Tinnitus and anxiety disorders: A review

Pattyn, T.; Eede, Filip Van Den; Vanneste, Sven; Cassiers, L.; Veltman, Dick J.; Heyning, Paul Van de; Sabbe, Bernard

doi:10.1016/j.heares.2015.08.014

Cited by 167 publications

(161 citation statements)

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“…Many tinnitus patients suffer from insomnia (Cronlein et al, 2016), concentration difficulties (Hallam, McKenna, & Shurlock, 2004; Rossiter, Stevens, & Walker, 2006) or headaches (Langguth et al, 2015). Comorbid mental symptoms of anxiety, depression and post-traumatic stress are common (Fagelson, 2007; Hinton, Chhean, Pich, Hofmann, & Barlow, 2006; McCormack et al, 2015; Pattyn et al, 2016; Zoger, Svedlund, & Holgers, 2006). The economic burden of tinnitus to society is substantial.…”

Section: Introductionmentioning

confidence: 99%

A trauma-focused approach for patients with tinnitus: the effectiveness of eye movement desensitization and reprocessing – a multicentre pilot trial

Rikkert

Rood

Roos

et al. 2018

European Journal of Psychotraumatology

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Background: While normal tinnitus is a short-term sensation of limited duration, in 10–15% of the general population it develops into a chronic condition. For 3–6% it seriously interferes with many aspects of life. Objective: The aim of this trial was to assess effectiveness of a trauma-focused approach, eye movement desensitization and reprocessing (EMDR), in reducing tinnitus distress. Methods: The sample consisted of 35 adults with high levels of chronic tinnitus distress from five general hospitals in the Netherlands. Participants served as their own controls. After pre-assessment (T1), participants waited for a period of 3 months, after which they were assessed again (T2) before they received six 90 min manualized EMDR treatment sessions in which tinnitus-related traumatic or stressful events were the focus of treatment. Standardized self-report measures, the Tinnitus Functional Index (TFI), Mini-Tinnitus Questionnaire (Mini-TQ), Symptom Checklist-90 (SCL-90) and the Self-Rating Inventory List for Post-traumatic Stress Disorder (SRIP), were completed again halfway through treatment (T3), post-treatment (T4) and at 3 months’ follow-up (T5). Results: Repeated measures analysis of variance revealed significant improvement after EMDR treatment on the primary outcome, TFI. Compared to the waiting-list condition, scores significantly decreased in EMDR treatment [t(34) = −4.25, p < .001, Cohen’s dz = .72]. Secondary outcomes, Mini-TQ and SCL-90, also decreased significantly. The treatment effects remained stable at 3 months’ follow-up. No adverse events or side effects were noted in this trial. Conclusions: This is the first study to suggest that EMDR is effective in reducing tinnitus distress. Randomized controlled trials are warranted.

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Section: Introductionmentioning

confidence: 99%

A trauma-focused approach for patients with tinnitus: the effectiveness of eye movement desensitization and reprocessing – a multicentre pilot trial

Rikkert

Rood

Roos

et al. 2018

European Journal of Psychotraumatology

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“…A recent systematic review found a significant increase in the lifetime and current prevalence of anxiety in people with tinnitus, in addition to evidence suggesting that common neural networks are involved in both conditions (Pattyn et al, 2016).…”

Section: Introductionmentioning

confidence: 99%

Psychological mediators of chronic tinnitus: The critical role of depression

Trevis

McLachlan

Wilson

2016

Journal of Affective Disorders

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“…This, in part, may be due to the heightened salience of the tinnitus, and its association with negative emotions, particularly anxiety (Pattyn et al, 2016) and depression (Langguth et al, 2011). Stated another way, an imbalance in the regulation of the interactions between the CCN, SN, and AN may contribute to the maintenance of tinnitus by continued assignment of attentional resources and emotional salience to the tinnitus sound ( Figure 1 ).…”

Section: Introductionmentioning

confidence: 99%

Cognitive Mechanisms in Chronic Tinnitus: Psychological Markers of a Failure to Switch Attention

2016

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The cognitive mechanisms underpinning chronic tinnitus (CT; phantom auditory perceptions) are underexplored but may reflect a failure to switch attention away from a tinnitus sound. Here, we investigated a range of components that influence the ability to switch attention, including cognitive control, inhibition, working memory and mood, on the presence and severity of CT. Our participants with tinnitus showed significant impairments in cognitive control and inhibition as well as lower levels of emotional well-being, compared to healthy-hearing participants. Moreover, the subjective cognitive complaints of tinnitus participants correlated with their emotional well-being whereas complaints in healthy participants correlated with objective cognitive functioning. Combined, cognitive control and depressive symptoms correctly classified 67% of participants. These results demonstrate the core role of cognition in CT. They also provide the foundations for a neurocognitive account of the maintenance of tinnitus, involving impaired interactions between the neurocognitive networks underpinning attention-switching and mood.

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Tinnitus and anxiety disorders: A review

Cited by 167 publications

References 100 publications

A trauma-focused approach for patients with tinnitus: the effectiveness of eye movement desensitization and reprocessing – a multicentre pilot trial

A trauma-focused approach for patients with tinnitus: the effectiveness of eye movement desensitization and reprocessing – a multicentre pilot trial

Psychological mediators of chronic tinnitus: The critical role of depression

Cognitive Mechanisms in Chronic Tinnitus: Psychological Markers of a Failure to Switch Attention

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