Assessment and amelioration of hyperacusis in tinnitus patients
Abstract
CONCLUSIONS: Tinnitus can be bothersome even without hyperacusis. The good correlation found in this study between the multiple-activity scale for hyperacusis (MASH) score and the overall annoyance of hyperacusis score supports the reliability of self-rating of hyperacusis. Objectives. A prospective study was undertaken to investigate the relationships between hyperacusis and tinnitus and to determine whether hyperacusis can be rapidly controlled over time. MATERIAL AND METHODS: All tinnitus patients seen over a period of 16 months with surnames beginning with the letters A L (n = 249) were assessed during a structured interview using (i) a scale ranging from 0 to 10 for assessing the annoyance of tinnitus and the overall annoyance of hyperacusis and (ii) the newly introduced MASH. RESULTS: The annoyance of tinnitus was greater in females. The prevalence of hyperacusis was high (79%). The annoyance of hyperacusis varied. Patients were categorized into five groups according to the hyperacusis annoyance score, as follows: no hyperacusis; mild hyperacusis (< or = 3); moderate hyperacusis (3.1-5.0); substantial hyperacusis (5.1-7.0); and severe hyperacusis (> or = 7.1). Individuals with severe hyperacusis were younger than those in the other groups. The correlation between the annoyance of tinnitus and the annoyance of hyperacusis was poor (r = 0.35). No audiometric difference was found between categories, whereas self-rated hearing deficiency increased with the annoyance of hyperacusis. A good correlation (r = 0.89) was found between the overall annoyance of hyperacusis and the MASH score. Changes over time, assessed in 32 patients investigated at least 3 times, showed more frequent improvement in hyperacusis (63%) than tinnitus (47%).
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The remaining studies reported a variety of different outcome measures, ranging from single item visual analogue scales to multi-item hyperacusis-specific questionnaires such as MASH and the Sound Hypersensitivity Questionnaire.
“The remaining studies reported a variety of different outcome measures, ranging from single item visual analogue scales to multi-item hyperacusis-specific questionnaires such as Multiple Activity Scale for Hyperacusis (MASH) [67] and Sound Hypersensitivity Questionnaire [62].”
From Clinical Interventions for Hyperacusis in Adults: A Scoping Review to Assess the Current Position and Determine Priorities for Research (2017) · cites this paper as [67]
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“We and others, beginning with Hazell and Sheldrake,(1) have documented positive treatment effects from use of low-level sound therapy among normal-hearing volunteers(22,23) and in various patient groups.(22,32,33) These positive treatment-related changes have been ascribed to effects on central auditory gain control p…”
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Factors related to tinnitus and hyperacusis handicap in older people
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“There is a high prevalence of symptoms of depression in patients with hyperacusis (Dauman & Bouscau-Faure, 2005; Juris et al, 2013).”
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“This may help to explain the high comorbidity ( 79%) of tinnitus and a decreased tolerance to sound experienced in hyperacusis (Dauman and Bouscau-Faure 2005).”
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“This patientcentered assessment and monitoring process can be formalized using an appropriate questionnaire or interview process at both baseline and follow-up visits (Dauman & Bouscau-Faure, 2005).”
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Goebel, G., & Floezinger, U. (2008) · Hearing Balance and Communication · doi:10.1080/16513860801959100 · Cited by 38 · see citing works
“Since tinnitus and hyperacusis interact, treating hyperacusis with counselling and noise generators (NG) also reduces tinnitus impairment in addition to reducing the severity of the hyperacusis (1,18,19).”
BackgroundMethodInfluentialValidity of the Italian version of Khalfa's questionnaire on hyperacusis.
