13 Hyperacusis

Richard S. Tyler, Ann Perreau, and Patricia C. Mancini

Abstract

Many tinnitus patients also have hyperacusis, a prevalent auditory disorder that can cause significant distress and affects the patient’s quality of life. All hyperacusis patients can describe specific sounds in their environment that are troublesome. Patients with hyperacusis may have very different complaints about the sounds and situations that they experience difficulty. There are four main symptoms that can be used to describe patients' hyperacusis experiences: (1) loudness, (2) annoyance, (3) fear, and (4) pain. Many patients will experience more than one of these symptoms, and the types of symptoms will vary from patient to patient. Although there are currently no cures available for hyperacusis, there are several treatment options that can be successful for patients, including counseling, sound therapy, filtered earplugs, medications for related symptoms, and relaxation exercises. The Hyperacusis Activities Treatment is a counseling program that includes education about hyperacusis, counseling on reactions to hyperacusis, and treatments to relieve symptoms such as sound therapy and relaxation exercises.

Schlüsselwörter

hyperacusis - tinnitus - counseling - therapy

• 1 Tyler RS, Conrad-Armes D. The determination of tinnitus loudness considering the effects of recruitment.. J Speech Hear Res 1983; 26 (1) 59-72 PubMed

• 2 Bläsing L, Goebel G, Flötzinger U, Berthold A, Kröner-Herwig B. Hypersensitivity to sound in tinnitus patients: an analysis of a construct based on questionnaire and audiological data.. Int J Audiol 2010; 49 (7) 518-526 PubMed

• 3 Chen G, Lee C, Sandridge SA, Butler HM, Manzoor NF, Kaltenbach JA. Behavioral evidence for possible simultaneous induction of hyperacusis and tinnitus following intense sound exposure.. J Assoc Res Otolaryngol 2013; 14 (3) 413-424 PubMed

• 4 Dauman R, Bouscau-Faure F. Assessment and amelioration of hyperacusis in tinnitus patients.. Acta Otolaryngol 2005; 125 (5) 503-509 PubMed

• 5 Deshpande AK, Tyler R. Tinnitus and hyperacusis. In: Valente M, Valente LM, eds. Adult audiology casebook. 2nd ed. New York, NY: Thieme; 2018

• 6 Tyler RS. Interest in hyperacusis on the rise.. Hear J 2016; 69 (2) 32-33

• 7 Bartnik G, Fabijańska A, Rogowski M. Experiences in the treatment of patients with tinnitus and/or hyperacusis using the habituation method.. Scand Audiol Suppl 2001; 30 (52) 187-190 PubMed

• 8 Kochkin S, Tyler RS. Tinnitus treatment and the effectiveness of hearing aids: hearing care professional perceptions.. Hearing Rev 2008; 15 (13) 14-18

• 9 Sood SK, Coles RRA. Hyperacusis and phonophobia in tinnitus patients.. Br J Audiol 1998; 41: 545-554

• 10 Anari M, Axelsson A, Eliasson A, Magnusson L. Hypersensitivity to sound: questionnaire data, audiometry and classification.. Scand Audiol 1999; 28 (4) 219-230 PubMed

• 11 Andersson G, Lindvall N, Hursti T, Carlbring P. Hypersensitivity to sound (hyperacusis): a prevalence study conducted via the Internet and post.. Int J Audiol 2002; 41 (8) 545-554 PubMed

• 12 Hannula S, Bloigu R, Majamaa K, Sorri M, Mäki-Torkko E. Self-reported hearing problems among older adults: prevalence and comparison to measured hearing impairment.. J Am Acad Audiol 2011; 22 (8) 550-559 PubMed

• 13 Blaesing L, Kroener-Herwig B. Self-reported and behavioral sound avoidance in tinnitus and hyperacusis subjects, and association with anxiety ratings.. Int J Audiol 2012; 51 (8) 611-617 PubMed

• 14 Urnau D, Tochetto TM. Characteristics of the tinnitus and hyperacusis in normal hearing individuals.. Int Arch Otorhinolaryngol 2011; 15: 468-474

• 15 Tyler RS, Baker LJ. Difficulties experienced by tinnitus sufferers.. J Speech Hear Disord 1983; 48 (2) 150-154 PubMed

• 16 Tyler RS, Pienkowski M, Roncancio ER et al. A review of hyperacusis and future directions: part I. Definitions and manifestations.. Am J Audiol 2014; 23 (4) 402-419 PubMed

• 17 Ke J, Du Y, Tyler RS, Perreau A, Mancini PC. Complaints of people with hyperacusis.. J Am Acad Audiol 2020; 31 (8) 553-558 PubMed

• 18 Blomberg S, Rosander M, Andersson G. Fears, hyperacusis and musicality in Williams syndrome.. Res Dev Disabil 2006; 27 (6) 668-680 PubMed

