Abstract
In Japan, there have been no examinations of tinnitus with respect to personality traits, and only a few studies have investigated sleep disorders in tinnitus. Understanding the association between these can aid in selecting and developing effective treatment options for patients with tinnitus. This study aimed to clarify the relationship between tinnitus severity, personality, and sleep disorders, in patients with chronic tinnitus in Japan. We retrospectively evaluated the personality factors of 56 patients presenting with tinnitus using the NEO Five-Factor Inventory (NEO-FFI), which examines five personality characteristics, including Neuroticism, Extraversion, Openness, Agreeableness, and Conscientiousness. We evaluated tinnitus severity, sleep disorders, depression, and anxiety using the Tinnitus Handicap Inventory, Pittsburgh Sleep Quality Index (PSQI), Self-Rating Depression Scale, and State-Trait Anxiety Inventory, respectively. Neuroticism and tinnitus severity were positively correlated (r = 0.548, p < 0.001). Sleep disorders were observed in 73.2% of patients; however, there was no correlation between the PSQI score and tinnitus severity or between PSQI score and scores of the five NEO-FFI items. Sleep disorders are frequently experienced by patients with chronic tinnitus, regardless of tinnitus severity or personality. Understanding the relationship between personality and tinnitus severity could lead to better management of tinnitus.
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References
Heller AJ. Classification and epidemiology of tinnitus. Otolaryngol Clin N Am. 2003;36:239–48.
Shargorodsky J, Curhan GC, Farwell WR. Prevalence and characteristics of tinnitus among US adults. Am J Med. 2010;123:711–8.
Cima RF, Vlaeyen JW, Maes IH, Joore MA, Anteunis LJ. Tinnitus interferes with daily life activities: a psychometric examination of the tinnitus disability index. Ear Hear. 2011;32:623–33.
Krog NH, Engdahl B, Tambs K. The association between tinnitus and mental health in a general population sample: results from the HUNT study. J Psychosom Res. 2010;69:289–98.
Møller AR. Tinnitus and pain. Prog Brain Res. 2007;166:47–53.
Michikawa T, Nishiwaki Y, Kikuchi Y, Saito H, Mizutari K, Takebayashi T, et al. Prevalence and factors associated with tinnitus: a community-based study of Japanese elders. J Epidemiol. 2010;20:271–6.
Cima RF, Andersson G, Schmidt CJ, Henry JA. Cognitive-behavioral treatments for tinnitus: a review of the literature. J Am Acad Audiol. 2014;25:29–61.
Dobie RA, Sakai CS, Sullivan MD, Katon WJ, Russo J. Antidepressant treatment of tinnitus patients: report of a randomized clinical trial and clinical prediction of benefit. Am J Otol. 1993;14:18–23.
Roland LT, Lenze EJ, Hardin FM, Kallogjeri D, Nicklaus J, Piccirillo JF, et al. Effects of mindfulness based stress reduction therapy on subjective bother and neural connectivity in chronic tinnitus. Otolaryngol Head Neck Surg. 2015;152:919–26.
Vernon JA, Meikle MB. Tinnitus: clinical measurement. Otolaryngol Clin N Am. 2003;36:293–305.
Oishi N, Kanzaki S, Shinden S, Saito H, Inoue Y, Ogawa K. Effects of selective serotonin reuptake inhibitor on treating tinnitus in patients stratified for presence of depression or anxiety. Audiol Neurotol. 2010;15:187–93.
Falkenberg ES, Wie OB. Anxiety and depression in tinnitus patients: 5-year follow-up assessment after completion of habituation therapy. Int J Otolaryngol. 2012;2012:375460.
Gomaa MA, Elmagd MH, Elbadry MM, Kader RM. Depression, anxiety and stress scale in patients with tinnitus and hearing loss. Eur Arch Otorhinolaryngol. 2014;271:2177–84.
Marek A, Mazurek B, Bruggemann P. Tinnitus: ringing in the ears often associated with depression, anxiety and stress. Laryngorhinootologie. 2015;94:72–3.
Durai M, Searchfield G. Anxiety and depression, personality traits relevant to tinnitus: a scoping review. Int J Audiol. 2016;55:605–15.
Ziai K, Moshtaghi O, Mahboubi H, Djalilian HR. Tinnitus patients suffering from anxiety and depression: a review. Int Tinnitus J. 2017;21:68–73.
Adami Dehkordi M, Javanbakht M, Sarfarazi Moghadam S, Meshkat M, Abolbashari S. Personality traits in patients with subjective idiopathic tinnitus. Iran J Otorhinolaryngol. 2015;27:369–75.
Langguth B, Kleinjung T, Fischer B, Hajak G, Eichhammer P, Sand PG. Tinnitus severity, depression, and the big five personality traits. Prog Brain Res. 2007;166:221–5.
