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J Am Acad Audiol 2022; 33(04): 206-213
DOI: 10.1055/a-1709-4912
Research Article

Perception of Tinnitus: Direct and Indirect Effects of Resilience, Personality Traits, and Psychiatric Symptoms

Mariana L. Martins 
1   Department of Speech Therapy, Federal University of Paraiba, João Pessoa, Brazil
,
Melyssa K.C. Galdino
2   Department of Psychology, Federal University of Paraiba, João Pessoa, Brazil
,
Bernardino Fernández-Calvo
3   Department of Psychology, University of Córdoba, Córdoba, Spain
4   Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Cordoba, Spain
,
Fátima C.A. Branco-Barreiro
5   Department of Speech Therapy, Federal University of São Paulo, São Paulo, Brazil
,
Thiago P. Fernandes
2   Department of Psychology, Federal University of Paraiba, João Pessoa, Brazil
,
Marine R.D. da Rosa
1   Department of Speech Therapy, Federal University of Paraiba, João Pessoa, Brazil
› Institutsangaben
Funding This work was supported by the Coordination for the Improvement of Higher Education Personnel (CAPES). Bernardino Fernández-Calvo was the recipient of a Senior Distinguished Researcher position (Beatriz Galindo Program) in the Department of Psychology at the Universidad de Córdoba (ref. BEAGAL18/00006).
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Abstract

Background Psychiatric conditions are common in individuals with tinnitus. Therefore, the ways individuals cope with such conditions and personality can influence the characteristics of tinnitus.

Purpose The study aims to investigate the direct and indirect effects of resilience, personality traits, and psychiatric symptoms on the tinnitus perception.

Research Design This is a descriptive, cross-sectional, and observational study involving quantitative results.

Study Sample Thirty-seven individuals with chronic tinnitus (for more than 6 months) sought the tinnitus care service (mean age = 44.6 years; SD = 11.7 years).

Data Collection and Analysis The specific anamnesis of tinnitus, adult self-report questionnaire, resilience scale, big five inventory, Tinnitus Handicap Inventory (M = 45.0; SD = 24.1), and visual analog scale (M = 6.4; SD = 2.7) were used. Psychoacoustic measurements (loudness: M = 25.4; SD = 12.8) of tinnitus were performed to characterize the condition in terms of pitch and loudness. The study analyzed the relationship between tinnitus (annoyance, severity, and loudness), psychiatric symptoms, personality, and resilience using multiple mediations.

Results Resilience did not influence tinnitus severity (BCa: -1.12 to 0.51), annoyance (BCa: -0.10 to 0.11), or loudness (BCa: -0.44 to 0.28) when mediated by anxiety and depression. Additionally, there was only a direct effect of resilience for annoyance (t = - 2.14, p = 0.03; BCa: -0.10 to 0.11). There was no direct influence of anxiety and depression on the tinnitus severity (b = 0.53, p > 0.05), annoyance (b = - 0.01, p > 0.05), or loudness (b = 0.11, p > 0.05). However, there was an association of personality traits (neuroticism) with the tinnitus severity (b = 1.16, 95% CI: 0.15–2.17; t = 2.53, p = 0.02) and annoyance (b = 0.12, 95% CI: 0.003–0.24; t = 2.09, p = 0.04).

Conclusion Resilience and psychiatric symptoms did not have a direct or indirect influence on the tinnitus annoyance, severity, or loudness. However with a direct association of resilience and annoyance, and neuroticism trait with the tinnitus annoyance and severity. Our results suggest that patients with chronic tinnitus and high neuroticism should receive personalized treatment.

Keywords

tinnitus - hearing - audiology - psychiatric disorders - anxiety - depression - neuroticism - personality

Data Availability

The clinically collected data used to support the findings of this study are available from the corresponding author upon request.


Presentations and Submissions

This manuscript has not been published or presented elsewhere in part or in entirety, and is not under consideration by another journal.


Disclaimer

Any mention of a product, service, or procedure in the Journal of the American Academy of Audiology does not constitute an endorsement of the product, service, or procedure by the American Academy of Audiology.


Supplementary Material



Publikationsverlauf

Eingereicht: 03. Januar 2021

Angenommen: 26. November 2021

Accepted Manuscript online:
30. November 2021

Artikel online veröffentlicht:
18. November 2022

© 2022. American Academy of Audiology. This article is published by Thieme.

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