• 19 Hallberg LRM, Hallberg U, Johansson M, Jansson G, Wiberg A. Daily living with hyperacusis due to head injury 1 year after a treatment programme at the hearing clinic.. Scand J Caring Sci 2005; 19 (4) 410-418 PubMed

• 20 Khalfa S, Bruneau N, Rogé B et al. Increased perception of loudness in autism.. Hear Res 2004; 198 (1–2) 87-92 PubMed

• 21 Pienkowski M, Tyler RS, Roncancio ER et al. A review of hyperacusis and future directions: part II. Measurement, mechanisms, and treatment.. Am J Audiol 2014; 23 (4) 420-436 PubMed

• 22 Gothelf D, Farber N, Raveh E, Apter A, Attias J. Hyperacusis in Williams syndrome: characteristics and associated neuroaudiologic abnormalities.. Neurology 2006; 66 (3) 390-395 PubMed

• 23 Gordon AG. “Hyperacusis” and origins of lowered sound tolerance.. J Neuropsychiatry Clin Neurosci 2000; 12 (1) 117-119 PubMed

• 24 Hwang JH, Chou PH, Wu CW, Chen JH, Liu TC. Brain activation in patients with idiopathic hyperacusis.. Am J Otolaryngol 2009; 30 (6) 432-434 PubMed

• 25 Zeng FG. An active loudness model suggesting tinnitus as increased central noise and hyperacusis as increased nonlinear gain.. Hear Res 2013; 295: 172-179 PubMed

• 26 Hazell JWP. Tinnitus masking therapy. In: Hazell JWP, ed. Tinnitus. London: Churchill Livingston; 1987

• 27 Brandy WT, Lynn JM. Audiologic findings in hyperacusis and nonhyperacusic subjects.. Am J Audiol 1995; 44: 46-51

• 28 Gu JW, Halpin CF, Nam EC, Levine RA, Melcher JR. Tinnitus, diminished sound-level tolerance, and elevated auditory activity in humans with clinically normal hearing sensitivity.. J Neurophysiol 2010; 104 (6) 3361-3370 PubMed

• 29 Meeus OM, Spaepen M, Ridder DD, Heyning PH. Correlation between hyperacusis measurements in daily ENT practice.. Int J Audiol 2010; 49 (1) 7-13 PubMed

• 30 Nelson JJ, Chen K. The relationship of tinnitus, hyperacusis, and hearing loss.. Ear Nose Throat J 2004; 83 (7) 472-476 PubMed

• 31 Aazh H, Moore BCJ. Effectiveness of audiologist-delivered cognitive behavioral therapy for tinnitus and hyperacusis rehabilitation: outcomes for patients treated in routine practice.. Am J Audiol 2018; 27 (4) 547-558 PubMed

• 32 Wallén MB, Hasson D, Theorell T, Canlon B. The correlation between the hyperacusis questionnaire and uncomfortable loudness levels is dependent on emotional exhaustion.. Int J Audiol 2012; 51 (10) 722-729 PubMed

• 33 Goebel G, Floetzinger U. Pilot study to evaluate psychiatric co-morbidity in tinnitus patients with and without hyperacusis.. Audiol Med 2008; 6: 78-84

• 34 Jüris L, Andersson G, Larsen HC, Ekselius L. Psychiatric comorbidity and personality traits in patients with hyperacusis.. Int J Audiol 2013; 52 (4) 230-235 PubMed

• 35 Aazh H, Moore BCJ. Usefulness of self-report questionnaires for psychological assessment of patients with tinnitus and hyperacusis and patients’ views of the questionnaires.. Int J Audiol 2017; 56 (7) 489-498 PubMed

• 36 Khalfa 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 (6) 436-442 PubMed

• 37 Nelting M, Rienhoff NK, Hesse G, Lamparter U. The assessment of subjective distress related to hyperacusis with a self-rating questionnaire on hypersensitivity to sound.. Laryngorhinootologie 2002; 81 (5) 327-334 PubMed

• 38 Tyler RS, Bergan C, Preece J, Nagase S. Audiologische Messmethoden de Hyperakusis. In: Nelting M, ed. Hyperakusis. Stuttgart: Georg Thieme Verlag; 2003

• 39 Tyler RS, Noble W, Coelho C, Haskell G, Bardia A. Tinnitus and hyperacusis. In: Katz J, Burkard R, Medwetsky L, Hood L, eds. Handbook of clinical audiology, 6th ed. Baltimore, MD: Lippincott Williams and Wilkins; 2009

• 40 Elgandy MS, Tyler RS. Relief Strategies for Hyperacusis. Ainosco Press. 2018; 39:1-13. DOI:10.6143/JSLHAT.201812_39.0001

