Tinnitus-Related Distress and the Personality Characteristic Resilience

Wallhäußer-Franke, Elisabeth; Delb, W.; Balkenhol, Tobias; Hiller, Wolfgang; Hörmann, K.

doi:10.1155/2014/370307

Cited by 24 publications

(34 citation statements)

References 35 publications

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“…Typical items are "I usually manage one way or another" and "I can usually look at a situation in a number of ways." Although not previously applied in cardiac patients, the RES is a widely used instrument in psychosomatic research (29). The RES short form shows a stable one-factorial structure with good internal consistency (Cronbach α = .91) (28), which was also found in our sample (Cronbach α = .93).…”

Section: Resilience Scalesupporting

confidence: 69%

Association of Trait Resilience With Peritraumatic and Posttraumatic Stress in Patients With Myocardial Infarction

Meister

Princip

Schnyder

et al. 2016

Psychosomatic Medicine

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Objective: Acute myocardial infarction (MI) is a life-threatening condition, leading to immediate fear and distress in many patients. Approximately 18% of patients develop posttraumatic stress disorder in the aftermath of MI. Trait resilience has shown to be a protective factor for the development of posttraumatic stress disorder. However, whether this buffering effect has already an impact on peritraumatic distress and applies to patients with MI is elusive. Methods: We investigated 98 consecutive patients with acute MI within 48 hours after having reached stable circulatory conditions and 3 months thereafter. Peritraumatic distress was assessed retrospectively with three single-item questions about pain, fear, and helplessness during MI. All patients completed the Posttraumatic Diagnostic Scale (PDS) and the Resilience Scale to self-rate posttraumatic stress and trait resilience. Results: Multivariate models adjusting for sociodemographic and medical factors showed that trait resilience was not associated with peritraumatic distress, but significantly so with posttraumatic stress. Patients with greater trait resilience showed lower PDS scores (b = −0.06, p < .001). There was no significant relationship between peritraumatic distress scores and PDS scores; resilience did not emerge as a moderator of this relationship. Conclusions: The findings suggest that trait resilience does not buffer the perception of acute MI as stressful per se but may enhance better coping with the traumatic experience in the longer term, thus preventing the development of MI-associated posttraumatic stress. Trait resilience may play an important role in posttraumatic stress symptoms triggered by medical diseases such as acute MI. Trait resilience has shown to be a protective factor for the development of posttraumatic stress disorder. However, whether this buffering effect has already an impact on peritraumatic distress and applies to patients with MI is elusive. Methods: We investigated 98 consecutive patients with acute MI within 48 hours after having reached stable circulatory conditions and 3 months thereafter. Peritraumatic distress was assessed retrospectively with three single-item questions about pain, fear, and helplessness during MI. All patients completed the Posttraumatic Diagnostic Scale (PDS) and the Resilience Scale to self-rate posttraumatic stress and trait resilience. Results: Multivariate models adjusting for sociodemographic and medical factors showed that trait resilience was not associated with peritraumatic distress, but significantly so with posttraumatic stress. Patients with greater trait resilience showed lower PDS scores (b = −0.06, p < .001). There was no significant relationship between peritraumatic distress scores and PDS scores; resilience did not emerge as a moderator of this relationship. Conclusions: The findings suggest that trait resilience does not buffer the perception of acute MI as stressful per se but may enhance better coping with the traumatic experience in the longer term, thus pr...

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Section: Resilience Scalesupporting

confidence: 69%

Association of Trait Resilience With Peritraumatic and Posttraumatic Stress in Patients With Myocardial Infarction

Meister

Princip

Schnyder

et al. 2016

Psychosomatic Medicine

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“…Weiterhin zeigten Vollmann et al [24] eine Beziehung zwischen dem Persönlichkeitsmerkmal Optimismus und dem Erleben des Tinnitus. Unsere eigenen Arbeiten legen nahe, dass das positive Persönlichkeitsmerkmal Resilienz bei Patienten mit einem belastenden Tinnitus weniger stark ausgeprägt ist [25]. In der vorliegenden Studie sollte daher außerdem überprüft werden, ob ein Zusammenhang zwischen dem Persönlichkeitsmerkmal Resilienz und der langfristigen Beeinträchtigung durch den Tinnitus besteht.…”

Section: Einleitung ▼unclassified

“…Das Alter beim erstmaligen Auftreten des Tinnitus hat laut früheren Querschnittsstudien eine Bedeutung für die spätere Tinnitusbelastung. So wird berichtet, dass ein höheres Alter beim Erstauftreten eher mit der Herausbildung eines belastenden chronischen Tinnitus assoziiert ist [26,27] [25,33]. Die Auswertung erfolgt über die Addition der Antwortwerte (1-7) für jedes der 13 Items, was zu Summenwerten zwischen 13 und 91 führt.…”

