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Tinnitus ‘Loudness’ as Indicated by Masking Levels with Environmental Sounds

Published online by Cambridge University Press:  27 May 2011

Jack Vernon
Affiliation:
(Portland, Oregon)
James Fenwick
Affiliation:
(Portland, Oregon)

Abstract

The lack of loudness of tinnitus, as first pointed out by Fowler (1942), has been an item of confused concern ever since. The point being this: How can so weak a sensation produce such severity of stress? The present article deals with this item by attempting to provide a more objective psychological measure of severity of tinnitus. The U.S. Health Survey, which estimated that one out of five patients with tinnitus have it in its severe form, is but one example of differentiating mild vs. severe tinnitus. In the severe group, there are some for whom the tinnitus is constant and unrelenting, while for others the bad spells come and go without warning or reason. Whether constant or fluctuating, these patients perceive their tinnitus as a severe affliction which greatly degrades the quality of their life. We accept these subjective statements and ratings of their distress; however, there is a serious need for an objective measure of severity. The present report attempted such a measure by using the degree to which tinnitus was maskable by environmental sounds. The results correlated no better with ratings of severity than do the measures of loudness of tinnitus.

Type
Session I. Mechanics of Tinnitus - Theory and Fact (Chairman: J. Vernon)
Copyright
Copyright © JLO (1984) Limited 1984

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References

Fowler, E. P. (1942), The “illusion of loudness” of tinnitus: Its etiology and treatment. Laryngoscope 52: 275285.CrossRefGoogle Scholar
Goodwin, P. E. and Johnson, R. M. (1980a), The loudness of tinnitus. Ada Otolaryngologica, 90: 353359.CrossRefGoogle ScholarPubMed
Goodwin, P. E. and Johnson, R. M. (1980b), A comparison of reaction times to tinnitus and nontinnitus frequencies. Ear and Hearing, 1: 148155.CrossRefGoogle ScholarPubMed
Graham, J. T. (1965), Tinnitus aurium. Ada Otolaryngologica Supplement, 202: 132.Google Scholar
Meikle, M. B. and Walsh, E. T. (1984), Characteristics of tinnitus and related observations in over 1800 tinnitus clinic patients. In: Shulman, A. (Ed.), Proceedings of the Second International Tinnitus Seminar. Journal of Laryngology and Otology, in press.CrossRefGoogle Scholar
Minton, J. P. (1928), Tinnitus and its relation to nerve deafness with an application to the masking effect of pure tones. Physiological Reviews, 22: 506509.CrossRefGoogle Scholar
Reed, G. F. (1960), An audiometric study of two hundred cases of subjective tinnitus. Archives of Otolaryngology, 71: 94104.Google ScholarPubMed
Tyler, R. S. and Conrad-Armes, , (1983), The determination of tinnitus loudness considering the effects of recruitment. Journal of Speech and Hearing Disorders, 26: 5972.CrossRefGoogle ScholarPubMed
Vernon, J. A. (1976), The loudness (?) of tinnitus. Hearing Speech Action, 44: 1719.Google Scholar