COVID-19 associated anxiety enhances tinnitus.
To investigate if the anxiety associated with coronavirus disease 2019 (COVID-19) is a promoting factor to tinnitus. A retrospective research design collected from 188 tinnitus patients, was used to compare the clinical characteristics of tinnitus between the patients in 2020 under pandemic pressure...
Main Authors: | , , , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Public Library of Science (PLoS)
2021-01-01
|
Series: | PLoS ONE |
Online Access: | https://doi.org/10.1371/journal.pone.0246328 |
_version_ | 1819292503625433088 |
---|---|
author | Li Xia Gang He Yong Feng Xiaoxu Yu Xiaolong Zhao Shankai Yin Zhengnong Chen Jian Wang Jiangang Fan Chuan Dong |
author_facet | Li Xia Gang He Yong Feng Xiaoxu Yu Xiaolong Zhao Shankai Yin Zhengnong Chen Jian Wang Jiangang Fan Chuan Dong |
author_sort | Li Xia |
collection | DOAJ |
description | To investigate if the anxiety associated with coronavirus disease 2019 (COVID-19) is a promoting factor to tinnitus. A retrospective research design collected from 188 tinnitus patients, was used to compare the clinical characteristics of tinnitus between the patients in 2020 under pandemic pressure and those from the matching period in 2019. While anxiety was quantified using the Zung's Self-rating Anxiety Scale (SAS), tinnitus severity was evaluated using the Tinnitus Handicap Inventory (THI) questionnaire and the test of tinnitus loudness (TL). The assessments were repeated after the sound therapy plus educational counselling (STEC) for 38 patients in 2020 and 58 patients in 2019 and compared with EC alone therapy for 42 patients in 2020 and 17 patients in 2019. A large increase in anxiety was evident in 2020 in both case rate and SAS. The treatment of both methods was less effective in 2020. SAS, THI and TL were all deteriorated after the EC alone treatment in 2020, while an improvement was seen in 2019. This suggests that EC alone could not counteract the stress by COVID-19 at all, and the stress, if not managed well, can significantly increase the severity of tinnitus and associated anxiety. By using the EC subgroup in virtual control, we conclude that anxiety can serve as a promoting factor to tinnitus. We believe that this is the first study report that confirm the causative/promotive role of anxiety on tinnitus during COVID-19 pandemic. |
first_indexed | 2024-12-24T03:55:34Z |
format | Article |
id | doaj.art-0cc8c55827e442de9a8335bbf93daaee |
institution | Directory Open Access Journal |
issn | 1932-6203 |
language | English |
last_indexed | 2024-12-24T03:55:34Z |
publishDate | 2021-01-01 |
publisher | Public Library of Science (PLoS) |
record_format | Article |
series | PLoS ONE |
spelling | doaj.art-0cc8c55827e442de9a8335bbf93daaee2022-12-21T17:16:27ZengPublic Library of Science (PLoS)PLoS ONE1932-62032021-01-01162e024632810.1371/journal.pone.0246328COVID-19 associated anxiety enhances tinnitus.Li XiaGang HeYong FengXiaoxu YuXiaolong ZhaoShankai YinZhengnong ChenJian WangJiangang FanChuan DongTo investigate if the anxiety associated with coronavirus disease 2019 (COVID-19) is a promoting factor to tinnitus. A retrospective research design collected from 188 tinnitus patients, was used to compare the clinical characteristics of tinnitus between the patients in 2020 under pandemic pressure and those from the matching period in 2019. While anxiety was quantified using the Zung's Self-rating Anxiety Scale (SAS), tinnitus severity was evaluated using the Tinnitus Handicap Inventory (THI) questionnaire and the test of tinnitus loudness (TL). The assessments were repeated after the sound therapy plus educational counselling (STEC) for 38 patients in 2020 and 58 patients in 2019 and compared with EC alone therapy for 42 patients in 2020 and 17 patients in 2019. A large increase in anxiety was evident in 2020 in both case rate and SAS. The treatment of both methods was less effective in 2020. SAS, THI and TL were all deteriorated after the EC alone treatment in 2020, while an improvement was seen in 2019. This suggests that EC alone could not counteract the stress by COVID-19 at all, and the stress, if not managed well, can significantly increase the severity of tinnitus and associated anxiety. By using the EC subgroup in virtual control, we conclude that anxiety can serve as a promoting factor to tinnitus. We believe that this is the first study report that confirm the causative/promotive role of anxiety on tinnitus during COVID-19 pandemic.https://doi.org/10.1371/journal.pone.0246328 |
spellingShingle | Li Xia Gang He Yong Feng Xiaoxu Yu Xiaolong Zhao Shankai Yin Zhengnong Chen Jian Wang Jiangang Fan Chuan Dong COVID-19 associated anxiety enhances tinnitus. PLoS ONE |
title | COVID-19 associated anxiety enhances tinnitus. |
title_full | COVID-19 associated anxiety enhances tinnitus. |
title_fullStr | COVID-19 associated anxiety enhances tinnitus. |
title_full_unstemmed | COVID-19 associated anxiety enhances tinnitus. |
title_short | COVID-19 associated anxiety enhances tinnitus. |
title_sort | covid 19 associated anxiety enhances tinnitus |
url | https://doi.org/10.1371/journal.pone.0246328 |
work_keys_str_mv | AT lixia covid19associatedanxietyenhancestinnitus AT ganghe covid19associatedanxietyenhancestinnitus AT yongfeng covid19associatedanxietyenhancestinnitus AT xiaoxuyu covid19associatedanxietyenhancestinnitus AT xiaolongzhao covid19associatedanxietyenhancestinnitus AT shankaiyin covid19associatedanxietyenhancestinnitus AT zhengnongchen covid19associatedanxietyenhancestinnitus AT jianwang covid19associatedanxietyenhancestinnitus AT jiangangfan covid19associatedanxietyenhancestinnitus AT chuandong covid19associatedanxietyenhancestinnitus |