CC BY-NC-ND 4.0 · Int Arch Otorhinolaryngol 2020; 24(02): e191-e197
DOI: 10.1055/s-0039-1697994
Original Research
Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil

Functional Impact of Tinnitus in Patients with Hearing Loss

1   Speech, Language and Hearing Department, Universidade Federal do Rio Grande do Norte (UFRN), Natal, RN, Brazil
,
Luciana de Mata Lupoli
2   Clinical Speech, Language and Hearing Department, Pontifícia Universidade Católica, São Paulo, SP, Brazil
,
Paula Cantarella de Padua Rodrigues
3   Speech Therapist Graduated, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, SP, Brazil
,
Juliana Maria Soares Cavalcante
4   Department of Health Sciences, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, SP, São Paulo, Brazil
,
Eduardo Tanaka Massuda
5   Department of Ophthalmology, Otorhinolaryngology, and Head and Neck Surgery, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil
,
Adriana Ribeiro Tavares Anastasio
4   Department of Health Sciences, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, SP, São Paulo, Brazil
› Author Affiliations
Further Information

Publication History

30 October 2018

11 August 2019

Publication Date:
28 January 2020 (online)

Abstract

Introduction Tinnitus, which is considered the third worst symptom for humans, is a common complaint among people living with hearing loss and may negatively affect the quality of life of those who have it.

Objective To analyze the perception of the handicap in patients with tinnitus and hearing loss as well as the possible associations between the variables hearing loss, loudness, onset, frequency and annoyance by tinnitus, and the correlation between the visual analogue scale (VAS) and the Tinnitus Handicap Inventory (THI).

Methods A total of 30 patients with complaints of tinnitus and the presence of sensorineural hearing impairment were selected for this cross-sectional, observational, and descriptive study. The loudness of the tinnitus was measured by a VAS and classified as mild, moderate, or severe. The THI was classified as slight, mild, moderate, severe, and catastrophic. Data were submitted to statistical analysis using the Fisher exact test and Spearman correlation coefficient.

Results Eleven male (36.7%) and 19 female (63.3%) subjects with a mean age of 56.5 years old were evaluated. There was no significant association between loudness, annoyance, time and frequency of tinnitus, nor between hearing loss and tinnitus. There was a significant association between the variables hearing loss and loudness, and a weak correlation between VAS and THI.

Conclusion Tinnitus has a practical impact in the lives of patients with hearing loss in terms of catastrophic, functional, and emotional aspects, regardless of loudness, frequency, or time of onset. Hearing loss was a factor that had an impact on the loudness of tinnitus. There was no statistically significant correlation between VAS and THI.

