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The Impact of Mental Health Symptoms in Children With Tinnitus and Misophonia: A Multi-disciplinary Approach

Kenny H Chan1,2, Amanda Baker3, Deborah Gilbert1,2

  • 1Department of Otolaryngology, School of Medicine, University of Colorado, Aurora, CO, USA.

Clinical Pediatrics
|November 7, 2023
PubMed

Insights

Pediatric tinnitus and misophonia are linked to significant anxiety and depression symptoms. Further research and clinical trials are needed to address these sound annoyance disorders.

Area of Science:

  • Pediatric Otolaryngology
  • Audiology
  • Child Psychology

Background:

  • Tinnitus and misophonia are common "sound annoyance" disorders in children.
  • Limited research exists on the co-occurrence of anxiety and depression in pediatric tinnitus and misophonia.
  • These conditions significantly impact children's quality of life.

Purpose of the Study:

  • To assess clinical characteristics of pediatric tinnitus and misophonia.
  • To determine the prevalence of mental health symptoms, specifically anxiety and depression, in children with these disorders.
  • To highlight the need for evidence-based management strategies.

Main Methods:

  • A 2-year retrospective chart review of a multi-disciplinary clinic cohort.
  • Inclusion of 54 children (33 tinnitus, 21 misophonia) aged 14.3 years on average.
  • Utilized validated instruments: Tinnitus Functional Index, Amsterdam Misophonia Scale, Screen for Child Anxiety Related Emotional Disorders, and Short Mood and Feelings Questionnaire.

Main Results:

  • The entire cohort reported negative effects from tinnitus or misophonia.
  • Both tinnitus and misophonia subgroups showed elevated symptoms of anxiety and depression.
  • Symptom severity was confirmed using diagnosis-based instruments.

Conclusions:

  • Pediatric tinnitus and misophonia are associated with significant mental health comorbidities, including anxiety and depression.
  • There is a critical need for evidence-based management guidelines and further clinical trials for these pediatric sound disorders.
  • A multi-disciplinary approach is crucial for managing these complex conditions.

Keywords:
anxietydepressionmental healthmisophoniatinnitus

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