Hostname: page-component-586b7cd67f-t7fkt Total loading time: 0 Render date: 2024-11-24T05:33:09.777Z Has data issue: false hasContentIssue false

The impact of tinnitus characteristics and associated variables on tinnitus-related handicap

Published online by Cambridge University Press:  20 November 2015

S Degeest*
Affiliation:
Department of Speech, Language and Hearing Sciences, Ghent University, Belgium
P Corthals
Affiliation:
Department of Speech, Language and Hearing Sciences, Ghent University, Belgium Faculty of Education, Health and Social Work, University College Ghent, Belgium
I Dhooge
Affiliation:
Department of Otorhinolaryngology, Ghent University, Belgium
H Keppler
Affiliation:
Department of Speech, Language and Hearing Sciences, Ghent University, Belgium
*
Address for correspondence: Dr S Degeest, Department of Speech, Language and Hearing Sciences, De Pintelaan 185, B-9000 Ghent, Belgium E-mail: [email protected]

Abstract

Objective:

This study aimed to determine the characteristics of tinnitus and tinnitus-related variables and explore their possible relationship with tinnitus-related handicap.

Methods:

Eighty-one patients with chronic tinnitus were included. The study protocol measured hearing status, tinnitus pitch, loudness, maskability and loudness discomfort levels. All patients filled in the Tinnitus Sample Case History Questionnaire, the Hyperacusis Questionnaire and the Tinnitus Handicap Inventory. The relationship of each variable with the Tinnitus Handicap Inventory score was evaluated by univariate and multivariate analyses.

Results:

Five univariables were associated with the Tinnitus Handicap Inventory score: loudness discomfort level, subjective tinnitus loudness, tinnitus awareness, noise intolerance and Hyperacusis Questionnaire score. Multiple regression analysis showed that the Hyperacusis Questionnaire score and tinnitus awareness were independently associated with the Tinnitus Handicap Inventory score.

Conclusion:

Hyperacusis and tinnitus awareness were independently associated with the Tinnitus Handicap Inventory score. Questionnaires on tinnitus and hyperacusis are especially suited to providing additional insight into tinnitus-related handicap and are therefore useful for evaluating tinnitus patients.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 2015 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Some results of this study were presented at the 11th International Tinnitus Seminar, 21–24 May 2014, Berlin, Germany

