Top

Published in:

01-06-2020 | Tinnitus | Original Paper

Positive Correlation between Tinnitus Severity and Poor Sleep Quality Prior to Tinnitus Onset: a Retrospective Study

Authors: Tao Lu, Shuling Li, Ying Ma, Dan Lai, Juan Zhong, Gang Li, Yun Zheng

Published in: Psychiatric Quarterly | Issue 2/2020

Abstract

The objective of this study was to investigate the correlation of tinnitus severity and sleep quality prior to tinnitus onset in a Chinese population.We recruited patients with primary tinnitus from a tertiary teaching hospital in southwest China, retrospectively. The Pittsburgh Sleep Quality Index (PSQI) and the Mandarin version of the Tinnitus Handicap Inventory (THI-M) were employed to assess tinnitus severity and sleep quality of past, respectively. A battery of hearing tests was also administered to subjects, including TEOAE, pure tone audiometry, and tympanometry, for hearing evaluation.We enrolled 190 patients and nine were excluded. Subjects were divided into two groups: group A (PSQI <7) and group B (PSQI ≥7). The mean duration of tinnitus in both groups was above 6 months. There was a significant difference between THI-M global scores of group A and group B (P < 0.001). The difference in tinnitus severity ranks between the two groups was also significant (P = 0.006). The proportion of severe tinnitus levels in group B was higher than that of group A. Spearman’s correlation analysis did not show correlation between the scores of THI-M and that of the PSQI in group A (P = 0.077); in verse, a positive correlation between THI-M and PSQI scores was found in group B (P < 0.001).The tinnitus severity is positively correlated with sleep quality before tinnitus onset, suggesting that the sleep quality of the past may have an impact on tinnitus occurrence.

Lee HM, Han KD, Kong SK, Nam EC, Park SN, Shim HJ, et al. Epidemiology of clinically significant tinnitus: a 10-year trend from Nationwide health claims data in South Korea. Otol Neurotol. 2018;39(6):680–7. https://doi.org/10.1097/MAO.0000000000001832.CrossRefPubMed

McCormack A, Edmondson-Jones M, Somerset S, Hall D. A systematic review of the reporting of tinnitus prevalence and severity. Hear Res. 2016;337:70–9. https://doi.org/10.1016/j.heares.2016.05.009.CrossRefPubMed

Norena AJ. Revisiting the cochlear and central mechanisms of tinnitus and therapeutic approaches. Audiol Neurootol. 2015;20(Suppl 1):53–9. https://doi.org/10.1159/000380749.CrossRefPubMed

Bhatt IS. Prevalence of and risk factors for tinnitus and tinnitus-related handicap in a college-aged population. Ear Hear. 2018;39(3):517–26. https://doi.org/10.1097/AUD.0000000000000503.CrossRefPubMed

Koo M, Hwang JH. Risk of tinnitus in patients with sleep apnea: a nationwide, population-based, case-control study. Laryngoscope. 2017;127(9):2171–5. https://doi.org/10.1002/lary.26323.CrossRefPubMed

Kim HJ, Lee HJ, An SY, Sim S, Park B, Kim SW, et al. Analysis of the prevalence and associated risk factors of tinnitus in adults. PLoS One. 2015;10(5):e0127578. https://doi.org/10.1371/journal.pone.0127578.CrossRefPubMedPubMedCentral

Veile A, Zimmermann H, Lorenz E, Becher H. Is smoking a risk factor for tinnitus? A systematic review, meta-analysis and estimation of the population attributable risk in Germany. BMJ Open. 2018;8(2):e016589. https://doi.org/10.1136/bmjopen-2017-016589.CrossRefPubMedPubMedCentral

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(6):689–96. https://doi.org/10.1177/019459988409200617.CrossRefPubMed

Cronlein T, Langguth B, Pregler M, Kreuzer PM, Wetter TC, Schecklmann M. Insomnia in patients with chronic tinnitus: cognitive and emotional distress as moderator variables. J Psychosom Res. 2016;83:65–8. https://doi.org/10.1016/j.jpsychores.2016.03.001.CrossRefPubMed

10.

Izuhara K, Wada K, Nakamura K, Tamai Y, Tsuji M, Ito Y, et al. Association between tinnitus and sleep disorders in the general Japanese population. Ann Otol Rhinol Laryngol. 2013;122(11):701–6. https://doi.org/10.1177/000348941312201107.CrossRefPubMed

11.

Alster J, Shemesh Z, Ornan M, Attias J. Sleep disturbance associated with chronic tinnitus. Biol Psychiatry. 1993;34(1–2):84–90.CrossRef

12.

Xu Y, Yao J, Zhang Z, Wang W. Association between sleep quality and psychiatric disorders in patients with subjective tinnitus in China. Eur Arch Otorhinolaryngol. 2016;273(10):3063–72. https://doi.org/10.1007/s00405-016-3906-8.CrossRefPubMed

13.

