ORIGINAL ARTICLE
SELF-REPORTED TINNITUS HANDICAP IN INDIVIDUALS WITH AUDITORY NEUROPATHY SPECTRUM DISORDER
 
More details
Hide details
1
Department of Audiology, All India Institute of Speech and Hearing, Manasagangotri, Mysore, India
CORRESPONDING AUTHOR
P. Prashanth Prabhu   

P. Prashanth Prabhu, Department of Audiology, All India Institute of Speech and Hearing, Manasagangotri, Mysore India, e-mail: prashanth.audio@gmail.com
Publication date: 2020-04-16
 
J Hear Sci 2014;4(3):43–50
 
KEYWORDS
ABSTRACT
Background:
Tinnitus is one of the symptoms reported by individuals with auditory neuropathy spectrum disorders (ANSD). There are no studies examining the handicap caused by tinnitus in these cases. The study administered the ‘Self report tinnitus handicap questionnaire’ (SR-THQ) and estimated the pitch and loudness of tinnitus in individuals with ANSD.

Material and Methods:
SR-THQ was administered to 30 individuals diagnosed with ANSD. The participants subjectively rated their tinnitus pitch, loudness, and severity. Tinnitus was also determined by matching pitch and loudness in 25 of these individuals.

Results:
The mean percentage tinnitus handicap in individuals with ANSD was 59.3%. The majority of the participants reported their tinnitus frequency to be low-pitched, moderately loud, and the severity ranged from moderate to severe. There was a weak or moderately negative correlation between SR-THQ scores and tinnitus pitch and loudness.

Conclusions:
Tinnitus can cause emotional problems and affect daily life in individuals with ANSD. Thus, clinically, one should attempt to manage tinnitus in individuals with ANSD.

 
REFERENCES (36)
1.
Berlin CI, Hood LJ, Morlet T, Wilensky D, Li L, Mattingly KR et al. Multi-site diagnosis and management of 260 patients with auditory neuropathy/dys-synchrony (auditory neuropathy spectrum disorder). Int J Audiol, 2010; 49: 30–43.
 
2.
Berlin C, Hood L, Morlet T, Rose K, Brashears S. Auditory neuropathy/dys-synchrony: diagnosis and management. Ment Retard Dev Disabil Res Rev, 2003; 9: 225–31.
 
3.
Starr A, Picton TW, Sininger Y, Hood LJ, Berlin CI. Auditory neuropathy. Brain, 1996; 119: 741–53.
 
4.
Deltenre P, Mansbach AL, Bozet C et al. Auditory neuropathy with preserved cochlear microphonics and secondary loss of otoacoustic emissions. Audiology, 1999; 38: 187–95.
 
5.
Roush P, Frymark T, Venedictov R, Wang B. Audiological management of auditory neuropathy spectrum disorder in children: a systematic review of literature. Am J Audiol, 2011; 20: 159–70.
 
6.
Amatuzzi M, Liberman MC, Northrop C. Selective inner hair cell loss in prematurity: a temporal bone study of infants from a neonatal intensive care unit. J Assoc Res Otolaryngol, 2011; 12(5): 595–604.
 
7.
Nachman, AJ. Retrocochlear hearing loss in infants: a case study of juvenile pilocytic astrocytoma. Int J Audiol, 2012; 51: 640–4.
 
8.
Picton TW. Auditory neuropathy: when time is broke. Chapter 15 in Human Auditory Evoked Potentials. San Diego: Plural Publishing; 2011.
 
9.
Kumar AU, Jayaram M. Prevalence and audiological characteristics in individuals with auditory neuropathy/dys-synchrony. Int J Audiol, 2006; 45: 360–6.
 
10.
Chandan HS, Prabhu PP, Deepthi M. Prevalence and characteristics of tinnitus in individuals with auditory neuropathy spectrum disorder. Hearing, Balance and Communication 2013; 11: 214–7.
 
11.
Prabhu P, Avilala VKY, Manjula P. Predisposing factors in individuals with late onset auditory dys-synchrony. Asia Pacific Journal of Speech language and Hearing, 2012; 15(1): 41–50.
 
12.
Tang, TP, McPherson, B, Yuen KC, Wong, LL, Lee JS. Auditory neuropathy/auditory dys-synchrony in school children with hearing loss: frequency of occurrence. International Journal of Pediatric Otolaryngology, 2004; 168: 175–83.
 
