![]() We developed a questionnaire covering sleep disturbances, questions on daytime functioning and total sleep time so that insomnia could be noted as just a symptom versus a diagnosis according to DSM-IV criteria. ![]() We hypothesized that insomnia as a symptom and diagnosis will be widely prevalent in a tinnitus population and will be associated with a more severe form of tinnitus. Our paper will present data on 72 tinnitus patients who were prospectively evaluated for a tinnitus treatment study at our clinical research centre focusing on possible co-morbid insomnia (as a symptom and diagnosis) and its complications. Clearly, the presence of a diagnosis suggests a more severe entity since impairment in quality of life is required. The overwhelming focus was on insomnia as a symptom and not as a diagnosis. Unfortunately, these prior studies used openended questionnaires, many had only 1-3 questions about insomnia, and some were mailed without any supervision provided. Regarding the later, the authors recently reported on the co-morbidity of insomnia in tinnitus patients reviewed across 16 studies comorbid insomnia was found in 10-80% of tinnitus patients with most studies reporting over 40%. Unfortunately, the disorder is associated with a compromised quality of life with increased anxiety, depression, and insomnia. Tinnitus is frequently severe and chronic occurring in 10-30% of the population. Keywords: Tinnitus, Insomnia, Sleep onset, Sleep awakenings, Sleep duration, Treatment issues In addition, our data suggests that tinnitus patients with co-morbid insomnia have a more severe form of tinnitus and thus, may need further care and treatment. Alarmingly, only 4 % were being treated for their insomnia. We found that not only were insomnia symptoms highly prevalent, but 60% of the tinnitus sample met strict diagnostic criteria (DSM-IV-TR) of insomnia secondary to a general medical condition, i.e., tinnitus. The interview included questions regard a full range of questions assessing sleep onset, sleep continuity, early morning awakening, sleep duration as well as daytime consequences necessary for a diagnosis of insomnia. ![]() Our study evaluated 72 tinnitus patients who were prospectively evaluated over the telephone for a tinnitus treatment study program at our center focusing on possible co-morbid insomnia symptoms as well as whether the insomnia satisfied a diagnosis with its accompanying dysfunctional state. Furthermore, most studies utilized only open-ended questionnaires with many being sent via the mail. Unfortunately, these prior studies tended to evaluate only insomnia as a symptom and not as a diagnosis therefore its seriousness and implications could not be assessed. We have reported in the past that comorbid insomnia occurs in 10-80% of tinnitus patients with most reports finding over a 40% frequency. The latter can predispose effected persons to depressive episodes and a worsening of their total functioning. This disorder often becomes chronic and severe effecting quality of life contributing to significant psychiatric consequences one that we have written about recently is comorbid insomnia. Tinnitus is a highly prevalent medical disorder occurring in 10-30% of the general population. Asnis,Henderson MA,Sylvester, Thomas M,Kiran M, Richard De La G 10.5935/0946-5448.20200010 Insomnia in Tinnitus Patients: A Prospective Study Finding a Significant RelationshipĪuthors: Gregory M.
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