PSYCHOSOCIAL EFFECTS OF TINNITUS ON THE ELDERLY INDIVIDUALS WITH NORMAL HEARING ABILITIES IN IBADAN, OYO STATE NIGERIA

Authors

  • OSISANYA A
  • ABIOLA O E

Keywords:

Elderly listeners, hearing abilities, hearing loss, psychosocial reactions, tinnitus

Abstract

   The study sampled 130 elderly listeners comprising 68 males and 72 females, aged between 65 and 74 years and resident in both urban and rural areas of Ibadan metropolis as the participants for the study under a descriptive research design of the ex post facto type. A standardized Tinnitus Research Questionnaire (TRQ) consisting of twenty items with a reliability coefficient of 0.90 was the instrument used for data collection to answer the three research questions and four hypotheses. The data collected based on the research questions were analysed with the use of mean and chi- square, while Pearson’s chi- squared test and Independent t- test were used to test the null hypotheses at 0.05 level of significance. It was discovered that due to tinnitus, majority of the participants experienced concentration difficulty and despair. Majority of them also felt frustrated and manifested some kinds of abnormal behaviour due to tinnitus. However, there was no significant difference between psycho- social reactions of elderly listeners sampled in rural and urban areas. Based on these findings, it was recommended that elderly individuals should avoid exposure to noise, emotional stress, worry and unprescribed drugs; and should be encouraged to go for audiological tests at regular intervals.  

References

Axelsson, A.; & Ringdahl, A. (1989). Tinnitus: A study of its prevalence and

characteristics. British Journal of Audiology, 23(1) 53-62.

Berrios, G.E. (1990). Musical Hallucinations: A Historical and Clinical Study.

British Journal of Psychiatry.156; 188-194

Barker, K. (1998).The Ageing process. In J. Marr & B Kershaw (Eds.) Caring for Older People Developing Specialist Practice. London: Arnolds. 10-35

Coles, R.R.A.(1984). Epidemiology of tinnitus: (2) Demographic and clinical

features. Journal of Laryngology and Otology (suppl.9), 195-202

Coser, P.L., Costa, M.J., Coser, M.J.S & Fukuda, Y. (2000) Re- sensitization of

speech process in aged individuals. Brazilian Journal of

Otorhinolaryngology, 66 (4), 362 – 70.

Dauman, R. & Tyler, R.S.(1992). Some considerations on the classifications of

Tinnitus. In J.M. Aram, & R. Dauman (Eds.). Proceedings of Fourth

International Tinnitus Seminar, Bourdeaux, France (225-229). Amsterdam

Davis, A.C. (1995). Hearing in adults. London: Whurr publishers

Dobie, R.A. (2004). Clinical trials and drug therapy for tinnitus. In Snow, J.B.

Jr.(ED). Tinnitus:Theory and management (266-277). Lewiston, NY: BC

Decker

Eggermount, (2006). Neural Activity Underlying Tinnitus Generation: Results

from PET and fMRI. In Lanting, C.P, Kleine, E.D. & van Dijk (2009) Neural

Activity in Tinnitus Generation. Hearing Research, 225 (1-2), 1-13

Erlandsson, S. & Dauman, N. (2008). Learning from Tinnitus patients’ narratives:

A case study in the psycho dynamic approach. International Journal of

Qualitative Studies and Well-being.7, 1-11.

Erlandsson, S.I. (2000). Psychological profiles of tinnitus patients. In Tyler, R.S

(ed). Tinnitus handbook (25-57). San Diego, CA: Singular.

Frantz, R. A & Ferrell Torry, A. (1993). Physical impairments in the elderly

population. Advances in Clinical Nursing Research, 28, 363-70.

Henry, J., Dennis, K., & Schechter, M. (2005). General review of Tinnitus:

Prevalence, mechanisms, effects and management. Journal of Speech

Language and Hearing Research, 48 (5) 1204-1235

Jakes, S.C., Hallam, R.S., Rachman, S.,& Hinchcliffe, R. (1996). The effects of

reassurance, relaxation training and distraction on chronic tinnitus sufferers.

Behavior Research and Therapy,25(4) 101-102

Jastreboff, P.J., & Hazell, J.W.P., (2004). Tinnitus retraining therapy:

Implementing Neurophysiologic model. New York Cambridge University

Press.

