5–6.7; p<0.001) symptoms. Tinnitus sufferers reported significantly fewer mean hours of sleep per night (7.00 vs 7.21; p<0.001) and greater mean days of work missed (6.94 vs 3.79, p<0.001) compared to those who did not report tinnitus. Mean days of alcohol consumption between the two groups were not significantly different. Conclusion Tinnitus symptoms are closely associated with anxiety, depression, shorter sleep duration, and greater workdays missed. These comorbidities and sequelae should be recognized and addressed to optimally manage patients with chronic and bothersome tinnitus.

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Section: Discussionmentioning

confidence: 99%

Relationships between tinnitus and the prevalence of anxiety and depression

2016

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“…Moreover, a shortcoming that was present in all population surveys was that information on tinnitus was self-reported, due to the difficulties to objectively detect/diagnose tinnitus. Other potential limitations were those inherent to the cross-sectional design, where it was not possible to establish the mechanisms by which tinnitus and its identified correlates mutually interact [56,57]. …”

Section: Discussionmentioning

confidence: 99%

Prevalence and Determinants of Tinnitus in the Italian Adult Population

et al. 2015

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Background: Limited, outdated, and poor quality data are available on the prevalence of tinnitus, particularly in Italy. Methods: A face-to-face survey was conducted in 2014 on 2,952 individuals, who represented the Italian population aged 18 or more (50.6 million). Any tinnitus was defined as the presence of ringing or buzzing in the ears lasting for at least 5 min in the previous 12 months. Results: Any tinnitus was reported by 6.2% of Italian adults, chronic tinnitus (i.e. for more than 3 months) by 4.8%, and severe tinnitus (i.e. which constitutes a big or very big problem) by 1.2%. The corresponding estimates for the population aged ≥45 years were 8.7, 7.4 and 2.0%, respectively. Multivariable analysis on population aged ≥45 years revealed that old age (odds ratio (OR) = 4.49 for ≥75 vs. 45-54 years) and obesity (OR = 2.14 compared to normal weight) were directly related to any tinnitus, and high monthly family income (OR = 0.50) and moderate alcohol consumption (OR = 0.59 for <7 drinks/week vs. non-drinking) were inversely related. Conclusions: This is the first study on tinnitus prevalence among the general Italian adult population. It indicates that in Italy tinnitus affects more than 3 million adults and is felt as a major problem by more than 600,000 Italians, mostly aged 45 years or more.

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“…The incidence of depression in patients with vertiginous disorders was estimated to be 19%, and it has been shown that patients with dizziness and anxiety or depression had the highest emotional distress and handicaps . There are reports of a bidirectional relationship of neurotologic conditions such as dizziness and tinnitus with mental disorders . The association of chronic rhinosinusitis (CRS) with mental disorders was demonstrated by Hsu et al who showed an overall incidence of depression that is 77% higher in CRS group than in controls.…”

Section: Introductionmentioning

confidence: 99%