Cognitive Performance in Chronic Tinnitus Patients

Discussion in 'Research News' started by Frédéric, Sep 17, 2019.

    1. Frédéric

      Frédéric Member Podcast Patron Benefactor Advocate

      Location:
      Marseille, France
      Tinnitus Since:
      11/19/2012
      Cause of Tinnitus:
      acoustic trauma
      Cognitive Performance in Chronic Tinnitus Patients: A Cross-Sectional Study Using the RBANS-H.

      Abstract
      OBJECTIVE:
      Many tinnitus patients report cognitive deficits such as concentration and attention difficulties. The aim of this study was to comprehensively assess cognitive functioning in tinnitus patients using a standardized test battery, the repeatable battery for the assessment of neuropsychological status adjusted for hearing impaired individuals (RBANS-H).

      STUDY DESIGN:
      Cross-sectional study.

      SETTING:
      Tertiary referral center.

      PARTICIPANTS:
      Twenty-eight chronic tinnitus patients and 28 control participants, matched for sex, age, hearing loss, and education level.

      INTERVENTION:
      Diagnostic.

      MAIN OUTCOME MEASURES:
      All participants completed the RBANS-H, which includes subtests probing immediate and delayed memory, visuospatial capabilities, language, and attention. The tinnitus patients completed the tinnitus functional index (TFI), a visual analogue scale (VAS) measuring subjective mean tinnitus loudness and the hyperacusis questionnaire (HQ).

      RESULTS:
      The total RBANS-H scores did not differ between tinnitus patients and controls. However, on the language subscale, mean scores of the tinnitus group (97.6 ± 11.0) were significantly lower than those of controls (104.4 ± 12.0), with correction for sex, age, hearing level, and education level (general linear model: p = 0.034). Post hoc t tests revealed a specific deficit concerning the semantic fluency subtest (tinnitus: 19.5 ± 6.2; control: 23.1 ± 5.9; p = 0.015). VAS scores for tinnitus loudness were negatively correlated to scores on the RBANS-H attention subscale (r = -0.48, p = 0.012).

      CONCLUSIONS:
      The current study successfully employed the RBANS-H to provide a broader view on cognitive functioning in tinnitus patients. The results showed a specific negative influence of tinnitus on verbal fluency, which could be related to a deficit in executive cognitive control. Moreover, patients experiencing louder tinnitus performed worse on specific subtests concerning attention.

      https://journals.lww.com/otology-ne...nitive_Performance_in_Chronic_Tinnitus.5.aspx
       
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    2. foam

      foam Member

      Tinnitus Since:
      7/2019
      Cause of Tinnitus:
      Unknown
      I've noticed myself a little wonky since I got tinnitus... A bit like being Vegan again... Just not quite as sharp.
       
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    3. AUTHOR
      AUTHOR
      Frédéric

      Frédéric Member Podcast Patron Benefactor Advocate

      Location:
      Marseille, France
      Tinnitus Since:
      11/19/2012
      Cause of Tinnitus:
      acoustic trauma
      Assessment of auditory working memory in normal hearing adults with tinnitus

      Purpose


      Tinnitus is characterized by the perception of sound without an existing external stimulus. The presence of tinnitus might be intolerable for many and can be sufficiently troublesome in hearing, sleep, thought processing, and other functional abilities, all of which can negatively impact the quality of life. Individuals with tinnitus may have decreased cognitive efficiency because tinnitus can adversely affect the other tasks being performed. The present study was taken up to evaluate auditory working memory using digit span tasks in adults with tinnitus.

      Methods
      The tasks administered included forward, backward, ascending, and descending digit span. Tinnitus Handicap Inventory questionnaire was administered on all the individuals with tinnitus, and also, it was attempted to correlate the scores of auditory working memory with that of tinnitus handicap inventory.

      Results
      The results indicated poorer scores for backward, ascending and descending digit span task and no significant difference for the forward digit span task. There was no correlation between auditory working memory tasks and overall tinnitus handicap scores along with its sub-scales.

      Conclusion
      It was concluded that tinnitus disrupts the functioning of auditory working memory and is governed by the annoyance caused by tinnitus.

