Cited by 233Hearing, Cochlea, Tinnitus, GeneticsHearing Loss and RehabilitationNoise Effects and Management

Tinnitus and anxiety disorders: a review

Pattyn, T., Van Den Eede, F., Vanneste, S., Cassiers, L., Veltman, D.J., Van De Heyning, P., Sabbe, B.C.G.·2016·Hearing Research

Abstract

Background The most common form of tinnitus is a subjective, auditory, and distressing phantom phenomenon. Comorbidity with depression is high but other important psychiatric disorders such as anxiety disorders have received less attention. The current paper reviews the literature on the associations between tinnitus and anxiety disorders and the underlying pathophysiology, and discusses the clinical implications.Methodology PubMed and Web of Science were searched for all articles published up until October 2014 using combinations of the following search strings "Tinnitus", "Anxiety disorder", "Panic Disorder", "Generalized Anxiety Disorder", "Post traumatic stress disorder", "PTSD" "Social Phobia", "Phobia Disorder", "Obsessive Compulsive Disorder", "Agoraphobia".Results A total of 117 relevant papers were included. A 45% lifetime prevalence of anxiety disorders is reported in tinnitus populations, while an important overlap in associated (sub)cortical brain areas and cortico-subcortical networks involved in attention, distress, and memory functions is suggested. A disturbed hypothalamic-pituitary-adrenal axis function can be found in tinnitus and in anxiety disorders but, in comorbidity, the direction of the dysfunction is unclear.Conclusion Comorbidity is high and screening for and treatment of anxiety disorders is recommended in moderate to severe tinnitus, as, given the overlap in the structural and functional brain circuitries involved, theoretically, their management could improve (subjective) levels of tinnitus although further empirical research on this topic is required.

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Authors
Pattyn, T., Van Den Eede, F., Vanneste, S., Cassiers, L., Veltman, D. J., Van De Heyning, P., & Sabbe, B. C. G.
Affiliations
  • University of Antwerp (BE)
  • Amsterdam Neuroscience (NL)
Corresponding author
Pattyn, T.
Venue
Hearing Research
Publisher
Elsevier BV
Published
2016-03
Volume
333
Pages
255-265
ISSN
0378-5955 (ISSN-L)
OpenAlex
W1213830217
Cited by
233
References
120
Citations by year
2026: 10 · 2025: 29 · 2024: 21 · 2023: 17 · 2022: 26 · 2021: 43 · 2020: 32 · 2019: 14 · 2018: 14 · 2017: 16 · 2016: 10
FWCI
1.98
Type
journal article
Language
en
Open access
closed
Locations
  • Hearing Research (publishedVersion)
  • PubMed (publishedVersion)
  • Pure Amsterdam UMC (publishedVersion)
  • Amsterdam UMC (VU Amsterdam) - Institutional Repository (publishedVersion)
  • VUBIR (Vrije Universiteit Brussel) (submittedVersion)
  • Data Archiving and Networked Services (DANS) (submittedVersion)
Funders
University of Antwerp (5739, TOP-BOF 2012-2015)
Topics
  • Life Sciences › Neuroscience › Sensory Systems › Hearing, Cochlea, Tinnitus, Genetics
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Hearing Loss and Rehabilitation
  • Health Sciences › Health Professions › Speech and Hearing › Noise Effects and Management
Keywords
tinnitus, anxiety disorders, comorbidities, panic disorder, generalized anxiety disorder, post-traumatic stress disorder, social anxiety disorder, phobia, obsessive-compulsive disorder, agoraphobia, hypothalamic-pituitary-adrenal axis, cortico-subcortical networks, tinnitus screening, tinnitus treatment
MeSH terms
Anxiety Disorders, Auditory Perception, Humans, Prognosis, Risk Factors, Tinnitus, Comorbidity, Prevalence

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