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Related Concept Videos

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When we hear a sound, our nervous system is detecting sound waves—pressure waves of mechanical energy traveling through a medium. The frequency of the wave is perceived as pitch, while the amplitude is perceived as loudness.
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Related Experiment Video

Updated: Aug 8, 2025

Neuro-rehabilitation Approach for Sudden Sensorineural Hearing Loss
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Hallucinations in Hearing Impairment: How Informed Are Clinicians?

Theresa M Marschall1,2, Pim van Dijk2,3, Karolina Kluk4

  • 1Department of Biomedical Sciences of Cells and Systems, University Medical Center Groningen, Groningen, The Netherlands.

Schizophrenia Bulletin
|February 25, 2023
PubMed
Summary
This summary is machine-generated.

Clinicians show high awareness of auditory hallucinations (AHs) in hearing impairment (HI), but often feel ill-equipped for assessment and treatment. Increased training and resources are needed to manage these complex patient experiences.

Keywords:
auditory hallucinationsdeafferentationhearing-impairmentonline surveyawareness

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Area of Science:

  • Audiology
  • Otolaryngology
  • Neuroscience

Background:

  • Patients with hearing impairment (HI) may experience auditory hallucinations (AHs), ranging from tinnitus to music.
  • Clinical awareness of these phenomena is crucial for effective patient assessment and management, yet studies indicate it is often low.
  • Understanding the prevalence and characteristics of AHs in HI is essential for improving patient care.

Purpose of the Study:

  • To investigate the awareness and opinions of clinicians regarding auditory hallucinations (AHs) in patients with hearing impairment (HI).
  • To assess clinicians' confidence and perceived preparedness in assessing and treating patients experiencing AHs.
  • To identify factors associated with clinicians' awareness of AHs in HI.

Main Methods:

  • An online survey was distributed to 125 clinicians, including audiologists and Ear-Nose-Throat (ENT) specialists, across 10 countries.
  • The survey gathered data on clinicians' awareness of AHs, their frequency of encountering such patients, and their beliefs about patient anxiety and necessary clinical awareness.
  • Statistical analysis was used to determine associations between awareness and clinician beliefs/confidence levels.

Main Results:

  • A high percentage of clinicians (96.8%) reported at least slight awareness of AHs in HI.
  • Awareness was significantly linked to clinicians' beliefs about patient anxiety, the need for greater clinical awareness, and their confidence in assessment skills.
  • Despite high awareness, most clinicians encountered patients with AHs infrequently and felt underequipped to manage them, with music being the most commonly perceived hallucination.

Conclusions:

  • Clinician awareness of auditory hallucinations in hearing impairment is generally high.
  • However, clinicians express significant confidence deficits in assessing and treating these conditions, suggesting a need for further education and resources.
  • The findings indicate a potential underreporting of cases and highlight the need for improved clinical preparedness for auditory hallucinations in hearing-impaired patients.