Subscribe to RSS
DOI: 10.1055/s-0040-1709447
Complaints of People with Hyperacusis
Abstract
Background Hyperacusis is a prevalent auditory disorder that causes significant distress and negatively affects quality of life for many patients. Patients with hyperacusis often have different complaints about the sounds and situations that they experience. Audiologists may have few patients with hyperacusis, and a limited understanding of the sounds and situations that are reported to be challenging by their patients.
Purpose To investigate the common complaints reported by hyperacusis patients.
Research design A qualitative study was conducted with 11 hyperacusis patients who participated in a group session.
Results All 11 hyperacusis patients experienced negative reactions to specific sounds. In addition, many patients reported physical symptoms such as headaches, balance problems, dysosmia (strong smell problems), and light sensitivity. Sounds that induced discomfort were wide ranging and included low-frequency sounds, high-frequency sounds, wide-band noise, and sudden, high-intensity sounds. Most patients (9/11, 81.8%) reported negative reactions to music in loud rock concerts. Patients reported that stress/tension (90.9%) worsened their hyperacusis, while removing themselves from noise (90.9%) relieved their hyperacusis.
Conclusion Loudness is only one of the many factors related to the discomfort of patients with hyperacusis. Across patients, we observed that there were different complaints about the sounds and situations that produced difficulty due to hyperacusis. Physical symptoms following sound exposure were also reported by the patients, suggesting that hyperacusis is a complex disorder and requires intervention that often involves multiple members of the medical team.
Publication History
Received: 16 February 2019
Accepted: 16 December 2019
Article published online:
27 April 2020
© 2020. American Academy of Audiology. This article is published by Thieme.
Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA
-
References
- 1 Tyler RS, Pienkowski M, Roncancio ER. et al. A review of hyperacusis and future directions: part I. Definitions and manifestations. Am J Audiol 2014; 23 (04) 402-419
- 2 Paulin J, Andersson L, Nordin S. Characteristics of hyperacusis in the general population. Noise Health 2016; 18 (83) 178-184
- 3 Rosing SN, Schmidt JH, Wedderkopp N, Baguley DM. Prevalence of tinnitus and hyperacusis in children and adolescents: a systematic review. BMJ Open 2016; 6 (06) e010596
- 4 Schecklmann M, Landgrebe M, Langguth B. TRI Database Study Group. Phenotypic characteristics of hyperacusis in tinnitus. PLoS One 2014; 9 (01) e86944
- 5 Møller AR. Sensorineural tinnitus: its pathology and probable therapies. Int J Otolaryngol 2016; 2016: 2830157
- 6 Aazh H, Moore BCJ. Usefulness of self-report questionnaires for psychological assessment of patients with tinnitus and hyperacusis and patients' views of the questionnaires. Int J Audiol 2017; a 56 (07) 489-498
- 7 Aazh H, Moore BC, Lammaing K, Cropley M. Tinnitus and hyperacusis therapy in a UK National Health Service audiology department: patients' evaluations of the effectiveness of treatments. Int J Audiol 2016; 55 (09) 514-522
- 8 Pienkowski M, Tyler RS, Roncancio ER. et al. A review of hyperacusis and future directions: part II. Measurement, mechanisms, and treatment. Am J Audiol 2014; 23 (04) 420-436
- 9 Aazh H, Moore BCJ. Effectiveness of audiologist-delivered cognitive behavioral therapy for tinnitus and hyperacusis rehabilitation: outcomes for patients treated in routine practice. Am J Audiol 2018; a 27 (04) 547-558
- 10 Aazh H, McFerran D, Salvi R, Prasher D, Jastreboff M, Jastreboff P. Insights from the First International Conference on Hyperacusis: causes, evaluation, diagnosis and treatment. Noise Health 2014; 16 (69) 123-126
- 11 Khalfa S, Dubal S, Veuillet E, Perez-Diaz F, Jouvent R, Collet L. Psychometric normalization of a hyperacusis questionnaire. ORL J Otorhinolaryngol Relat Spec 2002; 64 (06) 436-442
- 12 Oishi N, Yamada H, Kanzaki S. et al. Assessment of hyperacusis with a newly produced Japanese version of the Khalfa hyperacusis questionnaire. Acta Otolaryngol 2017; 137 (09) 957-961
