Does tinnitus and emotional distress influence central auditory processing? A comparison of acute and chronic tinnitus in normal-hearing individuals.

<h4>Objective</h4>Tinnitus is characterized by the perception of sound without an external source and can cause auditory difficulties even in individuals with normal hearing.<h4>Design</h4>This study compared the auditory afferent and efferent functions of normal-hearing pati...

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Main Authors: Qian Zhou, Wenling Jiang, Haibin Sheng, Qinjie Zhang, Dian Jin, Haifeng Li, Meiping Huang, Lu Yang, Yan Ren, Zhiwu Huang
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2025-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0327777
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author Qian Zhou
Wenling Jiang
Haibin Sheng
Qinjie Zhang
Dian Jin
Haifeng Li
Meiping Huang
Lu Yang
Yan Ren
Zhiwu Huang
author_facet Qian Zhou
Wenling Jiang
Haibin Sheng
Qinjie Zhang
Dian Jin
Haifeng Li
Meiping Huang
Lu Yang
Yan Ren
Zhiwu Huang
author_sort Qian Zhou
collection DOAJ
description <h4>Objective</h4>Tinnitus is characterized by the perception of sound without an external source and can cause auditory difficulties even in individuals with normal hearing.<h4>Design</h4>This study compared the auditory afferent and efferent functions of normal-hearing patients with acute tinnitus, chronic tinnitus, and control group using gap detection test, the Mandarin Hearing in Noise Test (MHINT), and contralateral suppression of transient evoked otoacoustic emissions (TEOAEs).<h4>Results</h4>It reveals the neural and emotional dynamics as tinnitus progresses from acute to chronic stages. Patients with acute and chronic tinnitus exhibited reduced contralateral suppression of TEOAEs, elevated gap detection thresholds, and higher speech recognition thresholds in noisy environments, indicating that tinnitus interferes with both afferent and efferent auditory pathways. The lack of significant differences between acute tinnitus and chronic tinnitus patients suggests that auditory functions do not necessarily deteriorate over time, suggesting that tinnitus may not worsen due to neuroplasticity as the condition progresses. The speech recognition ability in noise of patients with acute tinnitus is influenced by emotional scores, implying that emotional distress plays a crucial role in amplifying tinnitus-related interference. When emotional burden is reduced, the negative feedback loop between emotional distress and neuroplasticity can be broken, preventing further decline in central auditory function.<h4>Conclusions</h4>These findings highlight the importance of psychological support and emotional management in clinical practice to improve auditory performance and potentially halt the intensification of tinnitus.
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publisher Public Library of Science (PLoS)
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spelling doaj-art-06ae2c6ec78d4e28b84d3cc698ec15322025-08-20T03:57:59ZengPublic Library of Science (PLoS)PLoS ONE1932-62032025-01-01207e032777710.1371/journal.pone.0327777Does tinnitus and emotional distress influence central auditory processing? A comparison of acute and chronic tinnitus in normal-hearing individuals.Qian ZhouWenling JiangHaibin ShengQinjie ZhangDian JinHaifeng LiMeiping HuangLu YangYan RenZhiwu Huang<h4>Objective</h4>Tinnitus is characterized by the perception of sound without an external source and can cause auditory difficulties even in individuals with normal hearing.<h4>Design</h4>This study compared the auditory afferent and efferent functions of normal-hearing patients with acute tinnitus, chronic tinnitus, and control group using gap detection test, the Mandarin Hearing in Noise Test (MHINT), and contralateral suppression of transient evoked otoacoustic emissions (TEOAEs).<h4>Results</h4>It reveals the neural and emotional dynamics as tinnitus progresses from acute to chronic stages. Patients with acute and chronic tinnitus exhibited reduced contralateral suppression of TEOAEs, elevated gap detection thresholds, and higher speech recognition thresholds in noisy environments, indicating that tinnitus interferes with both afferent and efferent auditory pathways. The lack of significant differences between acute tinnitus and chronic tinnitus patients suggests that auditory functions do not necessarily deteriorate over time, suggesting that tinnitus may not worsen due to neuroplasticity as the condition progresses. The speech recognition ability in noise of patients with acute tinnitus is influenced by emotional scores, implying that emotional distress plays a crucial role in amplifying tinnitus-related interference. When emotional burden is reduced, the negative feedback loop between emotional distress and neuroplasticity can be broken, preventing further decline in central auditory function.<h4>Conclusions</h4>These findings highlight the importance of psychological support and emotional management in clinical practice to improve auditory performance and potentially halt the intensification of tinnitus.https://doi.org/10.1371/journal.pone.0327777
spellingShingle Qian Zhou
Wenling Jiang
Haibin Sheng
Qinjie Zhang
Dian Jin
Haifeng Li
Meiping Huang
Lu Yang
Yan Ren
Zhiwu Huang
Does tinnitus and emotional distress influence central auditory processing? A comparison of acute and chronic tinnitus in normal-hearing individuals.
PLoS ONE
title Does tinnitus and emotional distress influence central auditory processing? A comparison of acute and chronic tinnitus in normal-hearing individuals.
title_full Does tinnitus and emotional distress influence central auditory processing? A comparison of acute and chronic tinnitus in normal-hearing individuals.
title_fullStr Does tinnitus and emotional distress influence central auditory processing? A comparison of acute and chronic tinnitus in normal-hearing individuals.
title_full_unstemmed Does tinnitus and emotional distress influence central auditory processing? A comparison of acute and chronic tinnitus in normal-hearing individuals.
title_short Does tinnitus and emotional distress influence central auditory processing? A comparison of acute and chronic tinnitus in normal-hearing individuals.
title_sort does tinnitus and emotional distress influence central auditory processing a comparison of acute and chronic tinnitus in normal hearing individuals
url https://doi.org/10.1371/journal.pone.0327777
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