Fioretti, A. B., Tortorella, F., Masedu, F., Valenti, M., Fusetti, M., & Pavaci, S. (2015) · PubMed Central · Cited by 36 · see citing works
Hyperacusis and Disorders of Loudness Perception
Baguley, D., & McFerran, D. J. (2010) · Springer eBooks · doi:10.1007/978-1-60761-145-5_3 · Cited by 36 · see citing works
Mazurek, B., Stöver, T., Haupt, H., Klapp, B. F., Adli, M., Gross, J. P., & Szczepek, A. J. (2009) · HNO · doi:10.1007/s00106-009-2001-5 · Cited by 36 · see citing works
Tinnitus, Unipolar Brush Cells, and Cerebellar Glutamatergic Function in an Animal Model
Bauer, C. A., Wisner, K. W., Baizer, J. S., & Brozoski, T. J. (2013) · PLoS ONE · doi:10.1371/journal.pone.0064726 · Cited by 35 · see citing works
“Estimates range from 40–80% but no systematic survey has been conducted and therefore the true prevalence is unknown [61,62,63].”
BackgroundHyperacusis: Loudness intolerance, fear, annoyance and pain
Salvi, R., Chen, G., & Manohar, S. (2022) · Hearing Research · doi:10.1016/j.heares.2022.108648 · Cited by 32 · see citing works
Salicylate-induced hyperacusis in rats: Dose- and frequency-dependent effects
Radziwon, K. E., Holfoth, D. P., Lindner, J., Kaier-Green, Z., Bowler, R. A., Urban, M. E., & Salvi, R. (2017) · Hearing Research · doi:10.1016/j.heares.2017.04.004 · Cited by 31 · see citing works
“Among patients with a primary complaint of hyperacusis, more than 80% also suffer from tinnitus (Anari et al., 1999; Andersson et al., 2002; Dauman and Bouscau-Faure, 2005; Tyler et al., 2014) whereas among those with a primary complaint of fness, State University of New alo, NY, 14214, USA.…”
BackgroundStudy of the relationship between the degree of tinnitus annoyance the presence of hyperacusis
Guimarães, A. C., de Carvalho, G. M., Zappelini, C. E. M., Mezzalira, R., Stoler, G., Paschoal, J. R., & Dias, V. M. M. D. F. (2014) · Brazilian Journal of Otorhinolaryngology · doi:10.5935/1808-8694.20140007 · Cited by 30 · see citing works
Oishi, N., Yamada, H., Kanzaki, S., Kurita, A., Takiguchi, Y., Yuge, I., Asama, Y., Masuda, M., & Ogawa, K. (2017) · Acta Oto-Laryngologica · doi:10.1080/00016489.2017.1306654 · Cited by 29 · see citing works
“In order to evaluate the extent of the condition, a couple of validated questionnaires have been published in the English literatures, including a hyperacusis questionnaire (HQ) developed by Khalfa [4], the questionnaire on hypersensitivity to sound (GUF) [5], and the multiple activity scale for hyperacusis (MASH) [6].”
BackgroundModulation of Electrocortical Brain Activity by Attention in Individuals with and without Tinnitus
Paul, B. T., Bruce, I. C., Bosnyak, D. J., Thompson, D. C., & Roberts, L. E. (2014) · Neural Plasticity · doi:10.1155/2014/127824 · Cited by 28 · see citing works
“Many individuals with tinnitus also experience some degree of hyperacusis expressed either by verbal reports of sensitivity to environmental sounds [41] or by loudness growth functions that are steeper than those observed in individuals with similar audiometric profiles [42].”
BackgroundDauman, N., Erlandsson, S., Albarracín, D., & Dauman, R. (2017) · Frontiers in Aging Neuroscience · doi:10.3389/fnagi.2017.00272 · Cited by 27 · see citing works
“While tinnitus and hyperacusis do not always overlap clinically, the findings by Hébert et al. (ibid) support the relevance of identifying a sub-group of patients for whom specific treatments may be beneficial (Dauman and Bouscau-Faure, 2005; Schecklmann et al., 2014).”
