PTSD symptoms and tinnitus severity: An analysis of veterans with posttraumatic headaches.

Autor:	Moring JC; Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at San Antonio., Straud CL; Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at San Antonio., Penzien DB; Department of Psychiatry and Behavioral Medicine, Wake Forest School of Medicine., Resick PA; Department of Psychiatry and Behavioral Sciences, Duke Health., Peterson AL; Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at San Antonio., Jaramillo CA; Research and Development Service, South Texas Veterans Health Care System., Eapen BC; Department of Physical Medicine and Rehabilitation, VA Greater Los Angeles Healthcare System., McGeary CA; Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at San Antonio., Mintz J; Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at San Antonio., Litz BT; Massachusetts Veterans Epidemiological Research and Information Center, VA Boston Healthcare System., Young-McCaughan S; Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at San Antonio., Keane TM; Department of Psychiatry, Boston University School of Medicine., McGeary DD; Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at San Antonio.
Jazyk:	angličtina
Zdroj:	Health psychology : official journal of the Division of Health Psychology, American Psychological Association [Health Psychol] 2022 Mar; Vol. 41 (3), pp. 178-183.
DOI:	10.1037/hea0001113
Abstrakt:	Objective: Tinnitus and posttraumatic stress disorder (PTSD) are among the top service-connected disabilities within the Veterans Health Administration. Extant research shows that there is considerable overlap between tinnitus-related distress and PTSD, including sleep difficulty, irritability, hyperarousal, and concentration problems. However, no studies have prospectively examined the relationship between the two disorders. The purpose of this study was to examine that relationship. Method: Participants (N = 112) with posttraumatic headache completed measures of tinnitus and PTSD. Correlational analyses and analyses of variance were conducted to examine the associations with PTSD symptom clusters and factors of tinnitus-related distress. Results: Approximately, half of participants with tinnitus demonstrated severe impairment. Correlational analyses indicated that reexperiencing, avoidance, negative emotions and cognitions, and hyperarousal PTSD symptoms were significantly related to many factors of tinnitus-related distress, including intrusiveness of tinnitus, perceived loudness, awareness, and annoyance. Participants with severe tinnitus demonstrated significantly greater reexperiencing, negative mood/cognitions, hyperarousal, and PTSD total severity compared to those with mild or moderate tinnitus. Conclusions: Trauma therapists should assess for the presence of tinnitus in order to more fully conceptualize key health problems of help-seeking patients. Heightened psychological symptoms seemingly related to PTSD may be a function of tinnitus-related distress. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
Databáze:	MEDLINE
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