 
  • References

  • 1 Person OC, Feres MCLC, Barcelos CEM, Mendonça RR, Marone MR, Rapoport PB. Zumbido: aspectos etiológicos, fisiopatológicos e descrição de um protocolo de investigação. Arq Med ABC. 2005; 30: 111-118
  • 2 Dias A, Cordeiro R, Corrente JE. Incômodo causado pelo zumbido medido pelo Questionário de Gravidade do Zumbido. Rev Saúde Públ. 2006; 40: 706-711
  • 3 Pinto PC, Sanchez TG, Tomita S. The impact of gender, age and hearing loss on tinnitus severity. Rev Bras Otorrinolaringol (Engl Ed) 2010; 76 (01) 18-24
  • 4 Gomes SJ, Barboza MS, Santos TMM. A incidência de zumbido numa amostra aleatória na cidade de Salvador. Rev CEFAC 2004; 6: 89-93
  • 5 Sanchez TG, Bento RF, Minitti A, Câmara J. Tinnitus: Some Characteristics and Epidemiology. Clinical Experience from Clinics Hospital of São Paulo University. Bras J Otorhinolaryngol. 1997; 63: 229-235
  • 6 Azevedo AA, Oliveira AM, Siqueira AG, Figueiredo RR. A critical analysis of tinnitus measuring methods. Rev Bras Otorrinolaringol (Engl Ed) 2008; 73: 418-423
  • 7 Schmidt LP, Teixeira VN, Dall'Igna C, Dallagnol D, Smith MM. Brazilian Portuguese Language version of the “Tinnitus Handicap Inventory”: validity and reproducibility. Rev Bras Otorrinolaringol (Engl Ed) 2006; 72 (06) 808-810
  • 8 Hiller W, Goebel G. Rapid assessment of tinnitus-related psychological distress using the Mini-TQ. Int J Audiol 2004; 43 (10) 600-604
  • 9 Newman CW, Jacobson GP, Spitzer JB. Development of the Tinnitus Handicap Inventory. Arch Otolaryngol Head Neck Surg 1996; 122 (02) 143-148
  • 10 Castro ASO, Gazzola JM, Natour J, Ganança FF. [Brazilian version of the dizziness handicap inventory]. Pro Fono 2007; 19 (01) 97-104
  • 11 Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand 1983; 67 (06) 361-370
  • 12 Botega NJ, Bio MR, Zomignani MA, Garcia Jr C, Pereira WAB. Transtornos de humor em enfermarias de clínica médica e validação de escala de medida (HAD) de ansiedade e depressão. Rev Saúde Públ. 1995; 29: 355-363
  • 13 Ooms E, Vanheule S, Meganck R, Vinck B, Watelet JB, Dhooge I. Tinnitus, anxiety and automatic processing of affective information: an explorative study. Eur Arch Otorhinolaryngol 2013; 270 (03) 823-830
  • 14 Ferreira PEA, Cunha F, Onishi ET, Branco-Barreiro FCA, Ganança FF. Tinnitus handicap inventory: adaptação cultural para o Português brasileiro. Pró-Fono R Atual Cient. 2005; 17: 303-310
  • 15 Barros Suzuki FA, Suzuki FA, Yonamine FK, Onishi ET, Penido NO. Effectiveness of sound therapy in patients with tinnitus resistant to previous treatments: importance of adjustments. Rev Bras Otorrinolaringol (Engl Ed) 2016; 82 (03) 297-303
  • 16 Geocze L, Mucci S, Abranches DC, Marco MA, Penido NdeO. Systematic review on the evidences of an association between tinnitus and depression. Rev Bras Otorrinolaringol (Engl Ed) 2013; 79 (01) 106-111
  • 17 Araujo TdeM, Iório MCM. Effects of sound amplification in self-perception of tinnitus and hearing loss in the elderly. Rev Bras Otorrinolaringol (Engl Ed) 2016; 82 (03) 289-296
  • 18 Schmidt LP, Teixeira VN, Dall'Igna C, Dallagnol D, Smith MM. Adaptação para a língua portuguesa do questionário Tinnitus Handicap Inventory: validade e reprodutibilidade. Rev Bras Otorrinolaringol 2006; 72: 808-810
  • 19 Drexler D, López-Paullier M, Rodio S, González M, Geisinger D, Pedemonte M. Impact of reduction of tinnitus intensity on patients' quality of life. Int J Audiol 2016; 55 (01) 11-19
  • 20 Sanchez TG, Ferrari GMS. O controle do zumbido por meio de prótese auditiva: sugestões para otimização do uso. Pró-Fono R. Atual Cient. 2002; 14: 111-118
  • 21 Holgers KM, Zöger S, Svedlund K. Predictive factors for development of severe tinnitus suffering-further characterisation. Int J Audiol 2005; 44 (10) 584-592
  • 22 Holgers KM, Erlandsson SI, Barrenäs ML. Predictive factors for the severity of tinnitus. Audiology 2000; 39 (05) 284-291
  • 23 Baskill JL, Coles RRA. Relationship between tinnitus loudness and severity. In J. Hazell (Ed.). Sixth International Tinnitus Seminar, p. 424–428. Cambridge, United Kingdom: The Tinnitus and Hyperacusis Centre, 1999
  • 24 Granjeiro RC, Kehrle HM, de Oliveira TS, Sampaio AL, de Oliveira CA. Is the degree of discomfort caused by tinnitus in normal-hearing individuals correlated with psychiatric disorders?. Otolaryngol Head Neck Surg 2013; 148 (04) 658-663
  • 25 Holgers K-M, Juul J. The suffering of tinnitus in childhood and adolescence. Int J Audiol 2006; 45 (05) 267-272
  • 26 Sanchez TG, Medeiros IRT, Levy CPD, Ramalho JdaR, Bento RF. Tinnitus in normally hearing patients: clinical aspects and repercussions. Rev Bras Otorrinolaringol (Engl Ed) 2005; 71 (04) 427-431
  • 27 McCombe A, Baguley D, Coles R, McKenna L, McKinney C, Windle-Taylor P. ; British Association of Otolaryngologists, Head and Neck Surgeons. Guidelines for the grading of tinnitus severity: the results of a working group commissioned by the British Association of Otolaryngologists, Head and Neck Surgeons, 1999. Clin Otolaryngol Allied Sci 2001; 26 (05) 388-393
  • 28 Montgomery DC. Design and Analysis of Experiments. Nova Iorque: John Wiley & Sons, Inc.; 2000
  • 29 Moura LOS, Iorio MCM, Azevedo MF. A eficácia da adaptação de prótese auditiva na redução ou eliminação do zumbido. Rev Bras Otorrinolaringol 2004; 70: 624-631
  • 30 Figueiredo RR, Azevedo AA, Oliveira PdeM. Correlation analysis of the visual-analogue scale and the Tinnitus Handicap Inventory in tinnitus patients. Rev Bras Otorrinolaringol (Engl Ed) 2009; 75 (01) 76-79
  • 31 Meikle 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 (06) 689-696
  • 32 Folmer RL, Griest SE, Meikle MB, Martin WH. Tinnitus severity, loudness, and depression. Otolaryngol Head Neck Surg 1999; 121 (01) 48-51
  • 33 Unterrainer J, Greimel KV, Leibetseder M, Koller T. Experiencing tinnitus: which factors are important for perceived severity of the symptom?. Int Tinnitus J 2003; 9 (02) 130-133
  • 34 Hiller W, Goebel G. Factors influencing tinnitus loudness and annoyance. Arch Otolaryngol Head Neck Surg 2006; 132 (12) 1323-1330
  • 35 Langenbach M, Olderog M, Michel O, Albus C, Köhle K. Psychosocial and personality predictors of tinnitus-related distress. Gen Hosp Psychiatry 2005; 27 (01) 73-77
  • 36 Kaltenbach JA. The dorsal cochlear nucleus as a participant in the auditory, attentional and emotional components of tinnitus. Hear Res 2006; 216-217: 224-234