BackgroundSelf-citationIdentifying Tinnitus‐Related Genes Based on a Side‐Effect Network Analysis
Elgoyhen, A. B., Langguth, B., Nowak, W., Schecklmann, M., Ridder, D. D., & Vanneste, S. (2014) · CPT Pharmacometrics & Systems Pharmacology · doi:10.1038/psp.2013.75 · Cited by 27 · see citing works
van Zwieten, G., Janssen, M. L. F., Smit, J. V., Janssen, A. M. L., Roet, M., Jahanshahi, A., Stokroos, R. J., & Temel, Y. (2018) · Neuromodulation Technology at the Neural Interface · doi:10.1111/ner.12795 · Cited by 27 · see citing works
Salloum, R. H., Sandridge, S. A., Patton, D. J., Stillitano, G., Dawson, G., Niforatos, J., Santiago, L., & Kaltenbach, J. A. (2015) · Hearing Research · doi:10.1016/j.heares.2015.10.005 · Cited by 26 · see citing works
“…in a large proportion of patients suffering from tinnitus with prevalence rates ranging from 18 to 79% (Guimarães et al., 2014; Jastreboff and Jastreboff, 2000; Baguley et al., 2013a,b; Schecklmann et al., 2014; Hebert et al., 2013; Dauman and Bouscau-Faure, 2005; Bartnik et al., 1999, 2001).”
Engelhardt, J., Dauman, R., Arné, P., Michèle Allard, A., Dauman, N., Branchard, O., Perez, P., Germain, C., Caire, F., Bonnard, D., et al. (2014) · Brain stimulation · doi:10.1016/j.brs.2014.05.008 · Cited by 24 · see citing works
Self-citationMinimally Invasive Surgery for the Treatment of Hyperacusis
Silverstein, H., Ojo, R. B., Daugherty, J., Nazarian, R., & Wazen, J. J. (2016) · Otology & Neurotology · doi:10.1097/mao.0000000000001214 · Cited by 23 · see citing works
Evaluación de la hiperacusia: test de hipersensibilidad al sonido
Herráiz, C., Santos, G. D. L., Diges, I., Díez, R., Aparicio, J. M., & Herráiz, C. (2006) · Acta Otorrinolaringológica Española · doi:10.1016/s0001-6519(06)78716-7 · Cited by 23 · see citing works
Complaints of People with Hyperacusis
Ke, J., Du, Y., Tyler, R. S., Perreau, A. E., & Mancini, P. C. (2020) · Journal of the American Academy of Audiology · doi:10.1055/s-0040-1709447 · Cited by 21 · see citing works
Turkish Adaptation of Khalfa Hyperacusis Questionnaire
Erinç, M., & Derinsu, U. (2020) · Medeniyet Medical Journal · doi:10.5222/mmj.2020.97947 · Cited by 21 · see citing works
“The Hyperacusis Questionnaire (HQ) 3 , Multiple Activity Scale for Hyperacusis (MASH) 7 , and Questionnaire on Hypersensitivity to Sound (GÜF - Geräuschüberempfindlichkeit) 8 are the most commonly used scales in the measurement of hyperacusis.”
Clinical and investigational tools for monitoring noise-induced hyperacusis
Jahn, K. N. (2022) · The Journal of the Acoustical Society of America · doi:10.1121/10.0012684 · Cited by 20 · see citing works
Sturm, J. J., & Weisz, C. J. C. (2015) · Journal of Neurophysiology · doi:10.1152/jn.00948.2014 · Cited by 20 · see citing works
Fournier, P., Schönwiesner, M., & Hébert, S. (2014) · Neuroscience · doi:10.1016/j.neuroscience.2014.08.007 · Cited by 20 · see citing works
“(Dauman and Bouscau-Faure, 2005), lower ULL, steeper loudness growth functions (Hébert et al., 2013), and higher ASR responsiveness (Fournier and Hébert, 2013).”