Jastreboff, P.J. (1995). A Neurophysiologic Approach to Tinnitus: Clinical

implementation. British Journal of Audiology. 27; 7-17.

Kiang, N.Y.S., Moxon, E.C., & Levine, R.A. (1970). Auditory –nerve activity in

cats with normal and abnormal cochleas. In Wolstenholme, G.E.W. &

Knight, J. (Eds.). sensorineural hearing loss (241-273). London: Churchill

Lindberg, P., Scott, B., Melin,L,., & Lyttkens, L.(19870. Long-term effects of

psychological treatments of tinnitus. Scandinavian Audiology, 16, 167-172

Lockwood, A.H., Salvi, R.J., Coad, M.L., Towsley, M.L, Wack, D.S., & Murphy,

B.W. (1998). The functional neuro anatomy of tinnitus; evidence for limbic

system links and neural plasticity. Neurology 50: 114-120

Marotta R.M.B., Marone, S.A.M. and Quintero, S.M. (2002). Assessment of

auditory processing by SSW test applied to individuals with normal hearing

and absence of contralateral acoustic reflex. Brazilian Journal of

Otorhinolaryngology, 68 (2), 254-61.

Mc Fadden, D. (1982). Tinnitus- facts, theories and treatments. Washington, DC:

National Academy Press

McKenna, L. (2000). Tinnitus and Insomnia in R.J. Tyler (Ed) Tinnitus handbook

San Diego, CA Singular. 59-84

Meikle, M.B., & Griest, S.E. (1989). Gender-based Differences in Characteristics

of Tinnitus. The Hearing Journal. 42, 68-76

Meikle, M. & Walsh, E.T. (1984). Characteristics of Tinnitus and Related

Observations in over 1800 Tinnitus Patients. In Shulman, A. & Ballantyne,

J. (Eds.). proceedings of International Tinnitus Seminar (pp.17-21).

Ashford, Kent, UK: Invicta Press

Muhnickle, K. ( 1998). Neural Activity Underlying Tinnitus Generation: Results

from PET and fMRI. In Lanting, C.P, Kleine, E.D. & van Dijk. 2009 Edition

Moller, A.R., Kleinjung, T., De Ridder, D.,and Langgith, B.; (2011). Textbook of

Tinnitus. Humannus Press, New York.

Nelson, T.J. (2007) Tinnitus. Springer Publications

Osisanya, A. and Ojetoyinbo A.A (2013) Evidence- based outcomes of Tinnitus

Retraining and masking therapies in managing elderly patients with

Tinnitus. Being a paper presented at the 4th combined Annual British

Society of Audiology (BBA) Conference, Experimental and Clinical short

papers meeting at Kede University, United Kingdom, 4-6th September 2013.

Quintero, S.M., Marotta, R.M.B, and Marone, S.A.M. (2002). Assessment of

auditory processing of the elderly with and without Presbycusis with SSW

Test. Brazilian Journal of Otorhinolaryngology, 68(1), 28-32

Sakatu, E., (2011). Vertigo and disequilibrium from Ear and Brain disease.

Tokyo, Kodansha, 1- 47

Seki, S., & Eggermount, v.(2003). Neural Activity Underlying Tinnitus Generation:

Results from PET and fMRI. In Lanting, C.P, Kleine, E.D. & van Dijk (2009)

Neural Activity in Tinnitus Generation. Hearing Research, 225 (1-2) 1-13

Shim, H.J. (2009). Hearing abilities at ultra-high frequency in patients with

Tinnitus.Clinical Experiment, Otorhinolaryngology, 2(4): 169-174.

The Australian Institute of Health and Welfare. (2002) Communicable Diseases

Intelligence, 26(4), 605-607

Tyler, R.S., Noble, W., Preece, J.P., Dunn, C.C., and Witt, S.A. (2004).

Psychological Treatment for Tinnitus. In J.B. Snow, Jr. (Ed.). Tinnitus:

Theory & Management (pp.314-323). Lewiston, NY: BC Decker

Sweetow, R.W. (1986). Cognitive aspects of tinnitus patient’s management. Ear

and Hearing, 7, 390- 396

Sweetow, R.W. (2000). Cognitive – Behaviour Modification. In Tyler, R.S (Eds.).

Tinnitus Handbook ( 291-311). San Diego, CA: Singular

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Published

2014-01-27