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Mourning for Silence: Bereavement and Tinnitus-A Perspective
Dirk De Ridder1, Berthold Langguth2, Winfried Schlee3
1Section of Neurosurgery, Department of Surgical Sciences, University of Otago, Dunedin 9016, New Zealand.
Journal of Clinical Medicine
|April 12, 2025
Summary
Tinnitus disorder may follow four bereavement trajectories: resilience, recovery, chronic, and delayed. This study explored these patterns in acute tinnitus using app data, suggesting further research is needed.
Area of Science:
- Audiology
- Psychology
- Tinnitus Research
Background:
- Tinnitus is the perception of sound without an external source, becoming a disorder when causing distress or disability.
- Limited understanding exists regarding the temporal progression of tinnitus disorder.
- Bereavement science categorizes grief into four trajectories: resilience, recovery, chronic, and delayed.
Purpose of the Study:
- To investigate if the four known bereavement trajectories apply to the experience of tinnitus.
- To explore tinnitus as a potential 'loss of silence' phenomenon.
- To analyze short-term tinnitus progression in acute cases.
Main Methods:
- Retrospective analysis of short-term tinnitus progression.
- Utilized Ecological Momentary Assessment (EMA) data from the TrackYourTinnitus (TYT) app.
- Identified four patients with acute tinnitus who initiated app use at symptom onset.
Main Results:
- Reconstructed bereavement trajectories based on EMA data for four acute tinnitus patients.
- Preliminary findings suggest a potential parallel between bereavement and tinnitus trajectories.
- The study frames tinnitus as a loss of controllable silence.
Conclusions:
- The four bereavement trajectories (resilience, recovery, chronic, delayed) may be applicable to tinnitus.
- Further prospective studies with larger sample sizes are required to validate this analogy.
- Tinnitus, viewed as the loss of controllable silence, warrants further investigation into its temporal progression patterns.
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