References

1Møller, AR. Introduction. In: Møller, AR, Langguth, B, De Ridder, D, Kleinjung, T, eds. Textbook of Tinnitus, 1st edn.New York, Dordrecht, Heidelberg, London: Springer, 2011:38CrossRefGoogle Scholar
2Sindhusake, D, Golding, M, Newall, P, Rubin, G, Jakobsen, K, Mitchell, P. Risk factors for tinnitus in a population of older adults: the blue mountains hearing study. Ear Hear 2003;24:501–7CrossRefGoogle Scholar
3Shargorodsky, J, Curhan, GC, Farwell, WR. Prevalence and characteristics of tinnitus among US adults. Am J Med 2010;123:711–18CrossRefGoogle ScholarPubMed
4Henry, JA, Dennis, KC, Schechter, MA. General review of tinnitus: prevalence, mechanisms, effects, and management. J Speech Lang Hear Res 2005;48:1204–35CrossRefGoogle ScholarPubMed
5Coles, R. Epidemiology of tinnitus: demographic and clinical features. J Laryngol Otol 1984;98:195202CrossRefGoogle Scholar
6Nondahl, DM, Cruickshanks, KJ, Wiley, TL, Klein, R, Klein, BEK, Tweed, TS. Prevalence and 5-year incidence of tinnitus among older adults: the epidemiology of hearing loss study. J Am Acad Audiol 2002;13:323–31Google ScholarPubMed
7Martines, F, Bentivegna, D, Martines, E, Sciacca, V, Martinciglio, G. Assessing audiological, pathophysiological and psychological variables in tinnitus patients with or without hearing loss. Eur Arch Otorhinolaryngol 2010;267:1685–93CrossRefGoogle ScholarPubMed
8Fioretti, A, Fusetti, M, Eibenstein, A. Association between sleep disorders, hyperacusis and tinnitus: evaluation with tinnitus questionnaires. Noise Health 2013;15:91–5CrossRefGoogle ScholarPubMed
9Henry, JA, Meikle, MB. Psychoacoustic measures of tinnitus. J Am Acad Audiol 2000;11:138–55Google ScholarPubMed
10Snow, JB. Tinnitus – Theory and Management. London, Hamilton: BC Decker, 2004.Google Scholar
11Kleinjung, T. The Otolaryngologist. In: Møller, AR, Langguth, B, De Ridder, D, Kleinjung, T, eds. Textbook of Tinnitus, 1st edn.New York, Dordrecht, Heidelberg, Londen: Springer, 2011:213–14CrossRefGoogle Scholar
12Henry, JA, Zaugg, TL, Schechter, MA. Clinical guide for audiologic tinnitus management I: assessment. Am J Audiol 2005;14:2148CrossRefGoogle ScholarPubMed
13Figueiredo, RR, Rates, MA, Azevedo, AAd, Oliveira, PMd, Navarro, P. Correlation analysis of hearing thresholds, validated questionnaires and psychoacoustic measurements in tinnitus patients. Braz J Otorhinolaryngol 2010;76:522–6CrossRefGoogle ScholarPubMed
14Karatas, E, Deniz, M. The comparison of acoustic and psychic parameters of subjective tinnitus. Eur Arch Otorhinolaryngol 2012;269:441–7CrossRefGoogle ScholarPubMed
15Granjeiro, RC, Kehrle, HM, de Oliveira, TSC, Sampaio, ALL, de Oliveira, CACP. Is the degree of discomfort caused by tinnitus in normal-hearing individuals correlated with psychiatric disorders? Otolaryngol Head Neck Surg 2013;148:658–63CrossRefGoogle ScholarPubMed
16Meikle, MB, Vernon, J, Johnson, RM. The perceived severity of tinnitus: some observations concerning a large population of tinnitus clinic patients. Otolaryngol Head Neck Surg 1984;92:689–96CrossRefGoogle ScholarPubMed
17Hiller, W, Goebel, G. Assessing audiological, pathophysiological, and psychological variables in chronic tinnitus: a study of reliability and search for prognostic factors. Int J Behav Med 1999;6:312–30CrossRefGoogle ScholarPubMed
18Ooms, E, Vanheule, S, Meganck, R, Vinck, B, Watelet, JB, Dhooge, I. Tinnitus severity and its association with cognitive and somatic anxiety: a critical study. Eur Arch Otorhinolaryngol 2012;269:2327–33CrossRefGoogle ScholarPubMed
19Milerová, J, Anders, M, Dvořák, T, Sand, PG, Königer, S, Langguth, B. The influence of psychological factors on tinnitus severity. Gen Hosp Psychiatry 2013;35:412–16CrossRefGoogle ScholarPubMed
20Hiller, W, Goebel, G. Factors influencing tinnitus loudness and annoyance. Arch Otolaryngol Head Neck Surg 2006;132:1323–30CrossRefGoogle ScholarPubMed
21Hiller, W, Goebel, G. When tinnitus loudness and annoyance are discrepant: audiological characteristics and psychological profile. Audiol Neurootol 2007;12:391400CrossRefGoogle ScholarPubMed
22Axelsson, A, Ringdahl, A. Tinnitus-a study of its prevalence and characteristics. Br J Audiol 1989;23:5362CrossRefGoogle ScholarPubMed
23Mazurek, B, Olze, H, Haupt, H, Szczepek, AJ. The more the worse: the grade of noise-induced hearing loss associates with the severity of tinnitus. Int J Environ Res Public Health 2010;7:3071–9CrossRefGoogle ScholarPubMed
