Hypersensitivity to sound: Questionnaire data, audiometry and classification
Abstract
This study included consecutive case histories and audiometry of 100 patients with hypersensitivity to sounds. There are several different conditions with the symptom of hypersensitivity to sounds. Hyperacusis is one of those and is seldom described in the literature. The term hyperacusis is often used synonymously with hypersensitivity to sound. We propose that there is a specific condition that could be termed hyperacusis. Hyperacusis is often elicited by loud sounds or by a number of other traumata or diseases. It is not typical of occupational noise exposure (with the exception of exposure to music). The typical patient is relatively young, the mean age being approximately 10 years less than for a population of patients with tinnitus or noise-induced hearing loss. In addition to hypersensitivity to sound, the patients often suffer from tinnitus (86%). Sounds are frequently painful and exposure to loud sounds worsens the condition for some time. The patients often have headaches. Pure tone audiograms show normal hearing or a slight high tone loss. The uncomfortable loudness level is markedly decreased, mostly less than 90 dB HL. Patients with hyperacusis may also be divided into those hypersensitive to the loudness of sounds with a decreased pure tone uncomfortable loudness level and those hypersensitive to certain specific sounds irrespective of loudness showing relatively high pure tone uncomfortable loudness levels and decreased uncomfortable loudness levels to specific sounds. With a careful history other conditions with the symptom of hypersensitivity to sound can be excluded.
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86% of adult patients with a primary complaint of hyperacusis experience tinnitus.
“86% of adult patients with a primary complaint of hyperacusis experience tinnitus [8]”
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 [8]
There is an apparent association between hyperacusis and tinnitus.
“There is an apparent association between hyperacusis and tinnitus, with 86% of adult patients with a primary complaint of hyperacusis experience tinnitus [8] and 40% of patients with a primary complaint of tinnitus experience hyperacusis as well [9].”
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 [8]
Cites
A neurophysiological approach to tinnitus: Clinical implications
Jastreboff, P. J., & Hazell, J. W. P. (1993) · British Journal of Audiology · doi:10.3109/03005369309077884 · Cited by 721 · see citing works
The functional neuroanatomy of tinnitus
Lockwood, A. H., Salvi, R., Coad, M. L., Towsley, M. L., Wack, D. S., & Murphy, B. W. (1998) · Neurology · doi:10.1212/wnl.50.1.114 · Cited by 605 · see citing works
Handbook of Perception and Cognition
(1994) · Elsevier eBooks · doi:10.1016/b978-0-08-057169-0.50001-2 · Cited by 577 · see citing works
Hyperacusis and Otitis Media in Individuals with Williams Syndrome
Klein, A. J., Armstrong, B. L., Greer, M. K., & Brown, F. R. (1990) · Journal of Speech and Hearing Disorders · doi:10.1044/jshd.5502.339 · Cited by 182 · see citing works
Is central hyperacusis a symptom of 5-hydroxytryptamine (5-HT) dysfunction?
Marriage, J. E., & Barnes, N. M. (1995) · The Journal of Laryngology & Otology · doi:10.1017/s0022215100131676 · Cited by 140 · see citing works
Mechanisms of Increased Sensitivity to Noise and Light in Migraine Headache
Woodhouse, A., & Drummond, P. D. (1993) · Cephalalgia · doi:10.1046/j.1468-2982.1993.1306417.x · Cited by 120 · see citing works
Tinnitus - Hyperacusis and the Loudness Discomfort Level Test - A Preliminary Report.
Goldstein, B., & Shulman, A. (1996) · PubMed · Cited by 81 · see citing works
Axelsson, A., & Hamernik, R. P. (1987) · Acta Oto-Laryngologica · doi:10.3109/00016488709107322 · Cited by 75 · see citing works
Self-citationAudiological manifestations of Ramsay Hunt syndrome
Wayman, D. M., PHAM, H. N., Byl, F. M., & Adour, K. K. (1990) · The Journal of Laryngology & Otology · doi:10.1017/s0022215100111971 · Cited by 75 · see citing works
Magnusson, L. (1995) · Scandinavian Audiology · doi:10.3109/01050399509047539 · Cited by 62 · see citing works
Self-citationAcoustic Reflex and Loudness Discomfort in Acute Facial Paralysis
Citron, D., & Adour, K. K. (1978) · Archives of Otolaryngology - Head and Neck Surgery · doi:10.1001/archotol.1978.00790060005001 · Cited by 48 · see citing works
Hyperacusis and Williams syndrome
