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Related Experiment Videos

Association between tinnitus and somatoform disorders

W Hiller1, A Janca, K C Burke

  • 1Clinic Roseneck, Centre for Behavioural Medicine, Prien, Germany.

Journal of Psychosomatic Research
|January 16, 1998
PubMed
Summary

Idiopathic tinnitus is often unexplained. This study found tinnitus is more common in patients with somatoform disorders, suggesting a link between tinnitus and somatization, anxiety, and depression.

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Area of Science:

  • Psychiatry
  • Otolaryngology
  • General Medicine

Background:

  • Idiopathic tinnitus often lacks clear pathophysiological mechanisms.
  • Unexplained physical symptoms, characteristic of somatoform disorders, may coexist with tinnitus.

Purpose of the Study:

  • To investigate the prevalence of tinnitus in general medical outpatients.
  • To determine the association between tinnitus and somatoform disorders.

Main Methods:

  • International study involving 1275 patients across 12 centers in 11 countries.
  • Utilized the World Health Organization (WHO) Somatoform Disorders Schedule for patient assessment.

Main Results:

  • Overall prevalence of unexplained tinnitus was 11%.
  • Tinnitus was significantly more frequent in patients with somatization disorder (42%) and hypochondriacal disorder (27%).
  • Tinnitus correlated with depression, anxiety, and symptoms of autonomic arousal.

Conclusions:

  • Tinnitus may represent a somatoform symptom.
  • Findings suggest potential comorbidity between tinnitus and somatoform disorders.
  • Common mechanisms involving arousal and somatic anxiety might link tinnitus and somatization.

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