- 13 Tortorella F, Pavaci S, Fioretti AB, Masedu F, Lauriello M, Eibenstein A. The short hyperacusis questionnaire: a tool for the identification and measurement of hyperacusis in the Italian tinnitus population. Audiology Res 2017; 7 (02) 182
- 14 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 [in German]. Laryngorhinootologie 2002; 81 (05) 327-334
- 15 Dauman R, Bouscau-Faure F. Assessment and amelioration of hyperacusis in tinnitus patients. Acta Otolaryngol 2005; 125 (05) 503-509
- 16 Greenberg B, Carlos M. Psychometric properties and factor structure of a new scale to measure hyperacusis: introducing the inventory of hyperacusis symptoms. Ear Hear 2018; 39 (05) 1025-1034
- 17 Fowler EP. Some attributes of “loudness recruitment” and “loudness decruitment”. Ann Otol Rhinol Laryngol 1965; 74: 500-506
- 18 Sherlock LP, Formby C. Estimates of loudness, loudness discomfort, and the auditory dynamic range: normative estimates, comparison of procedures, and test-retest reliability. J Am Acad Audiol 2005; 16 (02) 85-100
- 19 Formby C, Gold SL, Keaser ML, Block KL, Hawley ML. Secondary benefits from tinnitus retraining therapy: clinically significant increases in loudness discomfort level and expansion of the auditory dynamic range. Semin Hear 2007; 28: 227-260
- 20 Brandy WT, Lynn JM. Audiologic findings in hyperacusic and nonhyperacusic subjects. Am J Audiol 1995; 4: 46-51
- 21 Sheldrake J, Diehl PU, Schaette R. Audiometric characteristics of hyperacusis patients. Front Neurol 2015; 6: 105
- 22 Di Stadio A, Dipietro L, Ricci G. et al. Hearing loss, tinnitus, hyperacusis, and diplacusis in professional musicians: a systematic review. Int J Environ Res Public Health 2018; 15 (10) E2120
- 23 Woodhouse A, Drummond PD. Mechanisms of increased sensitivity to noise and light in migraine headache. Cephalalgia 1993; 13 (06) 417-421
- 24 Edvinsson L, Uddman R. Neurobiology in primary headaches. Brain Res Brain Res Rev 2005; 48 (03) 438-456
- 25 Irimia P, Cittadini E, Paemeleire K, Cohen AS, Goadsby PJ. Unilateral photophobia or phonophobia in migraine compared with trigeminal autonomic cephalalgias. Cephalalgia 2008; 28 (06) 626-630
- 26 Suhnan AP, Finch PM, Drummond PD. Hyperacusis in chronic pain: neural interactions between the auditory and nociceptive systems. Int J Audiol 2017; 56 (11) 801-809
- 27 Tyler RS, Conrad-Armes D. The determination of tinnitus loudness considering the effects of recruitment. J Speech Hear Res 1983; 26 (01) 59-72
- 28 Anari M, Axelsson A, Eliasson A, Magnusson L. Hypersensitivity to sound--questionnaire data, audiometry and classification. Scand Audiol 1999; 28 (04) 219-230
- 29 Nelson JJ, Chen K. The relationship of tinnitus, hyperacusis, and hearing loss. Ear Nose Throat J 2004; 83 (07) 472-476
- 30 Chen YC, Chen GD, Auerbach BD, Manohar S, Radziwon K, Salvi R. Tinnitus and hyperacusis: contributions of paraflocculus, reticular formation and stress. Hear Res 2017; 349: 208-222
- 31 Guimarães AC, Carvalho GM, Voltolini MM. et al. Study of the relationship between the degree of tinnitus annoyance and the presence of hyperacusis. Rev Bras Otorrinolaringol (Engl Ed) 2014; 80 (01) 24-28
- 32 Amir I, Lamerton D, Montague ML. Hyperacusis in children: the Edinburgh experience. Int J Pediatr Otorhinolaryngol 2018; 112: 39-44
- 33 Gothelf D, Farber N, Raveh E, Apter A, Attias J. Hyperacusis in Williams syndrome: characteristics and associated neuroaudiologic abnormalities. Neurology 2006; 66 (03) 390-395
- 34 Aazh H, Moore BCJ. Thoughts about suicide and self-harm in patients with tinnitus and hyperacusis. J Am Acad Audiol 2018; b 29 (03) 255-261
- 35 Aazh H, Moore BCJ. Factors associated with depression in patients with tinnitus and hyperacusis. Am J Audiol 2017; b 26 (04) 562-569
- 36 Fioretti AB, Varakliotis T, Poli O, Cantagallo M, Eibenstein A. Severe hyperacusis, photophobia, and skin hypersensitivity. Case Rep Otolaryngol 2016; 2016: 2570107
- 37 Stephens D. A history of tinnitus. In: Tyler RS. ed. Tinnitus Handbook. San Diego, CA: Singular Publishing Group; 2000: 437-448