Schecklmann M, Pregler M, Kreuzer PM, Poeppl TB, Lehner A, Cronlein T, et al. Psychophysiological associations between chronic tinnitus and sleep: a cross validation of tinnitus and insomnia questionnaires. Biomed Res Int. 2015;2015:461090. https://doi.org/10.1155/2015/461090.CrossRefPubMedPubMedCentral

14.

Wallhausser-Franke E, Schredl M, Delb W. Tinnitus and insomnia: is hyperarousal the common denominator? Sleep Med Rev. 2013;17(1):65–74. https://doi.org/10.1016/j.smrv.2012.04.003.CrossRefPubMed

15.

Wakabayashi S, Saito H, Oishi N, Shinden S, Ogawa K. Effects of tinnitus treatments on sleep disorders in patients with tinnitus. Int J Audiol. 2018;57(2):110–4. https://doi.org/10.1080/14992027.2017.1374565.CrossRefPubMed

16.

Liu XL, Wang J, Hong ZJ, Zhongshan MF. A preliminary study on the correlation between obstructive sleep apnea hypopnea syndrome and chronic tinnitus. Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2018;32(8):575–8. https://doi.org/10.13201/j.issn.1001-1781.2018.08.004.

17.

Tunkel DE, Bauer CA, Sun GH, Rosenfeld RM, Chandrasekhar SS, Cunningham ER Jr, et al. Clinical practice guideline: tinnitus. Otolaryngol Head Neck Surg. 2014;151(2 Suppl):S1–S40. https://doi.org/10.1177/0194599814545325.CrossRefPubMed

18.

Miguel GS, Yaremchuk K, Roth T, Peterson E. The effect of insomnia on tinnitus. Ann Otol Rhinol Laryngol. 2014;123(10):696–700. https://doi.org/10.1177/0003489414532779.CrossRefPubMed

19.

Hallam RS. Correlates of sleep disturbance in chronic distressing tinnitus. Scand Audiol. 1996;25(4):263–6.CrossRef

20.

Cronlein T, Langguth B, Geisler P, Hajak G. Tinnitus and insomnia. Prog Brain Res. 2007;166:227–33. https://doi.org/10.1016/S0079-6123(07)66021-X.CrossRefPubMed

21.

Bonnet MH, Arand DL. Hyperarousal and insomnia: state of the science. Sleep Med Rev. 2010;14(1):9–15. https://doi.org/10.1016/j.smrv.2009.05.002.CrossRefPubMed

22.

Baigi A, Oden A, Almlid-Larsen V, Barrenas ML, Holgers KM. Tinnitus in the general population with a focus on noise and stress: a public health study. Ear Hear. 2011;32(6):787–9. https://doi.org/10.1097/AUD.0b013e31822229bd.CrossRefPubMed

23.

Attanasio G, Russo FY, Roukos R, Covelli E, Cartocci G, Saponara M. Sleep architecture variation in chronic tinnitus patients. Ear Hear. 2013;34(4):503–7. https://doi.org/10.1097/AUD.0b013e31827bc436.CrossRefPubMed

24.

Folmer RL, Griest SE. Tinnitus and insomnia. Am J Otolaryngol. 2000;21(5):287–93. https://doi.org/10.1053/ajot.2000.9871.CrossRefPubMed

Title: Positive Correlation between Tinnitus Severity and Poor Sleep Quality Prior to Tinnitus Onset: a Retrospective Study
Authors: Tao Lu
Shuling Li
Ying Ma
Dan Lai
Juan Zhong
Gang Li
Yun Zheng
Publication date: 01-06-2020
Publisher: Springer US
Keyword: Tinnitus
Published in: Psychiatric Quarterly / Issue 2/2020
Print ISSN: 0033-2720
Electronic ISSN: 1573-6709
DOI: https://doi.org/10.1007/s11126-019-09708-2

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Positive Correlation between Tinnitus Severity and Poor Sleep Quality Prior to Tinnitus Onset: a Retrospective Study

Abstract

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 2/2020

Problematic Internet Use, Psychopathology, Defense Mechanisms, and Coping Strategies: a Cross-Sectional Study from the United Arab Emirates

Validation of the Extreme Experiences Scale (EX2) for Armed Conflict Contexts

Age Trends in Well-Being and Depressive Symptoms: the Role of Social Desirability

Linking Rejection Sensitivity, Shyness and Unsociability with Posttraumatic Stress Disorder and Psychiatric Co-Morbidity among Chinese Adolescents

Patterns of Vitamin D Deficiency in a Community Outpatient Psychiatric Practice: a Real-World Evaluation of Treatment Gaps

Intensive Outpatient Treatment (IOP) of Behavioral Health (BH) Problems: Engagement Factors Predicting Subsequent Service Utilization