جستجوی مقالات مرتبط با کلیدواژه « hyperacusis » در نشریات گروه « پزشکی »

The aim was to assess prevalence of tinnitus, hyperacusis, hearing and balance problems among patients recovered from COVID-19 infection. Self-reported ear and hearing symptoms were compared in three groups comprising: confirmed COVID-19, possible COVID-19, and non-COVID-19. 1649 participants completed the survey in this cross-sectional study. The mean age was 34 years and 65% were female. Participants with confirmed and possible COVID-19 were asked if after their infection (compared to the past) they experienced hearing loss, ringing or whistling noises, fullness or blockage in their ears, loudness of the sounds that are normal to other people bother them more (an indication of hyperacusis), dizziness, giddiness, or imbalance.  Among participants with confirmed COVID-19, 16% reported that compared to the past their hearing has decreased, 21.5% noticed tinnitus, 22.5% aural fullness, 26.1% hyperacusis and 17.3% balance problems. Regression models showed that compared to the non-COVID-19 group, participants with confirmed COVID-19 had odds ratios (ORs) of significantly greater than 1 in predicting presence of self-reported symptoms of hearing loss, tinnitus, aural fullness, hyperacusis and balance problems, OR=1.96 (p=0.001), OR=1.63 (p=0.003), OR=1.8 (p<0.001), OR=2.2 (p<0.001), and OR=2.99 (p<0.001), respectively. There seem to be higher prevalence of self-report symptoms of ear-related problems among individuals with confirmed COVID-19 infection compared to a non-COVID-19 group during the pandemic.

One of the important loudness perception problems is hyperacusis. It is generally defined as sensitivity to average-intensity sounds, which are perceived as excessively loud or uncomfortable. Assessing symptoms of sound intolerance and their impact on patients’ lives is crucial. The study aims to determine the validity and reliability of the Persian version of the Inventory of Hyperacusis Symptoms (IHS), assess its validity in differentiating normal-hearing and hyperacusis adults, and measure its cutoff point.

The questionnaire was translated according to the international quality of life assessment protocol. After determining both qualitative and quantitative face validity and content validity, it was completed by 120 adults (60 with normal hearing and 60 with hyperacusis) to evaluate the differential validity and reliability. The reliability assessment was conducted using the test-retest method for all participants. For assessing the convergent validity, the correlation of the Persian IHS score with the score of the Hyperacusis Questionnaire (HQ) was evaluated.

The questionnaire had good face validity and content validity. The Cronbach coefficient α was 0.93 for the overall scale. The Interclass Correlation Coefficient (ICC=0.97) confirmed reliability. The cutoff point of the Persian IHS score was 48, with 91% sensitivity and 96% specificity. Additionally, a strong significant correlation was found between the scores of IHS and HQ (r=0.82).

The Persian version of the IHS has high validity and reliability for use in hyperacusis clinics and research.

The aim of this article was to critically discuss the clinical application of a cognitive behaviour therapy (CBT) protocol for the treatment of hyperacusis and its asso­ciated distress.
Narrative review Recent
Findings: Reviewing the research lit­erature suggests that hyperacusis, anxiety and safety seeking behaviours may be linked. Therefore, it seems reasonable to suggest that clinical management of hyperacusis should also include addressing co-existing anxiety and avoidance behaviour. Although, there is strong evidence supporting the effectiveness of CBT in treating anxiety, the studies directly assessing the effect of CBT on hyperacusis are limited. In this paper, the clinical implementation of a CBT protocol for hyperacusis rehabilitation is discussed.
Although a causal relationship bet­ween anxiety and hyperacusis is not clear, there is a growing body of evidence suggesting a pos­sible link between them. In the absence of a cure for hyperacusis, treatment of the anxiety component of the condition could be beneficial.