BackgroundPalacios, G., Noreña, A. J., & Londero, A. (2020) · Audiology and Neurotology · doi:10.1159/000504741 · Cited by 19 · see citing works
“ST is often associated with another debilitating condition namely hyperacusis (HA), that is, intolerance to certain environmental sounds [Dauman and Bouscau-Faure, 2005; Tyler et al., 2014].”
BackgroundTheodoroff, S. M., & Konrad-Martin, D. (2020) · Otolaryngologic clinics of North America · doi:10.1016/j.otc.2020.03.004 · Cited by 20 · see citing works
Han, L., Pengfei, Z., Liu, Z., Fei, Y., Ting, L., Cheng, D., & Zhenchang, W. (2015) · Neuroscience · doi:10.1016/j.neuroscience.2015.09.032 · Cited by 19 · see citing works
Stefanelli, A. C. G. F., Zanchetta, S., & Furtado, E. F. (2020) · CoDAS · doi:10.1590/2317-1782/20192018287 · Cited by 19 · see citing works
“The use of specific, standardized and validated questionnaires/inventories(25-27) may help to identify the risk population for HPA.”
BackgroundBerger, J. I., Owen, W., Wilson, C. A., Hockley, A. D., Coomber, B., Palmer, A. R., & Wallace, M. N. (2017) · Brain Research · doi:10.1016/j.brainres.2017.11.026 · Cited by 17 · see citing works
“Hyperacusis is characterised by an oversensitivity to sound and is often co-morbid with tinnitus, suggesting that the two may have similar underlying aetiologies (e.g. Anari et al., 1999; Dauman and Bouscau-Faure, 2005).”
Loudness perception affected by high doses of salicylate—A behavioral model of hyperacusis
Chao, Z., Flowers, E., Li, J., Wang, Q., & Sun, W. (2014) · Behavioural Brain Research · doi:10.1016/j.bbr.2014.05.045 · Cited by 17 · see citing works
Hyperacusis diagnosis and management in the United States: clinical audiology practice patterns
Jahn, K. N., & Koach, C. E. (2023) · American Journal of Audiology · doi:10.1044/2023_aja-23-00118 · Cited by 15 · see citing works
Fackrell, K., Sereda, M., Smith, S., Sheldrake, J. B., & Hoare, D. J. (2022) · Brain Sciences · doi:10.3390/brainsci12121615 · Cited by 16 · see citing works
“For example, the Hyperacusis Questionnaire (HQ) measures attentional deficits due to noise disturbance, social behavioural and emotional consequences of hyperacusis [15], the Inventory of Hyperacusis Symptoms (IHS) measures psychosocial impact, emotional arousal, functional impact, general loudness, and communication…”
BackgroundStimulus-timing-dependent modifications of rate-level functions in animals with and without tinnitus
Stefanescu, R. A., Koehler, S. D., & Shore, S. E. (2014) · Journal of Neurophysiology · doi:10.1152/jn.00457.2014 · Cited by 16 · see citing works
A Conditioned Behavioral Paradigm for Assessing Onset and Lasting Tinnitus in Rats
Pace, E., Luo, H., Bobian, M. R., Panekkad, A., Zhang, X., Zhang, H., & Zhang, J. (2016) · PLoS ONE · doi:10.1371/journal.pone.0166346 · Cited by 16 · see citing works
“Lastly, another factor that should be taken into account is hyperacusis, given its comorbidity with tinnitus [62, 63] and the presence of hyperacusis-like behavior in rodents [64].”
BackgroundPrabhu, P., & Nagaraj, M. K. (2020) · Journal of Otology · doi:10.1016/j.joto.2019.12.004 · Cited by 16 · see citing works
“The standard and validated hyperacusis questionnaires such as German Questionnaire on Hypersensitivity to Sound (Bl€asing et al., 2010), Multiple-Activity Scale for Hyperacusis (MASH) (Dauman and Bouscau-Faure, 2005) and Khalfa Hyperacusis Questionnaire (Khalfa et al., 2002) were used as a reference.”