      Keywords
      Tinnitus Cognitive processing Auditory working memory Tinnitus handicap

      Source: https://link.springer.com/article/10.1007/s00405-019-05658-4
       
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    4. Daniel Lion
      Ape-like

      Daniel Lion Member Podcast Patron Benefactor Hall of Fame

      Location:
      SE Asia
      Tinnitus Since:
      2017
      Cause of Tinnitus:
      Noise trauma, hearing loss
      Yep... brain damage will slow you down for sure.
      I am thinking of doing everything left handed, juggling, anything to keep the brain stimulated and pumped... I need to up my game and get hardcore... this disease is no good for the brain, especially if it’s severe.
       
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    5. AUTHOR
      AUTHOR
      Frédéric

      Frédéric Member Podcast Patron Benefactor Advocate

      Location:
      Marseille, France
      Tinnitus Since:
      11/19/2012
      Cause of Tinnitus:
      acoustic trauma
      Beyond Hearing Loss: Does Tinnitus Cause Cognitive Impairment?
       

      Attached Files:

      • Informative Informative x 2
    6. AUTHOR
      AUTHOR
      Frédéric

      Frédéric Member Podcast Patron Benefactor Advocate

      Location:
      Marseille, France
      Tinnitus Since:
      11/19/2012
      Cause of Tinnitus:
      acoustic trauma
      Cognitive Communicative Abilities in Tinnitus Patients with Normal Hearing

      ABSTRACT

      Background: Tinnitus is a bothersome complain , some studies show that 13-18 percent of the people suffer from tinnitus, almost 5 percent of which, have chronic or bothersome tinnitus. Chronic tinnitus may be accompanied by anxiety, depression, insomnia, and impairment in cognitive functions such as memory and attention.

      The Aim of this Study: To compare the auditory memory and auditory attention between two groups with and without tinnitus all of them have normal hearing.

      Methods: This study were performed on 30 tinnitus patients (10 men and 20 women) aged from 20 to 50 years old and 30 healthy volunteers (12 men and 18 women) aged from 21 to 50 years old with normal hearing thresholds. Pure tone audiometry (PTA), auditory continuous performance test (ACPT), Memory for recognition (MR), memory for content (MC) and memory for sequence (MS) were employed for all participants. Tinnitus evaluation and tinnitus handicap inventory questionnaire (THI) was done for the study group only.

      Results: Comparing the results of ACPT between study and control groups show no statistically significant difference. While comparing the results of memory battery test between both groups were statistically highly significant.

      Conclusion: Tinnitus decreased the memory battery test scores at the study group in comparison with the control group. Auditory continuous performance test (ACPT) results show no difference between study and control group. Duration of tinnitus affect significantly ACPT results. Bilateral tinnitus affects memory for sequence results. While loudness decreased results of memory for recognition.

      Full article see attached file.
       

      Attached Files:

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    7. KyleM
      Sleepy

      KyleM Member

      Tinnitus Since:
      Aug 2018
      Cause of Tinnitus:
      Undetermined/Hearing Loss
      So you're telling me that having a constant noise in your head is distracting??? Thank god for such groundbreaking research or else nobody would've known! :ROFL::ROFL::ROFL:
       
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    8. Autumnly
      Wishful

      Autumnly Member Podcast Patron Benefactor Ambassador Hall of Fame Advocate

      Tinnitus Since:
      2013
      Cause of Tinnitus:
      Noise-induced
      Associations Between Subjective Tinnitus and Cognitive Performance: Systematic Review and Meta-Analyses
      Nathan A. Clarke, Helen Henshaw, Michael A. Akeroyd,
      Bethany Adams, Derek J. Hoare


      Analyses showed that tinnitus is associated with poorer executive function, processing speed, general short-term memory, and general learning and retrieval. Narrow cognitive domains of Inhibition and Shifting (within executive function) and learning and retrieval (within general learning and retrieval) were also associated with tinnitus.
       
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    9. Juan

      Juan Member

      Tinnitus Since:
      08/2014
      Cause of Tinnitus:
      Several causes
      Correlations between tinnitus and cognitive abilities

      Introduction Recent Studies have discussed the association between decompensated tinnitus and cognitive impairment. In a comprehensive multidisciplinary study, we investigated various interactions between tinnitus burden, hearing loss, psychological comorbidities and cognitive performance in executive functions and in an intelligence test.

