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Open Access Research paper Issue
Cross-sectional analysis of hearing loss, age and tinnitus severity in a web-recruited cohort of 610 subjects
Journal of Otology 2026, 21(1): 38-49
Published: 06 February 2026
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Tinnitus

the hearing of a sound that has not been produced by any external or internal source, is a rather heterogeneous hearing disorder.

Background/Objectives

Hearing loss has been shown to be the main risk factor for tinnitus while emotional disorders are risk factors for developing intrusive or bothersome tinnitus. Moreover, aging has also been identified as another risk factor. The aim of this paper was to analyse the correlation between hearing loss, age and tinnitus severity in a cohort of 610 tinnitus sufferers.

Methods

Age, audiometric (hearing condition) and tinnitus (time duration and severity) data were assessed and analysed for all subjects just after recruiting (baseline). Furthermore, the average hearing loss (HL) curves of the participants for age groups were compared to these with the corresponding Age Related HL (ARHL).

Results

For most of the age groups, the measured HL curves exceeded in 10-20 dB those of the ARHL. The average age of tinnitus onset (age minus tinnitus duration) was found to be 44-46 years in both men and women. Weak correlation between audiometric feature and tinnitus distress was observed.

Conclusions

Hearing loss has been shown to be a clear risk factor for triggering tinnitus (86% of participants were hearing impaired). In this cohort, average measures of hearing loss showed, at most, weak associations with tinnitus-related distress, suggesting that non-audiological factors may play a predominant role.

Open Access Research paper Issue
Exploring the interaction between emotional states and tinnitus severity before and after a sound therapy intervention
Journal of Otology 2025, 20(1): 51-57
Published: 20 March 2025
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Downloads:319

This study examines the interaction between emotional states (anxiety and depression) and tinnitus severity in individuals undergoing a four-month sound therapy intervention. 43 participants (28 males and 15 females) of a study on four-month sound therapy of tinnitus were recruited and their tinnitus severity (Tinnitus Handicap Inventory, THI, and Tinnitus Functional Index, TFI) and emotional state (Hospitalary Anxiety and Depression Scale, HADS) were assessed before and after finishing the treatment. The participants, predominantly with moderate tinnitus, showed a significant reduction in tinnitus-related distress, with a mean reduction of approximately 30 points on both the THI and the TFI. Analysis revealed significant gender differences, with women experiencing higher baseline tinnitus distress but higher response to sound therapy. Emotional state assessments revealed moderate levels of anxiety and depression at baseline, which decreased significantly after therapy, particularly in women. Correlational analyses revealed a strong relationship between changes in emotional state and tinnitus severity, with reductions in anxiety and depression associated with improved tinnitus outcomes. The results highlight the complex relationship between emotional well-being and tinnitus severity and underline the potential of sound therapy to alleviate both emotional distress and tinnitus symptoms.

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