Improvement of tinnitus, anxiety, and depression following cochlear implant surgery: a prospective cohort study

IntroductionHearing loss affects ~1. 5 billion people worldwide and is the greatest risk factor for tinnitus, a condition that can further worsen people's quality of life, lead to high anxiety and depression, and affect general health and wellbeing.ObjectivesThis study aimed to assess the impac...

Full description

Saved in:
Bibliographic Details
Main Authors: Pauliana Lamounier, Victória Franco Gonçalves, Isabela Carvalho Queiroz, Débora Aparecida Gobbo, Marina Nahas Dafico Bernardes, Claudiney Cândido Costa, Hugo Valter Lisboa Ramos, Fayez Bahmad
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-12-01
Series:Frontiers in Audiology and Otology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fauot.2024.1436372/full
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1846120347144814592
author Pauliana Lamounier
Pauliana Lamounier
Victória Franco Gonçalves
Isabela Carvalho Queiroz
Débora Aparecida Gobbo
Marina Nahas Dafico Bernardes
Claudiney Cândido Costa
Hugo Valter Lisboa Ramos
Fayez Bahmad
author_facet Pauliana Lamounier
Pauliana Lamounier
Victória Franco Gonçalves
Isabela Carvalho Queiroz
Débora Aparecida Gobbo
Marina Nahas Dafico Bernardes
Claudiney Cândido Costa
Hugo Valter Lisboa Ramos
Fayez Bahmad
author_sort Pauliana Lamounier
collection DOAJ
description IntroductionHearing loss affects ~1. 5 billion people worldwide and is the greatest risk factor for tinnitus, a condition that can further worsen people's quality of life, lead to high anxiety and depression, and affect general health and wellbeing.ObjectivesThis study aimed to assess the impact of cochlear implants (CIs) on tinnitus perception and quality of life and their relationship with psychological disorders, such as depression and anxiety.MethodsThirty adults with profound bilateral hearing loss who were candidates for CI surgery and experienced tinnitus were assessed using the Tinnitus Handicap Inventory (THI), the Visual Analog Scale (VAS), the World Health Organization Quality of Life Instruments–Bref (WHOQOL-BREF), and the Hospital Anxiety and Depression Scale questionnaires at four different time points: preoperatively, 7 days after cochlear implant activation, and 3 and 6 months after cochlear implant surgery. The International Outcome Inventory CI was applied at 3 and 6 months, and the Glasgow Benefit Inventory (GBI) questionnaire was applied at 6 months.ResultsThe VAS and THI scores improved; however, significant improvements were only observed in the THI scores 6 months post-surgery. Time spent using hearing aids did not correlate significantly with speech recognition test scores, nor were the changes in the preoperative THI score and VAS scores or the changes in the speech recognition test scores 6 months post-surgery significantly correlated. We observed a decrease in anxiety and depression scores at the 6-month follow-up compared to the preoperative period.ConclusionThe THI scores significantly increased after CI surgery, suggesting that the tinnitus had improved. Improved anxiety and depression scores after CI surgery were also observed. The WHOQOL-BREF quality-of-life self-evaluation scores, as well as the environment and general domains, significantly improved as well.
format Article
id doaj-art-3e10f7b85bc64e7e9c63d5342ccdea13
institution Kabale University
issn 2813-6055
language English
publishDate 2024-12-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Audiology and Otology
spelling doaj-art-3e10f7b85bc64e7e9c63d5342ccdea132024-12-16T11:36:20ZengFrontiers Media S.A.Frontiers in Audiology and Otology2813-60552024-12-01210.3389/fauot.2024.14363721436372Improvement of tinnitus, anxiety, and depression following cochlear implant surgery: a prospective cohort studyPauliana Lamounier0Pauliana Lamounier1Victória Franco Gonçalves2Isabela Carvalho Queiroz3Débora Aparecida Gobbo4Marina Nahas Dafico Bernardes5Claudiney Cândido Costa6Hugo Valter Lisboa Ramos7Fayez Bahmad8Department of Otorhinolaryngology, Rehabilitation and Readaptation Center Dr. Henrique Santillo (CRER), Goiânia, BrazilDepartment of Health Science, University of Brasília, Brasília, BrazilDepartment of Otorhinolaryngology, Rehabilitation and Readaptation Center Dr. Henrique Santillo (CRER), Goiânia, BrazilDepartment of Health Science, University of Brasília, Brasília, BrazilDepartment of Otorhinolaryngology, Rehabilitation and Readaptation Center Dr. Henrique Santillo (CRER), Goiânia, BrazilDepartment of Otorhinolaryngology, Rehabilitation and Readaptation Center Dr. Henrique Santillo (CRER), Goiânia, BrazilDepartment of Otorhinolaryngology, Rehabilitation and Readaptation Center Dr. Henrique Santillo (CRER), Goiânia, BrazilDepartment of Otorhinolaryngology, Rehabilitation and Readaptation Center Dr. Henrique Santillo (CRER), Goiânia, BrazilDepartment of Health Science, University of Brasília, Brasília, BrazilIntroductionHearing loss affects ~1. 