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Ego-resiliency and Tinnitus Annoyance
Background Tinnitus is a common and, in many cases, chronic condition. Coping with a chronic ailment is a long-term process, which also depends on the personality of the individual. One important personality resource is ego-resiliency, that is, how flexible the person is in adapting to the impulse to control their environment.
Purpose The aim of the study was to determine whether ego-resiliency affects the perceived level of tinnitus annoyance.
Research Design This was a questionnaire study combined with a retrospective analysis of medical data.
Study Sample The study involved 176 people with diagnosed chronic tinnitus who volunteered to participate (53 men and 123 women aged 31–80 years).
Data Collection and Analysis The following tools were used: Ego-Resiliency Scale to measure ego-resiliency, Tinnitus Functional Index to assess the impact of tinnitus on daily life, and a survey of sociodemographics and tinnitus history.
Results The conducted research showed that men had higher ego-resiliency than women. Older subjects (older than 60 years) had higher ego-resiliency than younger ones. There was a negative correlation between ego-resiliency and the perceived annoyance of tinnitus. Regression analysis showed that a person's ability to cope and to tolerate negative emotions were the only factors of ego-resiliency that were a significant predictor of tinnitus annoyance.
Conclusion People with a high level of personal ability to cope and to tolerate negative emotions are likely to experience decreased tinnitus annoyance. Ego-resiliency levels should be considered when diagnosing and planning interventions for people with tinnitus. In psychological intervention programs for people with tinnitus, it is worthwhile developing ego-resiliency, paying particular attention to positive emotions which are crucial in building it. Research should be continued on other personal resources affecting perceived tinnitus annoyance.
Institutional Review Board
Approval taken under KB/10/2116
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Received: 24 October 2021
Accepted: 14 March 2022
Accepted Manuscript online:
22 March 2022
Article published online:
07 November 2022
© 2022. American Academy of Audiology. This article is published by Thieme.
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- 1 Cima R, Mazurek B, Haider H. et al. A multidisciplinary European guideline for tinnitus: diagnostics, assessment, and treatment Multidisziplinäre europäische Leitlinie für Tinnitus: Diagnostik, Einschätzung und Behandlung.. HNO 2019; 67 (Suppl. 01) 10-42
- 2 Piotrowska A, Raj-Koziak D, Lorens A, Skarżyński H. Tinnitus reported by children aged 7 and 12 years. Int J Pediatr Otorhinolaryngol 2015; 79 (08) 1346-1350
- 3 Tunkel DE, Bauer CA, Sun GH. et al. Clinical practice guideline: tinnitus. Otolaryngol Head Neck Surg 2014; 151 (2, Suppl): S1-S40
- 4 Pruszewicz A. . Audiologia kliniczna – zarys [Clinical audiology – outline]. Poznań: Wydawnictwo Akademii Medycznej im. Karola Marcinkowskiego; 2003
- 5 Yuri L, Taehwa K, Kieun L. et al. The pathophysiology of tinnitus: involvement of the somatosensory, brain, and limbic systems. Audiology and Speech Research 2020; 16 (01) 11-18
- 6 Bhatt JM, Bhattacharyya N, Lin HW. Relationships between tinnitus and the prevalence of anxiety and depression. Laryngoscope 2017; 127 (02) 466-469
- 7 Aazh H, Baguley DM, Moore BCJ. Factors related to insomnia in adult patients with tinnitus and/or hyperacusis: an exploratory analysis. J Am Acad Audiol 2019; 30 (09) 802-809
- 8 Tegg-Quinn S, Bennett RJ, Eikelboom RH, Baguley DM. The impact of tinnitus upon cognition in adults: a systematic review. Int J Audiol 2016; 55 (10) 533-540
- 9 Block J, Kremen AM. IQ and ego-resiliency: conceptual and empirical connections and separateness. J Pers Soc Psychol 1996; 70 (02) 349-361
- 10 Letzring TD, Block J, Funder DC. Ego-control and ego-resiliency: generalization of self-report scales based on personality descriptions from acquaintances, clinicians, and the self. Journal of Research in Personality 2005; 39: 395-422
- 11 Ogińska-Bulik N, Juczyński Z. Skala pomiaru prężności – SPP-25. [Scale for measuring ego-resiliency - SPP-25]. Nowiny Psychologiczne. 2008; 3: 39-56
- 12 Connor KM, Davidson JR. Development of a new Resilience Scale: the Connor-Davidson Resilience Scale (CD-RISC). Depress Anxiety 2003; 18 (02) 76-82
- 13 Wagnild GM, Young HM. Development and psychometric evaluation of the Resilience Scale. J Nurs Meas 1993; 1 (02) 165-178