      Methods A total of 140 patients with chronic tinnitus were included in the study. All subjects received audiological and psychometric (TF, THI, TFI, PSQ) diagnostics. To measure cognitive impairment for executive functioning a complex visual motor task (Trail making test, TMT) was applied. Furthermore to examinate crystalline and verbal intelligence we performed the Multiple Choise Word Test (MWT).

      Results On average, patients had moderate-grade compensated tinnitus. The average hearing loss was 29.38 ± 8.2 dB on the right side and 29.08 ± 8.31 dB on the left side and correlated slightly negatively with the performance in the graphomotoric test (TMT). Decompensated tinnitus proved to be a significant covariance factor. The regression model revealed a negative impact on intellectual (MWT) and executive (TMT) functioning due to the tinnitus burden (TF, THI, TFI). In interaction with tinnitus distress, hearing loss and stress had a significant impact on cognitive functions.

      Conclusion Our study confirmed an association between hearing loss, stress and cognitive impairment. In a complex model it is suggested that the decompensation of tinnitus is associated with a lower crystalline and verbal intelligence and reduced executive functioning. The extent to which accompanying psychological comorbidities play a role in this complex interaction will be further investigated in the study.

      https://www.thieme-connect.com/products/ejournals/html/10.1055/s-0040-1711249
       
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    10. DaveFromChicago

      DaveFromChicago Member Benefactor

      Tinnitus Since:
      01/2014
      Cause of Tinnitus:
      Headcold/Flu
      I'm going to notify these researchers that I have always had completely full reading comprehension with no cognitive interference whatsoever regarding Joyce's "Ulysses", Proust's 7,000 page "Remembrance of Things Past", T.S. Eliot's "Four Quartets", etc. while I had a strong, constant, unremitting high-pitched tea kettle sound in my left ear.

      After all, why should such phenomena bother your concentration?
       
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    11. Juan

      Juan Member

      Tinnitus Since:
      08/2014
      Cause of Tinnitus:
      Several causes
      It's strange that some studies say that tinnitus plays a role worsening cognitive abilities and other studies say there is not really a big difference. Strange.

      Anyway, there are different types of tinnitus and also varying degrees of severity so that should be taken into account.
       
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    12. ABakos
      Wishful

      ABakos Member Benefactor

      Tinnitus Since:
      04/2017
      Cause of Tinnitus:
      ? neck injury/unknown
      I feel like I take a few seconds to respond to people now... like I have to think about what they say and then respond...
       
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    13. ASilverLight
      In pain

      ASilverLight Member Benefactor

      Tinnitus Since:
      01/2020
      Cause of Tinnitus:
      Probably noise, stress and a neck injury.
      There have definitely been changes. I too feel slower, and just less capable somehow.

      Unbelievable that there is research showing changes and yet tinnitus is still presented as harmless and just a noise. Obviously there's more going on.
       
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    14. foam

      foam Member

      Tinnitus Since:
      7/2019
      Cause of Tinnitus:
      Unknown
      I have since recovered from my wonkyness... Tinnitus is improving again now too. Went back into a proper high fat, high fiber ketosis with added potassium and magnesium.
       
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    15. Juan

      Juan Member

      Tinnitus Since:
      08/2014
      Cause of Tinnitus:
      Several causes
      That sounds more like a symptom of auditory neuropathy. I posted a research article on that...
       
      • Helpful Helpful x 1
    16. ABakos
      Wishful

      ABakos Member Benefactor

      Tinnitus Since:
      04/2017
      Cause of Tinnitus:
      ? neck injury/unknown
      What causes auditory neuropathy? I would love to read your article.
       
    17. Contrast
      No Mood

      Contrast Member Benefactor Hall of Fame

      Location:
      Clown World
      Tinnitus Since:
      late 2017
      Cause of Tinnitus:
      noise injury
      • Helpful Helpful x 1
    18. Juan

      Juan Member

      Tinnitus Since:
      08/2014
      Cause of Tinnitus:
      Several causes
      It's caused by noise, and I think it can be a result of other conditions such as autism. I posted the article on the section "Research News". Search for "auditory neuropathy". It is an interesting read.
       
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    19. Gabriel5050
      No Mood

      Gabriel5050 Member Podcast Patron Benefactor

      Tinnitus Since:
      02/2018
      Cause of Tinnitus:
      Noise exposure (most likely)
      I definitely feel it affects me. Even if I manage to ignore it, tinnitus will periodically intrude my thoughts and I need a few seconds to get the flow of thought back.
       
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