Simões J, Schlee W, Schecklmann M, Langguth B, Farahmand D, Neff P. Big five personality traits are associated with tinnitus improvement over time. Sci Rep. 2019;9:18234.
Strumila R, Lengvenytė A, Vainutienė V, Lesinskas E. The role of questioning environment, personality traits, depressive and anxiety symptoms in tinnitus severity perception. Psychiatry Q. 2017;88:865–77.
Wielopolski J, Kleinjung T, Koch M, Peter N, Meyer M, Rufer M, et al. Alexithymia is associated with tinnitus severity. Front Psych. 2017;8:223.
Kleinstauber M, Weise C, Andersson G, Probst T. Personality traits predict and moderate the outcome of internet-based cognitive behavioural therapy for chronic tinnitus. Int J Audiol. 2018;57:538–44.
Lai JT, Shen PH, Lin CY, Liu CL, Liu TC. Higher prevalence and increased severity of sleep-disordered breathing in male patients with chronic tinnitus: our experience with 173 cases. Clin Otolaryngol. 2018;43:722–5.
Koning HM. Sleep disturbances associated with tinnitus: reduce the maximal intensity of tinnitus. Int Tinnitus J. 2019;23:64–8.
Bhatt JM, Bhattacharyya N, Lin HW. Relationships between tinnitus and the prevalence of anxiety and depression. Laryngoscope. 2017;127:466–9.
Lu T, Li S, Ma Y, Lai D, Zhong J, Li G, et al. Positive correlation between tinnitus severity and poor sleep quality prior to tinnitus onset: a retrospective study. Psychiatry Q. 2020;91:379–88.
Wakabayashi S, Saito H, Oishi N, Shinden S, Ogawa K. Effects of tinnitus treatments on sleep disorders in patients with tinnitus. Int J Audiol. 2017;57:110–4.
Costa PT Jr, McCrae RR. Hypochondriasis, neuroticism, and aging. When are somatic complaints unfounded? Am Psychol. 1985;40:19–28.
Wakabayashi S, Oishi N, Shinden S, Ogawa K. Factor analysis and evaluation of each item of the tinnitus handicap inventory. Head Face Med. 2020;16:4.
Newman CW, Sandridge SA, Jacobson GP. Psychometric adequacy of the tinnitus handicap inventory (THI) for evaluating treatment outcome. J Am Acad Audiol. 1998;9:153–60.
Zung WW. A self-rating depression scale. Arch Gen Psychiatry. 1965;12:63–70.
Kendall PC, Finch AJ Jr, Auerbach SM, Hooke JF, Mikulka PJ. The state-trait anxiety inventory: a systematic evaluation. J Consult Clin Psychol. 1976;44:406–12.
Doi Y, Minowa M, Uchiyama M, Okawa M, Kim K, Shibui K, et al. Psychometric assessment of subjective sleep quality using the Japanese version of the Pittsburgh sleep quality index (PSQI-J) in psychiatric disordered and control subjects. Psychiatry Res. 2000;97:165–72.
Buysse DJ, Reynolds CF 3rd, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh sleep quality index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28:193–213.
Oishi N, Shinden S, Kanzaki S, Saito H, Inoue Y, Ogawa K. Influence of depressive symptoms, state anxiety, and pure-tone thresholds on the tinnitus handicap inventory in Japan. Int J Audiol. 2011;50:491–5.
Jardine R, Martin NG, Henderson AS. Genetic covariation between neuroticism and the symptoms of anxiety and depression. Genet Epidemiol. 1984;1:89–107.
Jylha P, Isometsa E. The relationship of neuroticism and extraversion to symptoms of anxiety and depression in the general population. Depress Anxiety. 2006;23:281–9.
Sahlsten H, Taiminen T, Karukivi M, Sjosten N, Nikkila J, Virtanen J, et al. Psychiatric (Axis I) and personality (Axis II) disorders and subjective psychiatric symptoms in chronic tinnitus. Int J Audiol. 2018;57:302–12.
Guilleminault C, Khramsov A, Stoohs RA, Kushida C, Pelayo R, Kreutzer ML, et al. Abnormal blood pressure in prepubertal children with sleep-disordered breathing. Pediatr Res. 2004;55:76–84.
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We would like to thank Editage (www.editage.jp) for English language editing.
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This retrospective study was approved by the ethics committee at the Keio University School of Medicine (JPRN-UMIN000008901). Procedures that involved collecting information from patient medical records were carried out in accordance with the Code of Ethics of the World Medical Association (Declaration of Helsinki) for experiments involving humans. Informed oral support was obtained from all participants.
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Inagaki, Y., Suzuki, N., Oishi, N. et al. Personality and Sleep Evaluation of Patients with Tinnitus in Japan. Psychiatr Q 92, 249–257 (2021). https://doi.org/10.1007/s11126-020-09794-7
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DOI: https://doi.org/10.1007/s11126-020-09794-7