Nigam, A., & Samuel, P. R. (1994) · The Journal of Laryngology & Otology · doi:10.1017/s0022215100127203 · Cited by 45 · see citing works
Audiologic Findings in Hyperacusic and Nonhyperacusic Subjects
Brandy, W. T., & Lynn, J. M. (1995) · American Journal of Audiology · doi:10.1044/1059-0889.0401.46 · Cited by 43 · see citing works
Hawkins, D. B. (1980) · Journal of Speech and Hearing Disorders · doi:10.1044/jshd.4501.03 · Cited by 40 · see citing works
The functional neuroanatomy of tinnitus
Lockwood, A. H., & Salvi, R. (1998) · Neurology · doi:10.1212/wnl.51.2.648 · Cited by 39 · see citing works
Abnormal middle ear muscle reflexes and audiosensitivity
Gordon, A. G. (1986) · British Journal of Audiology · doi:10.3109/03005368609079002 · Cited by 36 · see citing works
Auditory Dysfunction With Facial Paralysis
McCandless, G. A., & Schumacher, M. H. (1979) · Archives of Otolaryngology - Head and Neck Surgery · doi:10.1001/archotol.1979.00790170041011 · Cited by 35 · see citing works
Changes in Loudness After Stapedectomy
McCandless, G. A., & Goering, D. M. (1974) · Archives of Otolaryngology - Head and Neck Surgery · doi:10.1001/archotol.1974.00780040356005 · Cited by 29 · see citing works
Magnusson, L. (1996) · Scandinavian Audiology · doi:10.3109/01050399609074957 · Cited by 28 · see citing works
Self-citationSchick, A., Höge, H., Lazarus-Mainka, G., Meis, M., & Reckhardt, C. (1986) · Bibliotheks- und Informationssystem der Universität Oldenburg eBooks · Cited by 24 · see citing works
Phonophobia After Stapedectomy
Mathisen, H. S. (1969) · Acta Oto-Laryngologica · doi:10.3109/00016486909121544 · Cited by 24 · see citing works
Manual of Practical Audiometry
Arlinger, S. D. (1990) · Ear and Hearing · doi:10.1097/00003446-199006000-00022 · Cited by 22 · see citing works
Imipramine in Hyperacusic Depression
Carman, J. S. (1973) · American Journal of Psychiatry · doi:10.1176/ajp.130.8.937 · Cited by 22 · see citing works
Audiological Aspects of Idiopathic Perilymphatic Fistula
Fukaya, T., & Nomura, Y. (1988) · Acta Oto-Laryngologica · doi:10.3109/00016488809125080 · Cited by 22 · see citing works
Tschiassny, K. (1949) · The Laryngoscope · doi:10.1288/00005537-194908000-00005 · Cited by 16 · see citing works
M�ni�re's disease: endolymphatic hypertension or perilymphatic hypotension?
Gordon, A. G. (1983) · Clinical Otolaryngology · doi:10.1111/j.1365-2273.1983.tb01444.x · Cited by 14 · see citing works
Adverse reaction to acoustic reflex testing.
Elonka, D. R. (1986) · PubMed · Cited by 4 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Psychometric Normalization of a Hyperacusis Questionnaire
Khalfa, S., Dubal, S., Veuillet, E., Perez-Diaz, F., Jouvent, R., & Collet, L. (2002) · ORL · doi:10.1159/000067570 · Cited by 488 · see citing works
A multidisciplinary European guideline for tinnitus: diagnostics, assessment, and treatment
Cima, R. F. F., Mazurek, B., Haider, H., Kikidis, D., Lapira, A., Noreña, A., & Hoare, D. J. (2019) · HNO · doi:10.1007/s00106-019-0633-7 · Cited by 442 · see citing works
A review of hyperacusis and future directions: Part I. Definitions and manifestations
Tyler, R. S., Pienkowski, M., Roncancio, E. R., Jun, H. J., Brozoski, T., Dauman, N., Coelho, C. B., Andersson, G., Keiner, A. J., Cacace, A. T., et al. (2014) · American Journal of Audiology · doi:10.1044/2014_aja-14-0010 · Cited by 329 · see citing works
Treatments for decreased sound tolerance (hyperacusis and misophonia)
Jastreboff, M., & Jastreboff, P. (2014) · Seminars in Hearing · doi:10.1055/s-0034-1372527 · Cited by 245 · see citing works
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 · doi:10.1016/j.heares.2015.08.014 · Cited by 233 · see citing works
Decreased Sound Tolerance and Tinnitus Retraining Therapy (TRT)
Jastreboff, M. M., & Jastreboff, P. J. (2002) · Australian and New Zealand Journal of Audiology · doi:10.1375/audi.24.2.74.31105 · Cited by 210 · see citing works
Andersson, G., Lindvall, N., Hursti, T., Carlbring, P., & Andersson, G. (2002) · International Journal of Audiology · doi:10.3109/14992020209056075 · Cited by 189 · see citing works
Assessment and amelioration of hyperacusis in tinnitus patients
Dauman, R., & Bouscau-Faure, F. (2005) · Acta Oto-Laryngologica · doi:10.1080/00016480510027565 · Cited by 179 · see citing works
Williams, Z. J., He, J. L., Cascio, C. J., & Woynaroski, T. G. (2021) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2020.11.030 · Cited by 175 · see citing works
(2015) · Handbook of Clinical Neurology · doi:10.1016/b978-0-444-62630-1.00021-4 · Cited by 151 · see citing works
