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Tinnitus and its association with psychiatric disorders: systematic review

Published online by Cambridge University Press:  17 July 2014

P C L Pinto ,
C M Marcelos ,
M A Mezzasalma ,
F J V Osterne ,
M A de Melo Tavares de Lima  and
A E Nardi
P C L Pinto*
Affiliation:
Laboratory of Panic and Respiration (Institute of Psychiatry), Brazil
C M Marcelos
Affiliation:
Laboratory of Panic and Respiration (Institute of Psychiatry), Brazil
M A Mezzasalma
Affiliation:
Laboratory of Panic and Respiration (Institute of Psychiatry), Brazil
F J V Osterne
Affiliation:
Laboratory of Panic and Respiration (Institute of Psychiatry), Brazil
M A de Melo Tavares de Lima
Affiliation:
Department of Otolaryngology, Federal University of Rio de Janeiro, Brazil
A E Nardi
Affiliation:
Laboratory of Panic and Respiration (Institute of Psychiatry), Brazil
*
Address for correspondence: Dr P C L Pinto, Laboratory of Panic and Respiration, Institute of Psychiatry, Federal University of Rio de Janeiro, Av. Venceslau Brás, 71 – Botafogo, Rio de Janeiro – RJ 22290-140, Brasil E-mail: patricia@linhares.com.br
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Abstract

Objectives:

To systematically review the literature on the occurrence of psychiatric diagnoses in a tinnitus-affected population, and correlate the presence of psychiatric disorders with tinnitus-related annoyance and severity.

Method:

A systematic review of the literature published between January 2000 and December 2012 was performed using PubMed, ISI Web of Science and SciELO databases. Original articles in English and Portuguese that focused on the diagnosis of mental disorders associated with tinnitus, especially anxiety and depression, were identified.

Results:

A total of 153 articles were found and 16 were selected. Fifteen articles showed a high prevalence of psychiatric disorders in tinnitus-affected patients, and nine showed a high correlation between the presence of a psychiatric disorder and tinnitus-related annoyance and severity.

Conclusion:

The prevalence of psychiatric disorders, especially anxiety and depression, is high in tinnitus patients, and the presence of these disorders correlates with tinnitus-related annoyance and severity.

Keywords

TinnitusMental DisordersPsychology

Information

Type
Review Articles
Information
The Journal of Laryngology & Otology , Volume 128 , Issue 8 , August 2014 , pp. 660 - 664
Copyright
Copyright © JLO (1984) Limited 2014 

