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ICD-10 Symptom Rating questionnaire for assessment of psychological comorbidities in patients with chronic tinnitus

ICD-10-Symptom-Rating-Fragebogen zur Beurteilung psychischer Komorbiditäten bei Patienten mit chronischem Tinnitus

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Abstract

Background

Tinnitus frequently occurs alongside psychological comorbidities whose assessment is important for treatment planning and -success. The selection of suitable questionnaires is thus crucial. The present study aims to investigate the ICD-10 Symptom Rating (ISR) to this regard.

Methods

The current study investigated tinnitus burden and psychological comorbidities in a sample of N = 311 patients with chronic tinnitus. All participants completed an intensive 7‑day multimodal tinnitus-specific therapy. Tinnitus burden was measured using the German version of the Tinnitus Questionnaire (TQ). Psychological comorbidities were measured using the ISR (total score, depressive disorder, anxiety disorder, obsessive–compulsive disorder, somatoform disorder, and eating disorder), the Perceived Stress Questionnaire (PSQ; total score, tension, worries, joy, and demands), and the General Depression Scale (Allgemeine Depressionsskala, ADS).

Results

Sixty-five percent of participants suffered from psychological comorbidities. Treatment response comprised improvements in the TQ, ISQ, PSQ and ADS. At baseline, tinnitus-burden correlated with the ISR-total, ISR-obsessive-compulsive disorder and PSQ-tension scores. Post treatment, the—now reduced—tinnitus burden was additionally predicted by ISR-depressive and eating disorder scores.

Conclusion

The ISR is a useful tool for measuring psychological comorbidities in patients with chronic tinnitus as well as short-term treatment response. Therapeutic approaches for chronic tinnitus should address stress-related tension, depressive symptomatology and coping strategies such as maladaptive eating behaviours.

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Author information

Authors and Affiliations

  1. Tinnitus Center, Charité—Universitätsmedizin Berlin, Charitéplatz 1, 10117, Berlin, Germany

    P. Brueggemann, C. Seydel, C. Schaefer, N. Amarjargal, B. Boecking &  B. Mazurek MD, PhD

  2. Department of ORL, Charité—Universitätsmedizin Berlin, Berlin, Germany

    A. J. Szczepek

  3. Department of Internal Medicine and Psychosomatics, Charité—Universitätsmedizin Berlin, Berlin, Germany

    M. Rose

Authors
  1. P. Brueggemann
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  2. C. Seydel
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  3. C. Schaefer
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  4. A. J. Szczepek
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  5. N. Amarjargal
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  6. B. Boecking
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  7. M. Rose
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  8. B. Mazurek MD, PhD
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Corresponding author

Correspondence to B. Mazurek MD, PhD.

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Conflict of interest

P. Brueggemann, C. Seydel, C. Schaefer, A.J. Szczepek, N. Amarjargal, B. Boecking, M. Rose, and B. Mazurek declare that they have no competing interests.

For this article no studies with human participants or animals were performed by any of the authors. All patients agreed in writing that their data could be used anonymously for teaching and research purposes.

The supplement containing this article is not sponsored by industry.

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Brueggemann, P., Seydel, C., Schaefer, C. et al. ICD-10 Symptom Rating questionnaire for assessment of psychological comorbidities in patients with chronic tinnitus. HNO 67 (Suppl 2), 46–50 (2019). https://doi.org/10.1007/s00106-019-0625-7

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  • DOI: https://doi.org/10.1007/s00106-019-0625-7

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