Tinnitus Patients Suffering from Anxiety and Depression: A Review

Ziai, Kasra; Moshtaghi, Omid; Mahboubi, Hossein; Djalilian, Hamid R.

doi:10.5935/0946-5448.20170013

Cited by 65 publications

(68 citation statements)

References 39 publications

(44 reference statements)

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“…Globus pharyngeus was found to be a significant predictor of severe anxiety (OR = 5.993) with a suggested moderate to high clinical significance. Several reports in the literature support the strong association of these symptoms with mental disorders , , . Some authors suggest a bidirectional relationship between tinnitus and dizziness and mental disorders .…”

Section: Discussionmentioning

confidence: 93%

“…clinical significance. Several reports in the literature support the strong association of these symptoms with mental disorders 9,68,[18][19][20]23. Some authors suggest a bidirectional relationship between tinnitus and dizziness and mental disorders.…”

mentioning

confidence: 92%

“…On a national health and nutrition examination survey, hearing loss was also found to be strongly associated with depression among US adults of all ages . Tinnitus has also been associated with mental disorders in various studies with 41% to 77% of the tinnitus population presenting with psychiatric comorbidities . 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 .…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Prevalence of depression and anxiety among otolaryngology outpatients at Jordan University Hospital

Al‐Rawashdeh

Saleh

Mustafa

et al. 2018

Perspect Psychiatr Care

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Section: Discussionmentioning

confidence: 93%

mentioning

confidence: 92%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Prevalence of depression and anxiety among otolaryngology outpatients at Jordan University Hospital

Al‐Rawashdeh

Saleh

Mustafa

et al. 2018

Perspect Psychiatr Care

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show abstract

“…Recent systematic reviews [12][13][14] have addressed the theme in a broad way, presenting this probable association in general, but they do not identify the results by age group. As previously shown, the highest prevalence of tinnitus is centered in the elderly population, and thus, considering the changes resulting from the aging process, a careful investigation directed to this population is made necessary.…”

Section: Introductionmentioning

confidence: 99%

Tinnitus and its relationship with anxiety and depression in the elderly: a systematic review

et al. 2019

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Objective: to verify, in the literature, a probable association of tinnitus with anxiety and depression in the elderly. Methods: a systematic review (through a search in the indexed databases - Lilacs, Scielo, Pubmed, Science Direct, The Cochrane Library) of studies published between 2013 and 2018, in Portuguese and in English, involving adults and/or elderly (18 years and older). The descriptors used were: “tinnitus", "depression", "anxiety", "adult", "elderly", interspersed by the Boolean operator AND. Results: 11 studies were selected, from which, 5 compared adults to elderly and only 2 evaluated such relationship in the elderly alone. Studies suggest that, as age increases, tinnitus severity and psychological symptoms also increase, affecting both men and women. Conclusion: few studies compared the relationship between the variables among the elderly. A probable association between the variables for both genders has been found, suggesting that the advancing age contributes to the increase of tinnitus severity and its psychological symptoms, affecting the quality of life of these individuals. Further studies are suggested to confirm the association between tinnitus, anxiety and depression in the elderly. Multi-professional work is important for the evaluation and treatment of these people.

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“…A recent review of 56 abstracts conducted by Ziai et al concluded that there is mounting evidence supporting the association of tinnitus with depression and anxiety. 26 In the present study we have also tried to correlate the severity of tinnitus with severity of anxiety and depression; however, irrespective of the severity of tinnitus, most patients had only mild anxiety and depression. Thus, tinnitus should be understood as a neuropsychiatric or somatoform disorder syndrome.…”

Section: Discussionmentioning

confidence: 91%

Correlation of severity of tinnitus with severity of anxiety and depression in adults in a tertiary care hospital at Bhuj, Gujarat, India

Khilnani

Thaddanee

Chodvadiya

et al. 2018

Int J Otorhinolaryngol Head Neck Surg

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Background: Tinnitus may be objective or subjective. Subjective tinnitus is the type most commonly associated with psychosocial co-morbidities. This study was conducted with an aim to assess the severity of tinnitus and to know its correlation with anxiety and depression in adult population of Western Gujarat region.Methods: This prospective observational study was conducted in a tertiary care teaching hospital of Western Gujarat from December 2016 to July 2017. Patients with tinnitus were screened for anxiety and depression using tinnitus handicap inventory (THI, validated in Gujarati language), generalized anxiety disorder (GAD-7) and patient health questionnaire (PHQ-9). Severity of anxiety and depression was further evaluated using The Hamilton anxiety rating scale (HAM-A) and the Hamilton rating scale for depression (HRSD, also called HAM-D) respectively. Results: 68 patients fulfilled the inclusion criterion. Maximum patients (30.9 %) had moderate tinnitus, followed by severe (26.4 %), catastrophic (19.1 %), mild (16.2 %) and slight (7.4 %). There was a strong and significant correlation between the average THI scores and average GAD-7 scores (r=0.9708, p<0.00001) and average THI scores and average PHQ-9 scores (r=0.9906, p<0.0001) suggesting that patients with tinnitus were very likely to have anxiety as well as depression. However, irrespective of the severity of tinnitus, most patients had only mild anxiety (r=0.9403, p<0.00001) and mild depression (r=0.6758, p=0.001).Conclusions: The patients with tinnitus are very likely to suffer from mild anxiety as well as mild depression.

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Tinnitus Patients Suffering from Anxiety and Depression: A Review

Cited by 65 publications

References 39 publications

Prevalence of depression and anxiety among otolaryngology outpatients at Jordan University Hospital

Prevalence of depression and anxiety among otolaryngology outpatients at Jordan University Hospital

Tinnitus and its relationship with anxiety and depression in the elderly: a systematic review

Correlation of severity of tinnitus with severity of anxiety and depression in adults in a tertiary care hospital at Bhuj, Gujarat, India

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