Section: Einleitung ▼unclassified

“…Insgesamt erscheint daher der Einsatz eines Depres sivitäts-Screening Fragebogens wie des PHQ-9 zusätzlich zu den audiometrischen Tests sinnvoll, um Patienten zu identifizieren, die wahrscheinlich einen chronisch-dekompensierten Tinnitus entwickeln und von einer psychotherapeutischen Intervention profitieren dürften. In der Literatur wurde verschiedentlich berichtet, dass Menschen mit bestimmten Persönlichkeitsmerkmalen häufiger unter ihrem Tinnitus leiden [23][24][25]36]. Die Ergebnisse der vorliegenden Longitudinalstudie können diese Überlegungen hinsichtlich des Persönlichkeitsmerkmals Resilienz nicht bestätigen, da zu keinem der Studienzeitpunkte ein bedeutsamer Zusammenhang zwischen Persönlichkeitsmerkmalen und der Tinnitusbelastung gezeigt werden konnte.…”

Section: Tinnitustherapien Während Der Studiendauerunclassified

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Langzeit-Entwicklung von akutem Tinnitus

et al. 2015

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Stability of tinnitus severity during the 6 months after onset supports the hypothesis of early manifestation. RESULTS also support the hypothesis that later tinnitus severity is related to psychological distress and hearing impairment at onset. RESULTS suggest to use hearing aids to alleviate tinnitus loudness, and to include tools for the identification of depressive disorders at an early stage to identify patients that might benefit from psychotherapeutic interventions.

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“…The occurrence of debilitating tinnitus is believed to be associated not only with the dysfunction of the auditory system but with the psychological status and resilience of the sufferer [Dauman and Tyler, 1992;Wallhäusser-Franke et al, 2014;Brüggemann et al, 2016]. Currently, recommended tinnitus treatments focus on improving a patient's ability to ignore and accept the erroneous noise [Tyler et al, 2007].…”

Section: Introductionmentioning

confidence: 99%

One-Year Results for Patients with Unilateral Hearing Loss and Accompanying Severe Tinnitus and Hyperacusis Treated with a Cochlear Implant

Macías

Falcón-González

Manrique³

et al. 2018

Audiol Neurotol

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Objective: To show that patients with unilateral hearing loss (UHL), with one ear fulfilling cochlear implant (CI) indication criteria, and an additional severe tinnitus handicap can be treated effectively with a CI. Method: A prospective multi-centre study was conducted in five Spanish centres. Sixteen adult patients with UHL and a mean Tinnitus Handicap Inventory (THI) score of at least 58 were implanted. The study design included repeated within-subject measures of quality of life (Health Utility Index Mark 3 [HUI3]), tinnitus (THI, Visual Analogue Scale [VAS] on tinnitus loudness), hearing (Speech, Spatial, and Qualities of Hearing Scale– [SSQ]), and hyperacusis (Test de Hipersensibilidad al Sonido [THS]) up to 12 months after the initial CI fitting. Results: Group data showed significant subjective benefit from CI treatment: the preoperative HUI3 total utility score of 0.45 went up to 0.57 at 6 months and 0.63 at 12 months; the preoperative THI total score of 75 decreased to 40 at 6 months and 35 at 12 months. The preoperative tinnitus loudness VAS score of 8.2 decreased to 2.4 at 6 months and 2.2 at 12 months with the implant “On” and to 6.7 at 6 months and 6.5 at 12 months with the implant “Off.” The preoperative THS total score of 26 decreased to 17 at 12 months. The preoperative SSQ total score of 4.2 increased to 5.1 at 6 months and 6.3 at 12 months. No unanticipated adverse events were reported during the study period. At 12 months after CI activation all subjects (except 1 subject who used the device 6 days a week) wore their devices all day and every day. The primary reason for CI use was split evenly between tinnitus suppression (n = 6) and both hearing and tinnitus (n = 6). Conclusion: A CI should be considered as a treatment option in patients with UHL and a concomitant severe tinnitus handicap. However, appropriate counselling of candidates on the anticipated risks, benefits, and limitations that are inherent to cochlear implantation is imperative.

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Tinnitus-Related Distress and the Personality Characteristic Resilience

Cited by 24 publications

References 35 publications

Association of Trait Resilience With Peritraumatic and Posttraumatic Stress in Patients With Myocardial Infarction

Association of Trait Resilience With Peritraumatic and Posttraumatic Stress in Patients With Myocardial Infarction

Langzeit-Entwicklung von akutem Tinnitus

One-Year Results for Patients with Unilateral Hearing Loss and Accompanying Severe Tinnitus and Hyperacusis Treated with a Cochlear Implant

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