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J Am Acad Audiol 2020; 31(08): 553-558
DOI: 10.1055/s-0040-1709447
Research Article

Complaints of People with Hyperacusis

Jia Ke
1   Department of Otolaryngology—Head and Neck Surgery, Peking University Third Hospital, Beijing, China
,
Yali Du
1   Department of Otolaryngology—Head and Neck Surgery, Peking University Third Hospital, Beijing, China
,
Richard S. Tyler
2   Department of Otolaryngology—Head and Neck Surgery, University of Iowa, Iowa City, Iowa
3   Department of Communication Sciences and Disorders, University of Iowa, Iowa City, Iowa
,
Ann Perreau
2   Department of Otolaryngology—Head and Neck Surgery, University of Iowa, Iowa City, Iowa
4   Department of Communication Sciences and Disorders, Augustana College, Rock Island, Illinois
,
Patricia C. Mancini
2   Department of Otolaryngology—Head and Neck Surgery, University of Iowa, Iowa City, Iowa
5   Postgraduate Program in Ciencias Fonoaudiologicas, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
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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.

Keywords

complaint - hyperacusis - tinnitus

Supplementary Material



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
    CrossrefPubMedGoogle Scholar
  • 2 Paulin J, Andersson L, Nordin S. Characteristics of hyperacusis in the general population. Noise Health 2016; 18 (83) 178-184
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 4 Schecklmann M, Landgrebe M, Langguth B. TRI Database Study Group. Phenotypic characteristics of hyperacusis in tinnitus. PLoS One 2014; 9 (01) e86944
    CrossrefPubMedGoogle Scholar
  • 5 Møller AR. Sensorineural tinnitus: its pathology and probable therapies. Int J Otolaryngol 2016; 2016: 2830157
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    Article in Thieme ConnectPubMedGoogle Scholar
  • 15 Dauman R, Bouscau-Faure F. Assessment and amelioration of hyperacusis in tinnitus patients. Acta Otolaryngol 2005; 125 (05) 503-509
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 17 Fowler EP. Some attributes of “loudness recruitment” and “loudness decruitment”. Ann Otol Rhinol Laryngol 1965; 74: 500-506
    CrossrefPubMedGoogle Scholar
  • 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
    Article in Thieme ConnectPubMedGoogle Scholar
  • 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
    Article in Thieme ConnectGoogle Scholar
  • 20 Brandy WT, Lynn JM. Audiologic findings in hyperacusic and nonhyperacusic subjects. Am J Audiol 1995; 4: 46-51
    CrossrefGoogle Scholar
  • 21 Sheldrake J, Diehl PU, Schaette R. Audiometric characteristics of hyperacusis patients. Front Neurol 2015; 6: 105
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 23 Woodhouse A, Drummond PD. Mechanisms of increased sensitivity to noise and light in migraine headache. Cephalalgia 1993; 13 (06) 417-421
    CrossrefPubMedGoogle Scholar
  • 24 Edvinsson L, Uddman R. Neurobiology in primary headaches. Brain Res Brain Res Rev 2005; 48 (03) 438-456
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 28 Anari M, Axelsson A, Eliasson A, Magnusson L. Hypersensitivity to sound--questionnaire data, audiometry and classification. Scand Audiol 1999; 28 (04) 219-230
    CrossrefPubMedGoogle Scholar
  • 29 Nelson JJ, Chen K. The relationship of tinnitus, hyperacusis, and hearing loss. Ear Nose Throat J 2004; 83 (07) 472-476
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    Google Scholar
  • 32 Amir I, Lamerton D, Montague ML. Hyperacusis in children: the Edinburgh experience. Int J Pediatr Otorhinolaryngol 2018; 112: 39-44
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    Article in Thieme ConnectPubMedGoogle Scholar
  • 35 Aazh H, Moore BCJ. Factors associated with depression in patients with tinnitus and hyperacusis. Am J Audiol 2017; b 26 (04) 562-569
    CrossrefPubMedGoogle Scholar
  • 36 Fioretti AB, Varakliotis T, Poli O, Cantagallo M, Eibenstein A. Severe hyperacusis, photophobia, and skin hypersensitivity. Case Rep Otolaryngol 2016; 2016: 2570107
    PubMedGoogle Scholar
  • 37 Stephens D. A history of tinnitus. In: Tyler RS. ed. Tinnitus Handbook. San Diego, CA: Singular Publishing Group; 2000: 437-448
    Google Scholar