Characteristics of hyperacusis in the general population
Paulin, J., Andersson, L., & Nordin, S. (2016) · Noise and Health · doi:10.4103/1463-1741.189244 · Cited by 139 · see citing works
A review of hyperacusis and future directions: part II. Measurement, mechanisms, and treatment
Pienkowski, M., Tyler, R. S., Roncancio, E. R., Jun, H. J., Brozoski, T., Dauman, N., Coelho, C. B., Andersson, G., Keiner, A. J., Cacace, A. T., et al. (2014) · American Journal of Audiology · doi:10.1044/2014_aja-13-0037 · Cited by 138 · see citing works
Enriched acoustic environment rescales auditory sensitivity
Noreña, A. J., & Chery-Croze, S. (2007) · NeuroReport · doi:10.1097/wnr.0b013e3282202c35 · Cited by 130 · see citing works
Psychiatric comorbidity and personality traits in patients with hyperacusis
Jüris, L., Andersson, G., Larsen, H. C., & Ekselius, L. (2013) · International Journal of Audiology · doi:10.3109/14992027.2012.743043 · Cited by 114 · see citing works
Fackrell, K., Fearnley, C., Hoare, D. J., & Sereda, M. (2015) · BioMed Research International · doi:10.1155/2015/290425 · Cited by 110 · see citing works
Cognitive behaviour therapy for hyperacusis: A randomized controlled trial
Jüris, L., Andersson, G., Larsen, H. C., & Ekselius, L. (2014) · Behaviour Research and Therapy · doi:10.1016/j.brat.2014.01.001 · Cited by 85 · see citing works
Fackrell, K., Potgieter, I., Shekhawat, G. S., Baguley, D. M., Sereda, M., & Hoare, D. J. (2017) · BioMed Research International · doi:10.1155/2017/2723715 · Cited by 84 · see citing works
“Evidence for the reliability of LDLs is variable [69, 70] with reliability depending on a number of factors including instructions given to patients [71] and choice of sound stimuli [8].”
BackgroundHyperacusis: major research questions
Baguley, D. M., & Hoare, D. J. (2018) · HNO · doi:10.1007/s00106-017-0464-3 · Cited by 78 · see citing works
Misophonia and Potential Underlying Mechanisms: A Perspective
Palumbo, D. B., Alsalman, O., De Ridder, D., Song, J.-J., & Vanneste, S. (2018) · Frontiers in Psychology · doi:10.3389/fpsyg.2018.00953 · Cited by 76 · see citing works
Siepsiak, M., Rosenthal, M. Z., Raj-Koziak, D., & Dragan, W. (2022) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2022.110777 · Cited by 60 · see citing works
A psychoacoustic test for misophonia assessment
Enzler, F., Loriot, C., Fournier, P., & Noreña, A. J. (2021) · Scientific Reports · doi:10.1038/s41598-021-90355-8 · Cited by 54 · see citing works
Subjective Reports of Trouble Tolerating Sound in Daily Life versus Loudness Discomfort Levels
Zaugg, T. L., Thielman, E. J., Griest, S., & Henry, J. A. (2016) · American Journal of Audiology · doi:10.1044/2016_aja-15-0034 · Cited by 38 · see citing works
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
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
Williams, Z. J., Suzman, E., & Woynaroski, T. G. (2021) · American Journal of Audiology · doi:10.1044/2021_aja-20-00209 · Cited by 16 · see citing works
Severe Hyperacusis, Photophobia, and Skin Hypersensitivity
Fioretti, A. B., Varakliotis, T., Poli, O., Cantagallo, M., & Eibenstein, A. (2016) · Case Reports in Otolaryngology · doi:10.1155/2016/2570107 · Cited by 9 · see citing works
Evaluation and Management of Misophonia Using a Hybrid Telecare Approach: A Case Report
Zitelli, L. (2021) · Seminars in Hearing · doi:10.1055/s-0041-1731693 · Cited by 4 · see citing works
- Authors
- Anari, M., Axelsson, A., Eliasson, A., & Magnusson, L.
- Affiliations
- Sahlgrenska University Hospital (SE)
- Venue
- Scandinavian Audiology
- Publisher
- Informa UK Limited
- Published
- 1999-01
- Volume
- 28
- Issue
- 4
- Pages
- 219-230
- ISSN
- 0105-0397 (ISSN-L)
- OpenAlex
- W1980659301
- Cited by
- 271
- References
- 27
- Citations by year
- 2026: 15 · 2025: 14 · 2024: 12 · 2023: 12 · 2022: 24 · 2021: 19 · 2020: 17 · 2019: 7 · 2018: 12 · 2017: 22 · 2016: 11 · 2015: 16 · 2014: 11 · 2013: 16 · 2012: 9
- FWCI
- 0.96
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Scandinavian Audiology (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, uncomfortable loudness level, pure tone audiometry, headache, noise-induced hearing loss, music exposure, differential diagnosis, patient classification
- MeSH terms
- Adolescent, Adult, Aged, Audiometry, Pure-Tone, Auditory Threshold, Child, Female, Humans, Loudness Perception, Male, Middle Aged, Pain, Perceptual Disorders, Surveys and Questionnaires, Reflex, Acoustic, Severity of Illness Index, Sound, Speech Perception
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