• 41 Jastreboff PJ, Jastreboff MM. Tinnitus retraining therapy for patients with tinnitus and decreased sound tolerance.. Otolaryngol Clin North Am 2003; 36 (2) 321-336 PubMed

• 42 Katzenell U, Segal S. Hyperacusis: review and clinical guidelines.. Otol Neurotol 2001; 22 (3) 321-326, discussion 326–327 PubMed

• 43 Tyler RS, Gehringer AK, Noble W, Dunn CC, Witt SA, Bardia A. Tinnitus activities treatment. In: Tyler RS, ed. Tinnitus treatment: clinical protocols. New York: Thieme Medical Publishers; 2006

• 44 Tyler RS, Gogel SA, Gehringer AK. Tinnitus activities treatment.. Prog Brain Res 2007; 166: 425-434 PubMed

• 45 Coelho CB, Sanchez TG, Tyler RS. Hyperacusis, sound annoyance, and loudness hypersensitivity in children.. Prog Brain Res 2007; 166: 169-178 PubMed

• 46 Perreau AE, Tyler RS, Mancini PC, Witt S, Elgandy MS. Establishing a group educational session for hyperacusis patients.. Am J Audiol 2019; 28 (2) 245-250 PubMed

• 47 Dillon H, James A, Ginis J. Client Oriented Scale of Improvement (COSI) and its relationship to several other measures of benefit and satisfaction provided by hearing aids.. J Am Acad Audiol 1997; 8 (1) 27-43 PubMed

• 48 Tyler RS, Noble W, Coelho C, Roncancio ER, Jun HJ. Tinnitus and hyperacusis. In: Katz J, ed. Handbook of clinical audiology. 7th ed. Baltimore, MD: Lippincott Williams & Wilkins; 2015:647–658

• 49 Formby C, Sherlock LP, Gold SL. Adaptive plasticity of loudness induced by chronic attenuation and enhancement of the acoustic background.. J Acoust Soc Am 2003; 114 (1) 55-58 PubMed

• 50 Hazell JWP, Sheldrake JB. (1992). Hyperacusis and tinnitus. In: Aran J-M, Dauman R, eds. Tinnitus ’91. Proceedings of the Fourth International Tinnitus Seminar. Amsterdam: Kugler Publications

• 51 Formby C, Gold SL. Modification of loudness discomfort level: evidence for adaptive chronic auditory gain and its clinical relevance.. Semin Hear 2002; 23 (1) 21-34

• 52 Formby C, Gold SL, Keaser ML, Block KL, Hawley ML. Secondary benefits from tinnitus retraining therapy (TRT): clinically significant increases in loudness discomfort level and in the auditory dynamic range.. Semin Hear 2007; 28 (4) 276-294

• 53 Formby C, Hawley M, Sherlock L et al. Intervention for restricted dynamic range and reduced sound tolerance.. J Acoust Soc Am 2008; 123: 37

• 54 Formby C, Hawley M, Sherlock LP et al. Intervention for restricted dynamic range and reduced sound tolerance: clinical trial using a tinnitus retraining therapy protocol for hyperacusis.. Proc Meet Acoust 2013; 19: 050083

• 55 Vernon JA. Pathophysiology of tinnitus: a special case—hyperacusis and a proposed treatment.. Am J Otol 1987; 8 (3) 201-202 PubMed

• 56 Vernon JA, Press L. Treatment for hyperacusis. In: Vernon JA, ed. Tinnitus treatment and relief. Boston, MA: Allyn & Bacon; 1998:223–227

• 57 Tyler RS. The psychoacoustical measurement of tinnitus. In: Tyler RS, ed. Tinnitus handbook. San Diego, CA: Singular Publishing Group; 2000:149–179

• 58 Sammeth CA, Preves DA, Brandy WT. Hyperacusis: case studies and evaluation of electronic loudness suppression devices as a treatment approach.. Scand Audiol 2000; 29 (1) 28-36 PubMed

• a Iowa Hyperacusis Website. https://uiowa.qualtrics.com/SE/?SID=SV_22YHczpQkvXNHsE

• 1a Tyler RS, Pienkowski M, Roncancio ER et al. A review of hyperacusis and future directions: part I. Definitions and manifestations.. Am J Audiol 2014; 23 (4) 402-419 PubMed

• 2a Park JM, Kim WJ, Ha JB, Han JJ, Park SY, Park SN. Effect of sound generator on tinnitus and hyperacusis.. Acta Otolaryngol 2018; 138 (2) 135-139 PubMed

• 3a Baguley DM. Hyperacusis: An Overview.. Semin Hear 2014; 35 (2) 74-83

• 4a Read “Counseling for Patients with Hyperacusis” on Augustana’s Digital Commons at https://digitalcommons.augustana.edu/cgi/preview.cgi?article=1002&context=commstudent