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Intermittent tinnitus-an empirical description.

M Burkart1, P Brueggemann2, A J Szczepek3

  • 1Dr. Willmar Schwabe GmbH & Co. KG, Bunsenstr. 6-10, 76275, Ettlingen, Germany.

HNO
|March 31, 2019
PubMed
Summary
This summary is machine-generated.

Intermittent tinnitus (IT) is the most common form, often triggered by stress and leading to emotional reactions. While IT is less severe than chronic tinnitus, it prompts multiple treatment attempts.

Keywords:
ClassificationHelp-seeking behaviorPsychological phenomenaSocial behaviorSociological factors

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Area of Science:

  • Otolaryngology
  • Epidemiology
  • Psychology

Background:

  • Tinnitus is typically classified as acute or chronic, but intermittent tinnitus (IT) is the most prevalent form.
  • Epidemiological data indicates IT does not fit neatly into existing classifications.

Purpose of the Study:

  • To empirically characterize intermittent tinnitus (IT).
  • To understand the prevalence, triggers, and associated symptoms of IT.

Main Methods:

  • An exploratory cross-sectional interview study was conducted with 320 tinnitus subjects.
  • Subjects were categorized into continuous (CT), intermittent (IT), or single-episode tinnitus (SET) based on 12-month tinnitus experience.
  • Data collected included sociodemographics, tinnitus characteristics, complaints, triggers, and help-seeking behavior.

Main Results:

  • Intermittent tinnitus (IT) was reported by 62% of subjects, significantly more than single-episode tinnitus (SET, 23%) and continuous tinnitus (CT, 16%).
  • Leading triggers for IT were occupational and private stress, with episodes often lasting days to weeks.
  • While associated with emotional reactions and situational impairment, IT showed lower prevalence of inner ear disorders and psychological changes compared to CT.

Conclusions:

  • Intermittent tinnitus (IT) is a distinct and common form of tinnitus, often triggered by stress.
  • Compared to continuous tinnitus (CT), IT is associated with less severe inner ear and psychological comorbidities, suggesting a potentially better treatment response and prognosis.
  • A revised classification of tinnitus into acute single-episode (<3 months), intermittent, or chronic persistent (>3 months) is proposed.