MethodHertzano, R. P., Lipford, E. L., & Depireux, D. A. (2020) · Otolaryngologic Clinics of North America · doi:10.1016/j.otc.2020.03.008 · Cited by 16 · see citing works
Long-Term Effects of COVID-19 and the Pandemic on Tinnitus Patients
Erinç, M., Mutlu, A., Çelik, S., Kalcioglu, M. T., & Szczepek, A. J. (2022) · Frontiers in Neurology · doi:10.3389/fneur.2022.921173 · Cited by 15 · see citing works
“The annoyance may also be associated with the social situation (50) or having perceived control over the noisy situation (51), which are the problems recently observed among the increased number of people working from home during the pandemic period.”
BackgroundHyperacusis and Misophonia: A Systematic Review of Psychometric Measures
Kula, F. B., Cropley, M., & Aazh, H. (2022) · Journal of the American Academy of Audiology · doi:10.1055/a-1896-5032 · Cited by 14 · see citing works
“37 The development procedure and metrics were not reported in this paper, so it was not possible to review its psychometric properties.”
Jüris, L., Ekselius, L., Andersson, G., & Larsen, H. C. (2013) · Hearing Balance and Communication · doi:10.3109/21695717.2013.780409 · Cited by 14 · see citing works
Rybalko, N., Mitrovic, D., Šuta, D., Bureš, Z., Popelář, J., & Syka, J. (2019) · Physiology & Behavior · doi:10.1016/j.physbeh.2019.112620 · Cited by 14 · see citing works
Hyperacusis Assessment Questionnaire—A New Tool Assessing Hyperacusis in Subjects with Tinnitus
Raj-Koziak, D., Gos, E., Kutyba, J. J., Skarzynski, P. H., & Skarżyńśki, H. (2023) · Journal of Clinical Medicine · doi:10.3390/jcm12206622 · Cited by 15 · see citing works
“The Multiple-Activity Scale for Hyperacusis (MASH) is an instrument that considers 14 activities or places (e.g., concerts, shopping centers) where noise discomfort can be experienced and captures the level of annoyance on a scale from 1 to 10 [39].”
BackgroundLoudness perception affected by early age hearing loss
Sun, W., Fu, Q., Zhang, C., Manohar, S., Kumaraguru, A., & Li, J. (2014) · Hearing Research · doi:10.1016/j.heares.2014.04.002 · Cited by 13 · see citing works
An Empowerment Model for Individuals with Chronic Tinnitus.
Dauman, N., & Dauman, R. (2020) · Ear and Hearing · doi:10.1097/aud.0000000000000946 · Cited by 10 · see citing works
Self-citation
- Authors
- Dauman, R., & Bouscau-Faure, F.
- Affiliations
- Centre Hospitalier Universitaire de Bordeaux (FR)
- Corresponding author
- Dauman, René
- Venue
- Acta Oto-Laryngologica
- Publisher
- Informa UK Limited
- Published
- 2005-05
- Volume
- 125
- Issue
- 5
- Pages
- 503-509
- ISSN
- 0001-6489 (ISSN-L)
- 1651-2251
- OpenAlex
- W2157301875
- Cited by
- 179
- References
- 21
- Citations by year
- 2026: 9 · 2025: 8 · 2024: 9 · 2023: 7 · 2022: 12 · 2021: 8 · 2020: 18 · 2019: 9 · 2018: 6 · 2017: 12 · 2016: 6 · 2015: 13 · 2014: 21 · 2013: 9 · 2012: 11
- FWCI
- 1.12
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Acta Oto-Laryngologica (publishedVersion)
- PubMed (publishedVersion)
- 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
- hyperacusis, tinnitus, tinnitus annoyance, sex differences
- MeSH terms
- Adult, Female, Hearing Aids, Humans, Male, Middle Aged, Prospective Studies, Surveys and Questionnaires, Hyperacusis, Severity of Illness Index, Tinnitus, Prevalence, Treatment Outcome
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