title: Evidence of psychosomatic influences in compensated and decompensated tinnitus.
abstract: The purpose of this study was to evaluate the role and interaction of individual factors on decompensated tinnitus. Subjects consisted of 53 adult patients with chronic tinnitus. They were selected and assigned to two groups, compensated (n = 28) and decompensated (n = 25), according to the results of an established tinnitus questionnaire. Both groups were evaluated and compared. The patients with decompensated tinnitus suffered from more pronounced social disabilities, were more prone to depression, and used less effective techniques to cope with their illness. They showed a higher degree of somatic multimorbidity, with particularly strong correlations between tinnitus and the incidence of cardiovascular diseases and hypoacusis. As a consequence, in the psychosomatic tinnitus therapy, greater attention should be given to the treatment of the somatic complaints in addition to psychological and psychosocial aspects.
authors.affiliation: Westerwaldklinik Waldbreitbach, Clinic for Neurology and Neurological Psychosomatics, Germany
authors.forename: Corinna
authors.initials: C
authors.lastname: Stobik
authors.forename: Rainer K
authors.initials: RK
authors.lastname: Weber
authors.forename: Thomas F
authors.initials: TF
authors.lastname: Münte
authors.forename: Marc
authors.initials: M
authors.lastname: Walter
authors.forename: Jörg
authors.initials: J
authors.lastname: Frommer
mesh_terms: D000328:Adult; D000368:Aged; D002318:Cardiovascular Diseases / Q000150:complications; D002908:Chronic Disease; D005260:Female; D034381:Hearing Loss / Q000150:complications; D006801:Humans; D008297:Male; D008875:Middle Aged; D011602:Psychophysiologic Disorders / Q000209:etiology / Q000523:psychology*; D012720:Severity of Illness Index; D013312:Stress, Physiological / Q000150:complications; D011795:Surveys and Questionnaires; D014012:Tinnitus / Q000150:complications / Q000503:physiopathology / Q000523:psychology*