- 14 Garmezy N, Masten AS, Tellegen A. The study of stress and competence in children: a building block for developmental psychopathology. Child Dev 1984; 55 (01) 97-111
- 15 Tugade MM, Fredrickson BL. Resilient individuals use positive emotions to bounce back from negative emotional experiences. J Pers Soc Psychol 2004; 86 (02) 320-333
- 16 Fredrickson BL, Tugade MM, Waugh CE, Larkin GR. What good are positive emotions in crises? A prospective study of resilience and emotions following the terrorist attacks on the United States on September 11th, 2001. J Pers Soc Psychol 2003; 84 (02) 365-376
- 17 Kózka A, Przybyła-Basista H. Ego-resiliency and parental satisfaction among. The New Educational Review 2007; 48 (02) 239-249
- 18 Perrig-Chiello P, Hutchison S, Morselli D. Patterns of psychological adaptation to divorce after a long-term marriage. J Soc Pers Relat 2015; 32 (03) 386-405
- 19 Bonanno GA, Westphal M, Mancini AD. Resilience to loss and potential trauma. Annu Rev Clin Psychol 2011; 7: 511-535
- 20 Ogińska-Bulik N, Juczyński Z. . Osobowość stres a zdrowie [Personality Stress and Health]. Warsaw: Difin SA; 2010
- 21 Ogińska-Bulik N. Resiliency and satisfaction with life in alcohol-dependent persons. Alkoholizm i Narkomania Alcoholism and Drug Addiction 2014; 27: 319-324
- 22 Waugh CE, Thompson RJ, Gotlib IH. Flexible emotional responsiveness in trait resilience. Emotion 2011; 11 (05) 1059-1067
- 23 Baran A. The role of resiliency in the process of adaptation to life after heart transplantation. Archives of Psychiatry and Psychotherapy http://www.ain.ipin.edu.pl/ 2013; 2: 45-52
- 24 Góralska K, Basińska MA. Resiliency as a predictor of flexibility in coping with stress of cardiac patients. Health Psychol Rep 2019; 7 (03) 191-199
- 25 Ong AD, Zautra AJ, Reid MC. Psychological resilience predicts decreases in pain catastrophizing through positive emotions. Psychol Aging 2010; 25 (03) 516-523
- 26 Gotay CC, Isaacs P, Pagano I. Quality of life in patients who survive a dire prognosis compared to control cancer survivors. Psychooncology 2004; 13 (12) 882-892
- 27 Wallhäusser-Franke E, Delb W, Balkenhol T. et al. Tinnitus-related distress and the personality characteristic resilience ID 370307. Neural Plast 2014
- 28 BIAP Recommendation 02/1: Audiometric Classification of Hearing Impairments.. accessed July 10, 2017 at: https://www.biap.org/fr/recommandations/recommendations/tc-02-classification/213-rec-02-1-en-audiometric-classification-of-hearing-impairments/file
- 29 World Health Organization.. World report on hearing. Geneva;: )accessed March 2, 2021) https://www.who.int/teams/noncommunicable-diseases/sensory-functions-disability-and-rehabilitation/highlighting-priorities-for-ear-and-hearing-care
- 30 Meikle MB, Henry JA, Griest SE. et al. The tinnitus functional index: development of a new clinical measure for chronic, intrusive tinnitus. Ear Hear 2012; 33 (02) 153-176
- 31 Wrzosek M, Szymiec E, Klemens W. et al. Polish translation and validation of the Tinnitus Handicap Inventory and the Tinnitus Functional Index. Front Psychol 2016; 7: 1871
- 32 Skarzynski PH, Raj-Koziak D, J Rajchel J, Pilka A, Wlodarczyk AW, Skarzynski H. Adaptation of the Tinnitus Handicap Inventory into Polish and its testing on a clinical population of tinnitus sufferers. Int J Audiol 2017; 56 (10) 711-715
- 33 Fludra M, Kobosko J, Gos E, Karendys-Łuszcz K, Skarżyński H. Role of personal resources from the perspective of experiencing tinnitus annoyance in adults. Eur Arch Otorhinolaryngol 2020; 277 (06) 1617-1623
- 34 Al-Naser F, Sandman M. Evaluating resilience factors in the face of traumatic events in Kuwait. Sultan Qaboos Univ Med J 2000; 2 (02) 111-116
- 35 MacLeod S, Musich S, Hawkins K, Alsgaard K, Wicker ER. The impact of resilience among older adults. Geriatr Nurs 2016; 37 (04) 266-272
- 36 Galdas PM, Cheater F, Marshall P. Men and health help-seeking behaviour: literature review. J Adv Nurs 2005; 49 (06) 616-623
- 37 Ogińska-Bulik N. The role of resiliency in adjustment to cancer in women. Psychoonkologia 2011; 15 (01) 1-10
- 38 Russo J, Katon W, Sullivan M, Clark M, Buchwald D. Severity of somatization and its relationship to psychiatric disorders and personality. Psychosomatics 1994; 35 (06) 546-556
- 39 Mazurek B, Szczepek AJ, Hebert S. Stress and tinnitus. HNO 2015; 63 (04) 258-265
- 40 Fredrickson BL, Branigan C. Positive emotions broaden the scope of attention and thought-action repertoires. Cogn Emotion 2005; 19 (03) 313-332
- 41 Cohn MA, Fredrickson BL, Brown SL, Mikels JA, Conway AM. Happiness unpacked: positive emotions increase life satisfaction by building resilience. Emotion 2009; 9 (03) 361-368
- 42 Seligman MEP, Rashid T, Parks AC. Positive psychotherapy. Am Psychol 2006; 61 (08) 774-788