13.
Baguley DM. Mechanism of tinnitus. Br Med Bull, 2002; 63: 195–212.
 
14.
Axelsson A, Ringdahl A. Tinnitus: a study of its prevalence and characteristics. Br J Audiol, 1989; 23: 53–62.
 
15.
Meyerhoff WL, Cooper JC, editors. Tinnitus. Philadelphia: Saunders; 1991.
 
16.
House PR, editor. Personality of the Tinnitus Patient. [CIBA Foundation Symposium 85.] London: Pitman Books; 1981.
 
17.
Sullivan MD, Katon W, Dobie R, Sakai C, Russo J, HarropGriffiths J. Disabling tinnitus: association with affective disorder. Gen Hosp Psychiatry, 1998; 10: 285–91.
 
18.
Kuk FK, Tyler RS, Russell D, Jordan H. The psychometric properties of a tinnitus handicap questionnaire. Ear Hear, 1990; 11: 434–5.
 
19.
Wilson PH, Henry JL, Bowen M, Haralambous G. Tinnitus Reaction Questionnaire: psychometric properties of a measure of distress associated with tinnitus. J Speech Hear Res, 1991; 34: 197–201.
 
20.
Newman CW, Jacobson GP, Spitzer JB. Development of the Tinnitus Handicap Inventory. Arch Otolaryngol Head Neck Surg, 1996; 122: 143–8.
 
21.
Shanbal JS. A self report tinnitus handicap questionnaire (SRTHQ). An independent project submitted to University of Mysore, Mysore 2002.
 
22.
Hallam RS. Manual of the Tinnitus Questionnaire. London: Psychological Corporation; Harcourt-Brace, 1996.
 
23.
Starr A, Sininger Y, Pratt H. The varieties of auditory neuropathy. J Basic Clin Physiol Pharmacol, 2000; 11: 215–30.
 
24.
Carhart R, Jerger JF. Preferred method for clinical determination of pure-tone thresholds. Journal of Speech and Hearing Disorders, 1959; 24: 330–45.
 
25.
Yathiraj A, Vijayalakshmi CS. Phonemically Balanced Word List in Kannada. Developed in Department of Audiology, All India Institute of Speech and Hearing, Mysore, 2005.
 
26.
Kochkin S, Tyler RS. Tinnitus treatment and the effectiveness of hearing aids: hearing care professional perceptions. Hearing Review, 2008; 15(13): 14–8.
 
27.
Sek A, Moore BCJ. Frequency discrimination as a function of frequency measured in several ways. J Acoust Soc Am, 1995; 97: 2479–86.
 
28.
Zeng FG, Kong YY, Michaleski HJ, Starr A. Perceptual consequences of disrupted auditory nerve activity. J Neurophysiol, 2005; 93: 3050–63.
 
29.
Norena AJ. An integrative model of tinnitus based on a central gain controlling neural sensitivity. Neurosci Biobehav Rev, 2011; 35: 1089–109.
 
30.
Schaette R, Kempter R. Predicting tinnitus pitch from patients’ audiograms with a computational model for the development of neuronal hyperactivity. J Neurophysiol, 2009; 101: 3042–52.
 
31.
Newman G, Wharton JA, Jacobson GP. Self-focused and somatic attention in patients with tinnitus. Journal ofthe American Academy of Audiology, 1997; 8(3): 143–9.
 
32.
Newman CW, Wharton JA, Shivapuja BG, Jacobson GP. Relationships among psychoacoustic judgements, speech understanding ability and self-perceived handicap in tinnitus subjects. Audiology, 1994; 33: 47–60.
 
33.
Jastreboff PJ. Phantom auditory perception (tinnitus); mechanisms of generation and perception. Neurosci Res, 1990; 8: 221–54.
 
34.
Kirsh CA, Blanchard ED, Parnes HY. Psychological characteristics of individuals high and low in their ability to cope with tinnitus. Psychosom Med, 1989; 51: 209–17.
 
35.
Scott B, Lindberg P, Lyttkens L, Melin L. Predictors of tinnitus discomfort, adaptation and subjective loudness of tinnitus. Br J Audiol, 1990; 24: 51–62.
 
36.
Hiller W, Goebel G, Rief W. Reliability of self-rated tinnitus distress and association with psychological symptom patterns. Br J Clin Psychol, 1994; 33: 231–9.