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References

1Coelho, CCB, Sanchez, TG, Bento, RF. Tinnitus characteristics in patients seen at a tinnitus clinic [in Portuguese]. Arquivos Internacionais de ORL 2004;8:284–92Google Scholar
2Jastreboff, PJ, Hazell, JWP. A neurophysiological approach to tinnitus: clinical implications. Br J Audiol 1993;27:7–17CrossRefGoogle ScholarPubMed
3Lynn, SG, Bauch, CD, Williams, DE, Beatty, CW, Mellon, MW, Weaver, AL. Psychologic profile of tinnitus patients using the SCL-90-R and Tinnitus Handicap Inventory. Otol Neurotol 2003;24:878–81Google Scholar
4Unterrainer, 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
5Scott, B, Lindberg, P. Psychological profile and somatic complaints between help-seeking and non help-seeking tinnitus subjects. Psychosomatics 2000;41:347–52Google Scholar
6Malakouti, SK, Nojomi, M, Mahmoudian, S, Salehi, M. Comorbidity of chronic tinnitus and mental disorders. Int Tinnitus J 2011;16:118–22Google ScholarPubMed
7Sullivan, MD, Katon, W, Dobie, R, Sakai, C, Russo, J, Harrop-Griffiths. Disabling tinnitus. Association with affective disorders. Gen Hosp Psychiatry 1988;10:285–91Google Scholar
8Harrop-Griffiths, J, Katon, W, Dobie, R, Sakai, C, Russo, J. Chronic tinnitus: association with psychiatric diagnoses. J Psychosom Res 1987;31:613–21Google Scholar
9Simpson, RB, Nedzelski, JM, Barber, HO, Thomas, MR. Psychiatric diagnoses in patients with psychogenic dizziness or severe tinnitus. J Otolaryngol 1988;17:325–30Google ScholarPubMed
10Zoger, S, Svedlund, J, Holgers, KM. Relationship between tinnitus severity and psychiatric disorders. Psychosomatics 2006;47:282–8Google Scholar
11Holgers, KM, Zoger, S, Svedlund, K. Predictive factors for development of severe tinnitus suffering-further characterisation. Int J Audiol 2005;44:584–92CrossRefGoogle ScholarPubMed
12Hérbert, S, Canlon, B, Hasson, D, Hanson, LLM, Westerlund, H, Theorell, T. Tinnitus severity is reduced with reduction of depressive mood-a prospective population study in Sweden. PLoS One 2012;7:e37733Google Scholar
13Reynolds, P, Gardner, D, Lee, R. Tinnitus and psychological morbidity: a cross-sectional study to investigate psychological morbidity in tinnitus patients and its relationship with severity of symptoms and illness perception. Clin Otolaryngol Allied Sci 2004;29:628–34CrossRefGoogle Scholar
14Salonen, J, Johansson, R, Joukamaa, M. Alexithymia, depression and tinnitus in elderly people. Gen Hosp Psychiatry 2007;29:431–5CrossRefGoogle ScholarPubMed
15Crocetti, A, Forti, S, Ambrosetti, U, Del Bo, L. Questionnaires to evaluate anxiety and depressive levels in tinnitus patients. Otolaryngol Head Neck Surg 2009;140:403–5Google Scholar
16Folmer, RL, Griest, SE, Martin, WH. Obsessive-compulsiveness in a population of tinnitus patients. Int Tinnitus J 2008;14:127–30Google Scholar
17Oishi, N, Shinden, S, Kanzaki, S, Saito, H, Inoue, Y, Ogawa, K. Influence of depressive symptoms, state anxiety, and pure-tone thresholds on the tinnitus handicap inventory in Japan. Int J Audiol 2011;50:491–5Google Scholar
18Tyler, RS, Baker, LJ. Difficulties experienced by tinnitus sufferers. J Speech Hear Disord 1983;48:150–4CrossRefGoogle ScholarPubMed
19McKenna, L, Hallam, RS, Hinchcliff, R. The prevalence of psychological disturbance in neurotology patients. Clin Otolaryngol Allied Sci 1991;16:452–6Google Scholar
20Langguth, B, Kleinjung, T, Fischer, G, Hajak, G, Eichhammer, P, Sand, PG. Tinnitus severity, depression and the big five personality traits. Prog Brain Res 2007;166:221–7CrossRefGoogle ScholarPubMed
21Russo, J, Katon, W, Sullivan, M, Clark, M, Buchwald, D. Severity of somatization and its relationship to psychiatric disorders and personality. Psychosomatics 1994;35:546–56Google Scholar
22Sullivan, M, Katon, W, Russo, J, Dobie, R, Sakai, C. A randomized trial of nortriptyline for severe chronic tinnitus. Effects on depression, disability, and tinnitus symptoms. Arch Intern Med 1993;153:2251–9CrossRefGoogle ScholarPubMed
23Bartels, H, Middel, BL, van der Laan, BFAM, Staal, MJ, Albers, FWJ. The additive effect of co-occurring anxiety and depression on health status, quality of life and coping strategies in help-seeking tinnitus sufferers. Ear Hear 2008;29:947–56CrossRefGoogle ScholarPubMed
24Ooms, E, Meganck, R, Vanheule, S, Vinck, B, Watelet, JB, Dhooge, I. Tinnitus severity and the relation to depressive symptoms: a critical study. Otolaryngol Head Neck Surg 2011;145:276–81Google Scholar
25Mathias, KV, Mezzasalma, MA, Nardi, AE. Prevalence of panic disorder in patients with tinnitus [in Portuguese]. Revista de Psiquiatria Clínica 2011;38:139–42Google Scholar
26Andersson, G, Carlbring, P, Kaldo-Sandstrom, V, Strom, L. Screening of psychiatric disorders via the internet. A pilot study with tinnitus patients. Nord J Psychiatry 2004;58:287–91CrossRefGoogle ScholarPubMed
27Belli, S, Belli, H, Bahcebasi, T, Ozcetin, A, Alpay, E, Ertem, U. Assessment of psychopathological aspects and psychiatric comorbidities in patients affected by tinnitus. Eur Arch Otorhinolaryngol 2008;265:279–85CrossRefGoogle ScholarPubMed
28Marciano, E, Carrabba, L, Giannini, P, Sementina, C, Verde, P, Bruno, C et al. Psychiatric comorbidity in a population of outpatients affected by tinnitus. Int J Audiol 2003;42:4–9Google Scholar
29Adoga, AA, Adoga, AS, Obindo, JT. Tinnitus and the presence of co-morbid psychological stress. Niger J Med 2008;17:95–7Google Scholar
30Pinto, PCL, Sanchez, TG, Tomita, S. The impact of gender, age and hearing loss on tinnitus severity. Braz J Otorhinolaryngol 2010;76:18–24CrossRefGoogle ScholarPubMed
31Dobie, RA, Sakai, CS, Sullivan, MD, Katon, WJ, Russo, J. Antidepressant treatment of tinnitus patients: report of randomized clinical trial and clinical prediction of benefit. Am J Otol 1993;14:18–23Google Scholar