5 billion people worldwide and is the greatest risk factor for tinnitus, a condition that can further worsen people's quality of life, lead to high anxiety and depression, and affect general health and wellbeing.ObjectivesThis study aimed to assess the impact of cochlear implants (CIs) on tinnitus perception and quality of life and their relationship with psychological disorders, such as depression and anxiety.MethodsThirty adults with profound bilateral hearing loss who were candidates for CI surgery and experienced tinnitus were assessed using the Tinnitus Handicap Inventory (THI), the Visual Analog Scale (VAS), the World Health Organization Quality of Life Instruments–Bref (WHOQOL-BREF), and the Hospital Anxiety and Depression Scale questionnaires at four different time points: preoperatively, 7 days after cochlear implant activation, and 3 and 6 months after cochlear implant surgery. The International Outcome Inventory CI was applied at 3 and 6 months, and the Glasgow Benefit Inventory (GBI) questionnaire was applied at 6 months.ResultsThe VAS and THI scores improved; however, significant improvements were only observed in the THI scores 6 months post-surgery. Time spent using hearing aids did not correlate significantly with speech recognition test scores, nor were the changes in the preoperative THI score and VAS scores or the changes in the speech recognition test scores 6 months post-surgery significantly correlated. We observed a decrease in anxiety and depression scores at the 6-month follow-up compared to the preoperative period.ConclusionThe THI scores significantly increased after CI surgery, suggesting that the tinnitus had improved. Improved anxiety and depression scores after CI surgery were also observed. The WHOQOL-BREF quality-of-life self-evaluation scores, as well as the environment and general domains, significantly improved as well.https://www.frontiersin.org/articles/10.3389/fauot.2024.1436372/fullhearing losstinnituscochlear implantquality of lifeanxietydepression
spellingShingle Pauliana Lamounier
Pauliana Lamounier
Victória Franco Gonçalves
Isabela Carvalho Queiroz
Débora Aparecida Gobbo
Marina Nahas Dafico Bernardes
Claudiney Cândido Costa
Hugo Valter Lisboa Ramos
Fayez Bahmad
Improvement of tinnitus, anxiety, and depression following cochlear implant surgery: a prospective cohort study
Frontiers in Audiology and Otology
hearing loss
tinnitus
cochlear implant
quality of life
anxiety
depression
title Improvement of tinnitus, anxiety, and depression following cochlear implant surgery: a prospective cohort study
title_full Improvement of tinnitus, anxiety, and depression following cochlear implant surgery: a prospective cohort study
title_fullStr Improvement of tinnitus, anxiety, and depression following cochlear implant surgery: a prospective cohort study
title_full_unstemmed Improvement of tinnitus, anxiety, and depression following cochlear implant surgery: a prospective cohort study
title_short Improvement of tinnitus, anxiety, and depression following cochlear implant surgery: a prospective cohort study
title_sort improvement of tinnitus anxiety and depression following cochlear implant surgery a prospective cohort study
topic hearing loss
tinnitus
cochlear implant
quality of life
anxiety
depression
url https://www.frontiersin.org/articles/10.3389/fauot.2024.1436372/full
work_keys_str_mv AT paulianalamounier improvementoftinnitusanxietyanddepressionfollowingcochlearimplantsurgeryaprospectivecohortstudy
AT paulianalamounier improvementoftinnitusanxietyanddepressionfollowingcochlearimplantsurgeryaprospectivecohortstudy
AT victoriafrancogoncalves improvementoftinnitusanxietyanddepressionfollowingcochlearimplantsurgeryaprospectivecohortstudy
AT isabelacarvalhoqueiroz improvementoftinnitusanxietyanddepressionfollowingcochlearimplantsurgeryaprospectivecohortstudy
AT deboraaparecidagobbo improvementoftinnitusanxietyanddepressionfollowingcochlearimplantsurgeryaprospectivecohortstudy
AT marinanahasdaficobernardes improvementoftinnitusanxietyanddepressionfollowingcochlearimplantsurgeryaprospectivecohortstudy
AT claudineycandidocosta improvementoftinnitusanxietyanddepressionfollowingcochlearimplantsurgeryaprospectivecohortstudy
AT hugovalterlisboaramos improvementoftinnitusanxietyanddepressionfollowingcochlearimplantsurgeryaprospectivecohortstudy
AT fayezbahmad improvementoftinnitusanxietyanddepressionfollowingcochlearimplantsurgeryaprospectivecohortstudy