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Insomnia in Tinnitus Patients: A Prospective Study Finding a Significant Relationship.
Gregory M Asnis1, Henderson Ma1, Sylvester C1
1Department of Psychiatry & Behavioral Sciences, Albert Einstein College of Medicine/Montefiore Medical Center, New York USA.
The International Tinnitus Journal
|January 26, 2021
Summary
Tinnitus often causes insomnia, with 60% of patients meeting diagnostic criteria. Alarmingly, only 4% receive treatment, suggesting a need for better management of this common comorbidity.
Area of Science:
- Otolaryngology
- Sleep Medicine
- Psychiatry
Background:
- Tinnitus affects 10-30% of the population, often leading to chronic issues and psychiatric consequences.
- Comorbid insomnia is frequent in tinnitus patients (10-80%), potentially worsening depression and functioning.
- Previous studies often assessed insomnia as a symptom, not a diagnosis, limiting understanding of its impact.
Purpose of the Study:
- To evaluate the prevalence of insomnia as a diagnosis in tinnitus patients.
- To assess the severity of tinnitus in patients with comorbid insomnia.
- To identify treatment gaps for insomnia in tinnitus sufferers.
Main Methods:
- Prospective telephone interviews with 72 tinnitus patients.
- Assessment of insomnia symptoms and diagnostic criteria (DSM-IV-TR).
- Inclusion of questions on sleep onset, continuity, duration, early awakening, and daytime consequences.
Main Results:
- 60% of tinnitus patients met diagnostic criteria for insomnia secondary to tinnitus.
- Insomnia symptoms were highly prevalent in the study sample.
- Only 4% of patients with comorbid insomnia were receiving treatment.
- Tinnitus patients with comorbid insomnia reported more severe tinnitus.
Conclusions:
- Insomnia is a significant, underdiagnosed, and undertreated condition in tinnitus patients.
- Comorbid insomnia may be associated with more severe tinnitus, necessitating integrated care.
- There is a critical need for improved screening and treatment of insomnia in tinnitus populations.
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