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CC BY-NC-ND 4.0 · Laryngorhinootologie 2023; 102(S 01): S50-S58
DOI: 10.1055/a-1950-6149
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Tinnitus and Influencing Comorbidities

Article in several languages: deutsch | English
Birgit Mazurek
1   Tinnituszentrum, Charité – Universitätsmedizin Berlin, Berlin
,
Benjamin Böcking
1   Tinnituszentrum, Charité – Universitätsmedizin Berlin, Berlin
,
Christian Dobel
2   Klinik und Poliklinik für HNO-Heilkunde, Universitätsklinikum Jena, Jena
,
Matthias Rose
3   Medizinische Klinik m. S. Psychosomatik, Charité – Universitätsmedizin Berlin, Berlin
,
Petra Brüggemann
1   Tinnituszentrum, Charité – Universitätsmedizin Berlin, Berlin
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Abstract

Numerous studies show that impairments in chronic tinnitus are closely connected with psychosomatic and other concomitant symptoms. This overview summarizes some of these studies. Beyond hearing loss, individual interactions of medical and psychosocial stress factors as well as resources are of central importance. Tinnitus related distress reflects a large number of intercorrelated, psychosomatic influences – such as personality traits, stress reactivity and depression or anxiety – which can be accompanied by cognitive difficulties and should be conceptualized and assessed within a vulnerability-stress-reaction model. Superordinate factors such as age, gender or education level can increase vulnerability to stress. Therefore, diagnosis and therapy of chronic tinnitus be individualised, multidimensional and interdisciplinary. Multimodal psychosomatic therapy approaches aim to address individually constellated medical, audiological and psychological influences in order to sustainably increase the quality of life of those affected. Counselling in the first contact is also indispensable for diagnosis and therapy.

Key words

Tinnitus - comorbidity - depression - anxiety - pain - cognition


Publication History

Article published online:
02 May 2023

© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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