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Tinnitus as an Alarm Bell: Stress Reaction Tinnitus Model

Alpini D.a · Cesarani A.b

Author affiliations

aScientific Institute S. Maria Nascente, Don Carlo Gnocchi Foundation, and bENT Institute, University of Milan, Milan, Italy

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ORL 2006;68:31–37

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Article / Publication Details

First-Page Preview
Abstract of Paper

Received: May 09, 2005
Accepted: July 29, 2005
Published online: March 07, 2006
Issue release date: March 2006

Number of Print Pages: 7
Number of Figures: 0
Number of Tables: 0

ISSN: 0301-1569 (Print)
eISSN: 1423-0275 (Online)

For additional information: https://www.karger.com/ORL

Abstract

Stress is a significant factor influencing the clinical course of tinnitus. Auditory system is particularly sensitive to the effects of different stress factors (chemical, oxidative, emotional, etc.). Different stages of reaction (alarm, resistance, exhaustion) lead to different characteristics of tinnitus and different therapeutic approaches. Individual characteristics of stress reaction may explain different aspects of tinnitus in various patients with different responses to treatment, despite similar audiological and ethiological factors. A model based on individual reactions to stress factors (stress reaction tinnitus model) could explaintinnitus as an alarm signal, just like an ‘alarm bell’, informing the patient that something potentially dangerous for subject homeostasis is happening. Tinnitus could become a disabling symptom when the subject is chronically exposed to a stress factor and is unable to switch off the alarm. Stress signals, specific for each patient, have to be identified during the ‘alarm’ phase in order to prevent an evolution toward the ‘resistance’ and ‘exhaustion’ phases. In these phases, identification of stressor is no more sufficient, due to the organization of a ‘paradoxical auditory memory’ and a ‘pathologically shifted attention to tinnitus’. Identification of stress reaction phase requires accurate otolaryngology and anamnesis combined with audiological matching tests (Feldman Masking Test, for example) and psychometric questionnaires (Tinnitus Reaction and Tinnitus Cognitive Questionnaires).

© 2006 S. Karger AG, Basel


References

  1. Axelsson A, Ringdahl A: Tinnitus: a study of its prevalence and characteristics. Br J Audiol 1985;23:53–62.
  2. Sindhusake D, Golding M, Wigney D, Newall P, Jakobsen K, Mitchell P: Factors predicting severity of tinnitus: a population-based assessment. J Am Acad Audiol 2004;15:269–280.
    External Resources
  3. Horner KC: The emotional ear in stress. Neurosci Behav Rev 2003;27:437–446.
  4. Shulman A: A final common pathway for tinnitus: the medial temporal lobe system. Int Tinnitus J 1995;1:115–126.
    External Resources
  5. Zenner HP, Zalaman IM: Cognitive tinnitus sensitization: behavioural and neuropshysiological aspects of tinnitus centralization. Acta Otolaryngol 2004;124:436–439.
  6. Feldmann H: Homolateral and controlateral masking tinnitus by noise bands and by pure tones. Audiology 1971;10:128–144.
    External Resources
  7. Jastreboff PJ, Jastreboff MM: Tinnitus retrainig therapy as a method for treatment of tinnitus and hyperacusis patient. J Am Acad Audiol 2000;11:162–177.
  8. Dehler R, Dehler F, Claussen CF, Schneider D, Just E: Competitive-kinesthetic interaction therapy. Int Tinnitus J 2000;6:29–35.
  9. Wilson PH, Henry J, Bowen M, Haralambous G: Tinnitus Reaction Questionnaire: psychometric properties of a measure of distress associated with tinnitus. J Speech Hearing Res 1991;34:197–201.
  10. Nodar RH: CAPPE – A strategy for counselling tinnitus patients. Int Tinnitus J 1996;2:111–113.
    External Resources
  11. Alpini D, Cesarani A, Giuliano DA, Capobianco S: Tinnitus: pharmacological topodiagnosis. Int Tinnitus J 2004;10:91–93.
    External Resources
  12. Cesarani A, Capobianco S, Soi D, Giuliano DA, Alpini D: Intratympanic dexamethasone treatment for control of subjective idiopathic tinnitus: our clinical experience. Int Tinnitus J 2002;8:111–114.
  13. Wright EF, Bifano SL: The relationship between tinnitus and temporomandibular disorder therapy. Int Tinnitus J 1997;3:55–61.
    External Resources
  14. Alpini D, Capobianco S, Cesarani A, Marin F, Maggi M, Kohen-Raz R: The correlation between dental occlusion and posture evaluated by means of tetra-ataxiometry. ASN online, 2003.
  15. Raponi G, Alpini D, Volontè S, Capobianco S, Cesarani A: The role of free radicals and plasmatic antioxidant in Meniere’s syndrome. Int Tinnitus J 2003;9:104–108.
  16. Schneider D, Schneider L, Shulman A, Claussen CF, Just E, Koltchev C, Kersebaum M, Dehler R, Goldstein B, Claussen E: Gingko biloba (Rokan) therapy in tinnitus patients and measurable interactions between tinnitus and vestibular disturbances. Int Tinnitus J 2000;6:56–62.
  17. Cesarani A, Meloni F, Alpini D, Barozzi S, Verderio L, Boscani PF: Gyngko-Biloba (EGB761) in the treatment of equilibrium disorders. Adv Ther 1998;15:291–304.
  18. Rosenberg SI, Silverstein H, Rowan PT, Olds MJ: Effect of melatonin on tinnitus. Laryngoscope 1998;108:305–310.
  19. Wilson PH, Henry J: Tinnitus cognitions questionnaire: development and psychometric properties of a measure of dysfunctional cognitions associated with tinnitus. Int Tinnitus J 1998;4:23–30.
    External Resources
  20. Alpini D, Cesarani A, Fraschini F, Kohern-Raz R, Capobianco S, Cornelio F: Aging and vestibular system: specific tests and role of melatonin in cognitive involvement. Arch Gerontol Geriatr 2004;(suppl 9):13–25.
    External Resources
  21. Cuny C, Norena A, El Massioui F, Chery-Croze S: Reduced attention shift in response to auditory changes in subjects with tinnitus. Audiol Neurootol 2004;9:294–302.
  22. Perna G, Alpini D, Caldirola D, Raponi G, Cesarani A, Bellodi L: Serotoninergic modulation of the balance system in panic disorder: an open study. Depression Anxiety 2003;17:101–106.

Article / Publication Details

First-Page Preview
Abstract of Paper

Received: May 09, 2005
Accepted: July 29, 2005
Published online: March 07, 2006
Issue release date: March 2006

Number of Print Pages: 7
Number of Figures: 0
Number of Tables: 0

ISSN: 0301-1569 (Print)
eISSN: 1423-0275 (Online)

For additional information: https://www.karger.com/ORL


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