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...

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Main Authors: Li Xia, Gang He, Yong Feng, Xiaoxu Yu, Xiaolong Zhao, Shankai Yin, Zhengnong Chen, Jian Wang, Jiangang Fan, Chuan Dong
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
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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.
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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
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