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Coping in Chronic Tinnitus Patients.

Sebastiaan M Meijers1, Arno F Lieftink1, Inge Stegeman1,2

  • 1Department of Otorhinolaryngology, Head and Neck Surgery, University Medical Center Utrecht, Utrecht, Netherlands.

Frontiers in Neurology
|December 17, 2020
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Summary
This summary is machine-generated.

Tinnitus distress varies greatly among individuals, influenced by coping strategies. Emotional and distraction-focused coping correlate with higher tinnitus burden, while task-oriented coping shows a negative correlation. Understanding these coping mechanisms can improve patient counseling and tinnitus treatments.

Keywords:
CISSTHITQcopingtinnitus

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Area of Science:

  • Audiology
  • Psychology
  • Otolaryngology

Background:

  • Tinnitus, the perception of sound without external stimuli, affects a significant portion of the adult population.
  • Patient experiences and complaints related to tinnitus vary widely, suggesting influence from psychological factors and coping mechanisms.
  • Chronic tinnitus can have a substantial impact on daily life, necessitating research into contributing factors.

Purpose of the Study:

  • To investigate the relationship between coping strategies and psychological factors in patients with chronic tinnitus.
  • To determine how different coping mechanisms influence the perceived burden of tinnitus.
  • To provide insights for optimizing tinnitus treatment and patient counseling.

Main Methods:

  • A cross-sectional study involving 308 chronic tinnitus patients at a tertiary referral center.
  • Utilized validated questionnaires: Tinnitus Handicap Inventory (THI), Tinnitus Questionnaire (TQ), Coping Inventory for Stressful Situations (CISS), and Symptom Checklist-90-Revised (SCL-90-R).
  • Evaluated distress, coping strategies (emotional, distraction, task-oriented), and psychopathological symptoms (anxiety, depression, etc.).

Main Results:

  • Emotional-oriented and distraction-oriented coping strategies were significantly correlated with higher tinnitus burden.
  • Task-oriented coping demonstrated a significant negative correlation with tinnitus burden, albeit with a small effect size.
  • Tinnitus distress positively correlated with anxiety, agoraphobia, depression, handling insufficiency, distrust, personal sensitivity, hostility, and sleep problems.

Conclusions:

  • Patients with higher tinnitus handicap scores employ different coping strategies compared to those with lower distress.
  • Identifying specific coping strategies in high-burden tinnitus patients is valuable for effective counseling.
  • Understanding tinnitus coping mechanisms may enhance habituation and lead to optimized future tinnitus treatments.