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Disabling tinnitus. Association with affective disorder.

M D Sullivan¹, W Katon, R Dobie

¹Department of Psychiatry and Behavioral Science, University of Washington Medical School, Seattle 98195.

General Hospital Psychiatry

|July 1, 1988

Summary

Disabling tinnitus is strongly linked to major depression. Treating depression in tinnitus patients may significantly reduce their overall disability and improve quality of life.

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Area of Science:

Otolaryngology
Psychiatry
Clinical Psychology

Background:

Tinnitus is a prevalent auditory condition often associated with significant distress.
The psychological comorbidities of disabling tinnitus require further investigation.

Purpose of the Study:

To investigate the association between disabling tinnitus and major depression.
To compare psychological distress and coping mechanisms in tinnitus patients versus controls.

Main Methods:

Structured psychiatric interviews were conducted with 40 tinnitus patients.
Patients completed the Hopkins Symptom Checklist (SCL-90), Chronic Illness Problem Inventory, and Revised Ways of Coping Checklist.
A control group of 14 hearing loss patients was included for comparison.

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Main Results:

Tinnitus patients showed a significantly higher lifetime (78% vs 21%) and current (60% vs 7%) prevalence of major depression compared to controls.
Depressed tinnitus patients had elevated scores on all SCL-90 subscales.
Psychosocial disability was significantly greater in the tinnitus group, driven by depressed individuals.

Conclusions:

Disabling tinnitus is strongly associated with major depression.
Treating concurrent major depression may alleviate tinnitus-related disability.
Psychological assessment and intervention are crucial for managing tinnitus patients.