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Auditory attention ability in normal hearing patients with chronic subjective tinnitus
Hussein Sherif Hamdy1, Abeir Osman Dabbous1, Enas Magdy Ahmed1
1Audio-Vestibular unit, Department of Oto-Rhino-Laryngology, Kasr Al-Ainy Faculty of Medicine, Cairo University, Cairo, Egypt.
Acta Otorrinolaringologica Espanola
|December 4, 2025
Summary
Individuals with chronic tinnitus experience significant difficulties with auditory attention, impacting daily life. This suggests that tinnitus management should incorporate cognitive and emotional support strategies.
Area of Science:
- Neuroscience
- Audiology
- Cognitive Psychology
Background:
- Tinnitus is the perception of sound without an external source.
- Many individuals with tinnitus report attention and concentration deficits impacting daily activities.
Purpose of the Study:
- To assess auditory attention in individuals with subjective chronic tinnitus.
- To investigate the relationship between auditory attention, tinnitus handicap, and psychoacoustic characteristics.
Main Methods:
- A case-control study involving 35 tinnitus patients and 35 controls.
- Auditory attention was evaluated using the Montreal Cognitive Assessment vigilance test (VMoCA), Digit Forward Span Test (DFST), Speech-in-Noise (SPIN) test, and Dichotic Digits Test (DDT).
- Tinnitus severity and psychological status were assessed using the Tinnitus Handicap Inventory (THI) and Hospital Anxiety and Depression Scale (HADS).
Main Results:
- Tinnitus patients demonstrated significantly poorer performance on auditory attention tests compared to controls (P < .05).
- The VMoCA vigilance test showed significant impairment in tinnitus patients (Mean: 1.49 vs. 2.00).
- Negative correlations were found between THI scores and DDT/SPIN test results, indicating greater tinnitus handicap is associated with poorer auditory attention.
Conclusions:
- Chronic tinnitus is associated with anxiety, depression, and impaired auditory attention.
- Therapeutic interventions for tinnitus should integrate cognitive and emotional support.
- Addressing cognitive deficits may improve quality of life for tinnitus sufferers.
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