title: Tinnitus among Cambodian refugees: relationship to PTSD severity.
abstract: Consecutive Cambodian refugees attending a psychiatric clinic were assessed for the presence and severity of current tinnitus (i.e., at least one episode in the last month). Fifty percent (52/104) of surveyed patients had tinnitus. Among the tinnitus patients, posttraumatic stress disorder (PTSD) rates were significantly more elevated than among nontinnitus patients (OR=13.5; 95% CI=5.8 to 39.4), as were Clinician-Administered PTSD Scale (CAPS) scores. In a hierarchical regression among tinnitus patients (n=52), tinnitus-related trauma associations and catastrophic cognitions accounted for variability in CAPS severity beyond a measure of tinnitus severity. Among tinnitus patients, tinnitus-related trauma associations and catastrophic cognitions mediated the effect of tinnitus severity on CAPS severity.
authors.affiliation: Southeast Asian Clinic, Arbour Counseling Services, Lowell, Massachusetts General Hospital, Boston 02114, and Harvard Medical School, Cambridge, MA, USA. devon_hinton@hms.harvard.edu
authors.forename: Devon E
authors.initials: DE
authors.lastname: Hinton
authors.forename: Dara
authors.initials: D
authors.lastname: Chhean
authors.forename: Vuth
authors.initials: V
authors.lastname: Pich
authors.forename: Stefan G
authors.initials: SG
authors.lastname: Hofmann
authors.forename: David H
authors.initials: DH
authors.lastname: Barlow
mesh_terms: D002160:Cambodia / Q000208:ethnology; D016022:Case-Control Studies; D003071:Cognition; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D008404:Massachusetts; D008875:Middle Aged; D012044:Regression Analysis; D012720:Severity of Illness Index; D013001:Somatoform Disorders / Q000523:psychology*; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis / Q000523:psychology*; D014012:Tinnitus / Q000523:psychology*