AWARENESS OF HYPERACUSIS MANAGEMENT AMONG HEARING HEALTH CARE PROFESSIONALS - A NATIONWIDE TELEPHONIC SURVEY

Abstract

Decreased sound tolerance prevents people from entering louder environments, working and interacting socially. Hyperacusis is defined as an abnormally strong reaction to sound occurring within the auditory pathways. Among patients with a primary complaint of tinnitus the prevalence of hyperacusis is about 40% (Jastreboff, & Jastreboff, 2000). In patients with a primary complaint of hyperacusis the prevalence of tinnitus has been reported as 86%.In various clinics, tinnitus management often has a confusing impact on quality of life of patients who have hyperacusis but the term and concept may not be accepted as the assessment and management interest. It is found that 56.6% of the respondents report that hyperacusis is not diagnosed in their clinics, 73.4 % do not know the etiology, 33.3% manage hyperacusis and tinnitus simultaneously while others are not sure which should be managed. Decreased sound tolerance, including hyperacusis, misophonia, and phonophobia, is a challenging topic to study and treat. The etiology is not clear, neural mechanisms are speculative and treatments are not yet proven. The general recognition of decreased sound tolerance, as a problem requiring attention and proper treatment, should be considered a priority in the community of hearing professionals.

Key words- Hyperacusis, Awareness, Survey.

Keywords

• Hyperacusis, awareness, survey

Kaynakça

1. Jastreboff PJ, Jastreboff MM. Tinnitus Retraining Therapy (TRT) as a method for treatment of tinnitus and hyperacusis patients. J Am Acad Audiol 2000; 11: 162-177.
2. Vernon JA. Pathophysiology of tinnitus: a special case--hyperacusis and a proposed treatment. Am J Otol 1987; 8: 201-202.
3. Klein AJ, Armstrong BL, Greer MK, Brown FR 3rd. Hyperacusis and otitis media in individuals with Williams syndrome. J Speech Hear Disord 1990; 55: 339-3
4. Jastreboff PJ, Jastreboff MM. Tinnitus retraining therapy for patients with tinnitus and decreased sound tolerance. Otolaryngol Clin North Am 2003; 36: 321-336.
5. Silberstein S. D, Saper J. R, Freitag F. G. Migraine: diagnosis and treatment. In: Silberstein SD, Lipton RB, Dalessio DJ, eds. Wolff’s Headache and other Head Pain, 7th edn. Oxford: Oxford University Press 2001; 121–237.
6. Moore, E. C. J. (1998.) Cochlear Hearing Loss. London: Whurr.
7. Anari M, Axelsson A, Eliasson A, Magnusson L. Hypersensitivity to sound--questionnaire data, audiometry and classification. Scand Audiol 1999; 28: 219-230.
8. Coyle PK, Schutzer SE. Neurologic aspects of Lyme disease. Med Clin North Am 2002; 86: 261-284.

9. Nields JA, Fallon BA, Jastreboff PJ. Carbamazepine in the treatment of Lyme disease-induced hyperacusis. J Neuropsychiatry Clin Neurosci 1999; 11: 97-99.
10. Levitin DJ, Menon V, Schmitt JE, et al. Neural correlates of auditory perception in Williams syndrome: an fMRI study. Neuroimage 2003; 18: 74Marriage J, Barnes NM. Is central hyperacusis a symptom of 5-hydroxytryptamine (5-HT) dysfunction? J Laryngol Otol 1995; 109: 915-921.
11. Khalil S, Ogunyemi L, Osborne J. Middle cerebral artery aneurysm presenting as isolated hyperacusis. J Laryngol Otol 2002; 116: 376-378.
12. Lee H, Whitman GT, Lim JG, et al. Hearing symptoms in migrainous infarction. Arch Neurol 2003; 60: 113-116.
13. Westcott, M. (2010). Acoustic Shock Disorder. The New Zealand medical journal. Journal of New Zealand medical association, 23, (1311), 25-31.
14. Andersson G, Lindvall N, Hursti T, Carlbring P. Hypersensitivity to sound (hyperacusis): a prevalence study conducted via the Internet and post. Int J Audiol 2002; 41: 545-554.
15. Baguley D. M, Axon P. R, Winter I. M, Moffat D. A. The effect of vestibular nerve section upon tinnitus. Clin Otolaryngol 2002; 27: 219–226.
16. Khalfa S, Dubal S, Veuillet E, et al. Psychometric normalization of a hyperacusis questionnaire. ORL J Otorhinolaryngol Relat Spec 2002; 64: 436-442.
17. Nelting M, Rienhoff NK, Hesse G, Lamparter U. [The assessment of subjective distress related to hyperacusis with a self-rating questionnaire on hypersensitivity to sound]. [Article in German] Laryngorhinootologie 2002; 81: 327-334.
18. Fabijanska A, Rogowski M, Bartnik G, Skarzynski H. Epidemiology of tinnitus and hyperacusis in Poland. In: Hazell J W P, ed. Proceedings of the Sixth International Tinnitus Seminar. London: The Tinnitus and Hyperacusis Centre 1999; 569-571.
19. Andersson G, Lyttkens L. A meta-analytic review of psychological treatments for tinnitus. Br J Audiol 1999; 33: 201-210.