Tinnitus: Patients do not have to ‘just live with it’

Newman, Craig W.; Sandridge, Sharon A.; Bea, Scott; Cherian, Kay; Cherian, Neil; Kahn, Karyn M.; Kaltenbach, James A.

doi:10.3949/ccjm.78a.10136

Cited by 16 publications

(17 citation statements)

References 25 publications

(28 reference statements)

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“…Tinnitus negatively affects quality of life (QOL) via impaired sleeping habits, increased stress level, frustration, depression, irritability, and anxiety (Tyler and Baker 1983;Sindhusake et al 2004; Bartels et al 2008). Research has confirmed that 10 to 15% of patients with tinnitus experience significant perceived handicap and psychological distress related to QOL (Bartels et al 2008;Newman et al 2011), as well as elevated rates of depression compared with the general population (Center for Disease Control and Prevention 2010; Shargorodsky et al 2010). In addition, past research has suggested comorbid depression and anxiety are associated with more severe tinnitus (Bartels et al 2008).…”

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confidence: 99%

Physical Activity, Tinnitus Severity, and Improved Quality of Life

2015

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Physical Activity, Tinnitus Severity, and Improved Quality of Life

2015

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“…As tinnitus is not always associated with hearing loss, when all audiological assessment and investigation results are within normal ranges, the attending doctor often advises patients to 'just live with it'. (1) Patients' quality of life can be severely affected, both emotionally and mentally; they may suffer from sleepless nights, loss of concentration, stress and paranoia.…”

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confidence: 99%

Patients’ feedback on the Changi General Hospital tinnitus counselling protocol

Lim

Koh

2019

smedj

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INTRODUCTION Many tinnitus service providers advocate counselling as an initial and important approach for the management of tinnitus. Our tinnitus counselling clinic (TCC) developed a counselling protocol to deliver information and educate patients on self-help strategies. We aimed to obtain feedback on the components of the initial session and the self-help choices made by patients who returned for follow-up. METHODS All patients who were attending the TCC completed a Tinnitus Handicap Inventory (THI) questionnaire during their first and follow-up sessions. At follow-up, patients were asked to rate how helpful each counselling component was and their choice of self-help strategy for tinnitus. RESULTS 203 patients attended the follow-up session, representing 60.1% of patients initially counselled. THI scores improved, with 45.8% more patients categorised as having no handicap at follow-up compared to the initial 26.1%. Two most helpful counselling components (rated on a 5-point scale) were explanation of self-help strategies (mean score 4.40 ± 0.68) and illustration of healthy and damaged hair cells (mean score 4.30 ± 0.74). The most popular choice for self-help was using a sound strategy plus change in thinking (41.9%, n = 85). A few (32.5%, n = 66) patients were able to change their perception of tinnitus without any sound enrichment, while 17 (8.4%) patients relied solely on sound strategy. Most (97.5%) patients found the initial counselling session helpful. However, 92 (45.3%) patients were still seeking a cure for their tinnitus. CONCLUSION Most patients found the counselling helpful at follow-up. Counselling offered them the opportunity to actively manage their tinnitus.

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“…3,4 It is, therefore, known to affect the quality of life of the sufferer negatively, and it is severe in an estimated 1% to 2% of these patients. 3,5…”

mentioning

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“…3,4 It is, therefore, known to affect the quality of life of the sufferer negatively, and it is severe in an estimated 1% to 2% of these patients. 3,5 Predicting the level of distress caused by tinnitus in individual patients from the description alone is difficult because it causes different levels of distress in individuals who may have the same pattern of tinnitus. 6 Tinnitus sufferers are likely to have sleep disturbance, concentration difficulties, irritability, anxiety, and depression.…”

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Tinnitus and Its Effect on the Quality of Life of Sufferers: A Nigerian Cohort Study

Ukaegbe

Orji

Ezeanolue

et al. 2017

Otolaryngol.--head neck surg.

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Objectives To evaluate the quality of life of patients with ongoing tinnitus. Study Design This was a cross-sectional study of patients with ongoing tinnitus. Setting The study was carried out in a tertiary hospital in southeastern Nigeria. Subjects and Methods Subjects are adults who presented to the otorhinolaryngology clinic with tinnitus as their primary complaint. Pure-tone audiometry, tinnitus pitch, and loudness matching were done. The Tinnitus Handicap Inventory (THI) questionnaire was used in assessing their quality of life. Results There were 63 participants within the age range of 16 to 74 years; 20 (31.7%) were male and 43 (68.3%) were female. The mean duration of tinnitus was 26.7 ± 38.1 months. Nineteen (30.2%) participants had bilateral tinnitus while 44 (69.8%) had unilateral tinnitus. The mean THI score was 36.6 ± 19.7. The most reported handicap was anxiety and difficulty with concentration followed by depression and irritability. There was no correlation between the disability shown by the THI score and the age, sex, duration of the tinnitus, the tinnitus pitch, tinnitus loudness, or the laterality of the tinnitus. There was a significant positive correlation between the grade of hearing loss and the level of disability reported in the THI ( P = .01). Conclusion Tinnitus sufferers appear to have poorer quality of life compared with nonsufferers. This quality-of-life affectation is likely to be worse in those with disabling hearing loss but does not appear to be related to their age, sex, symptom duration, or the loudness and pitch of their tinnitus.

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Tinnitus: Patients do not have to ‘just live with it’

Cited by 16 publications

References 25 publications

Physical Activity, Tinnitus Severity, and Improved Quality of Life

Physical Activity, Tinnitus Severity, and Improved Quality of Life

Patients’ feedback on the Changi General Hospital tinnitus counselling protocol

Tinnitus and Its Effect on the Quality of Life of Sufferers: A Nigerian Cohort Study

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