24Schlee, W, Kleinjung, T, Hiller, W, Goebel, G, Kolassa, IT, Langguth, B. Does tinnitus distress depend on age of onset? PLoS One 2011;6:e27379CrossRefGoogle ScholarPubMed
25Schecklmann, M, Landgrebe, M, Langguth, B, Group, TDS. Phenotypic characteristics of hyperacusis in tinnitus. PLoS One 2014;9:e86944CrossRefGoogle ScholarPubMed
26Goldstein, B, Shulman, A. Tinnitus-hyperacusis and the loudness discomfort level test-A preliminary report. Int Tinnitus J 1995;2:83–9Google Scholar
27Hoekstra, CE, Wesdorp, FM, van Zanten, GA. Socio-demographic, health, and tinnitus related variables affecting tinnitus severity. Ear Hear 2014;35:544–54CrossRefGoogle ScholarPubMed
28Langguth, B, Goodey, R, Azevedo, A, Bjorne, A, Cacace, A, Crocetti, A et al. Consensus for tinnitus patient assessment and treatment outcome measurement: Tinnitus Research Initiative meeting, Regensburg, July 2006. Prog Brain Res 2007;166:525–36CrossRefGoogle ScholarPubMed
29Khalfa, S, Dubal, S, Veuillet, E, Perez-Diaz, F, Jouvent, R, Collet, L. Psychometric normalization of a hyperacusis questionnaire. ORL J Otorhinolaryngol Relat Spec 2002;64:436–42CrossRefGoogle ScholarPubMed
30Newman, CW, Jacobson, GP, Spitzer, JB. Development of the tinnitus handicap inventory. Arch Otolaryngol Head Neck Surg 1996;122:143–8CrossRefGoogle ScholarPubMed
31Vernon, JA, Meikle, MB. Tinnitus: clinical measurement. Otolaryngol Clin North Am 2003;36:293305CrossRefGoogle ScholarPubMed
32Feldmann, H. Homolateral and contralateral masking of tinnitus by noise-bands and by pure tones. Audiology 1971;10:138–44CrossRefGoogle ScholarPubMed
33Jastreboff, PJ, Hazell, J. Tinnitus Retraining Therapy: Implementing the Neurophysiological Model. Cambridge: Cambridge University Press, 2004.CrossRefGoogle Scholar
34Meeus, OM, Spaepen, M, De Ridder, D, Van de Heyning, P. Correlation between hyperacusis measurements in daily ENT practice. Int J Audiol 2010;49:713CrossRefGoogle ScholarPubMed
35Newman, CW, Sandridge, SA, Jacobson, GP. Psychometric adequacy of the Tinnitus Handicap Inventory (THI) for evaluating treatment outcome. J Am Acad Audiol 1998;9:153–60Google ScholarPubMed
36Cohen, J, Cohen, P, West, SG, Aiken, LS. Applied Multiple Regression/Correlation Analysis for the Behavioral Sciences. Mahwah, New Jersey: Lawrence Erlbaum Associates Publishers, 2013.CrossRefGoogle Scholar
37Menard, S. Applied Logistic Regression Analysis. Thousand Oaks, California: Sage, 2002.CrossRefGoogle Scholar
38Falkenberg, ES, Wie, OB. Anxiety and depression in tinnitus patients: 5-year follow-up assessment after completion of habituation therapy. Int J Otolaryngol 2012;2012:375460CrossRefGoogle ScholarPubMed
39Wallhäußer-Franke, E, Brade, J, Balkenhol, T, D'Amelio, R, Seegmüller, A, Delb, W. Tinnitus: distinguishing between subjectively perceived loudness and tinnitus-related distress. PLoS One 2012;7:e34583CrossRefGoogle ScholarPubMed
40Kuk, FK, Tyler, RS, Russell, D, Jordan, H. The psychometric properties of a tinnitus handicap questionnaire. Ear Hear 1990;11:434–45CrossRefGoogle ScholarPubMed
41Unterrainer, J, Greimel, KV, Leibetseder, M, Koller, T. Experiencing tinnitus: which factors are important for perceived severity of the symptom? Int Tinnitus J 2003;9:130–3Google ScholarPubMed
42Andersson, G, Lyttkens, L, Larsen, H. Distinguishing levels of tinnitus distress. Clin Otolaryngol Allied Sci 1999;24:404–10CrossRefGoogle ScholarPubMed
43Sindhusake, D, Golding, M, Wigney, D, Newall, P, Jakobsen, K, Mitchell, P. Factors predicting severity of tinnitus: a population-based assessment. J Am Acad Audiol 2004;15:269–80Google ScholarPubMed
44Keppler, H, Dhooge, I, Corthals, P, Maes, L, D'haenens, W, Bockstael, A et al. The effects of aging on evoked otoacoustic emissions and efferent suppression of transient evoked otoacoustic emissions. Clin Neuropsych 2010;121:359–65Google ScholarPubMed
45Patterson, RD, Nimmo-Smith, I, Weber, DL, Milroy, R. The deterioration of hearing with age: frequency selectivity, the critical ratio, the audiogram, and speech threshold. J Acoust Soc Am 1982;72:1788–803CrossRefGoogle ScholarPubMed
46Goebel, G, Hiller, W. The tinnitus questionnaire. A standard instrument for grading the degree of tinnitus. Results of a multicenter study with the tinnitus questionnaire. HNO 1994;42:166–72Google ScholarPubMed