The association between tinnitus and mental health in a general population sample: Results from the HUNT Study

• Published in: Journal of psychosomatic research Vol. 69; no. 3; pp. 289 - 298
• Main Authors: Krog, Norun Hjertager, Engdahl, Bo, Tambs, Kristian
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01.09.2010; Elsevier
• Subjects: Adult; Adult and adolescent clinical studies; Age Factors; Aged; Analysis of Variance; Anxiety; Anxiety - complications; Anxiety - psychology; Anxiety disorders. Neuroses; Anxiety-Depression; Biological and medical sciences; Depression; Depression - complications; Depression - psychology; Ear, auditive nerve, cochleovestibular tract, facial nerve: diseases, semeiology; Female; General population study; Health Surveys; Humans; Male; Medical sciences; Mental Health; Middle Aged; Miscellaneous; Mood disorders; Non tumoral diseases; Otorhinolaryngology. Stomatology; Psychiatry; Psychology. Psychoanalysis. Psychiatry; Psychopathology. Psychiatry; Self Concept; Selfesteem; Sex Factors; Surveys and Questionnaires; Symptoms; Tinnitus; Tinnitus - complications; Tinnitus - psychology; Tinnitus, Well-being; Wellbeing; Norway; Europe; Depression; Anxiety; General population study; Tinnitus, Well-being; Mental health; Mood disorder; Social environment; Human; Anxiety disorder; Auditory disorder; Symptomatology; Well-being; Cross sectional study; Population-based survey; ENT disease; Self esteem; Severity score; Tinnitus; Psychological well-being; Public health
• DOI: 10.1016/j.jpsychores.2010.03.008
• ISSN: 0022-3999

Abstract Objectives Clinical studies indicate a strong association between tinnitus and mental health, but results from general population data are missing. The purpose of the study was to examine the association between tinnitus, mental health, and well-being in the general adult population and to identify factors that might mediate and moderate this association. Methods Data from 51,574 adults participating in the Nord-Trøndelag Hearing Loss Study (1995–1997), part of the Nord-Trøndelag Health Study (HUNT-2), were analyzed. The association between tinnitus symptom intensity and symptoms of depression, anxiety, self-esteem, and subjective well-being was examined by multivariate ANOVA, stratified by age group and sex. Explanatory variables were age, marital status, education, hearing, dizziness, vision, physical disability, and somatic illness. In a subsample of participants with tinnitus, the effects of “time since onset,” “predictability of tinnitus episodes,” and “noise sensitivity” were tested. Results Participants with tinnitus scored significantly higher on anxiety and depression and lower on self-esteem and well-being than people without tinnitus. The effect sizes were small and quite similar across levels of tinnitus symptom intensity. No significant effect of time since onset was found. A significant effect of predictability of tinnitus episodes and noise sensitivity was found in some groups. Conclusion A weak association between tinnitus and mental health was found in this general population study.