{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T06:00:07Z","timestamp":1764050407801,"version":"3.45.0"},"reference-count":51,"publisher":"MDPI AG","issue":"12","license":[{"start":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T00:00:00Z","timestamp":1763683200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004346","name":"Stiftung Rheinland-Pfalz f\u00fcr Innovation","doi-asserted-by":"crossref","award":["AZ 961-386261\/733"],"award-info":[{"award-number":["AZ 961-386261\/733"]}],"id":[{"id":"10.13039\/501100004346","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100004033","name":"Johannes Gutenberg-University of Mainz","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100004033","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Boehringer Ingelheim"},{"DOI":"10.13039\/501100024099","name":"PHILIPS Medical Systems","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100024099","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100002347","name":"Federal Ministry of Education and Research","doi-asserted-by":"crossref","award":["BMBF 01EO1503"],"award-info":[{"award-number":["BMBF 01EO1503"]}],"id":[{"id":"10.13039\/501100002347","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicina"],"abstract":"<jats:p>Background and Objectives: Tinnitus is a common symptom in otolaryngologic practice. Although its pathophysiology is multifactorial and remains mostly unclear, it can be correlated to stress and psychological comorbidities. The aim of this study was to assess the correlation between the occurrence of tinnitus and psychosocial work stress (measured using the German COPSOQ-III, a validated instrument) in a large working population. Materials and Methods: The Gutenberg Health Study is a single-center, prospective, observational cohort study. Participants of working age were included and surveyed using the German COPSOQ-III; they were interviewed regarding the occurrence of tinnitus (yes\/no) and stratified according to their resilience (measured using the Brief Resilient Coping Scale). Results: A total of 4933 participants of working age were included in the study cohort, in which tinnitus was reported with a prevalence of 26.3%. Participants with tinnitus answered more negatively in all COPSOQ scales, although not all differences were statistically significant. The scales Emotional Demands, Work Privacy Conflicts, Work Environment\/Physical Demands and Insecurity over Working Conditions showed especially high differences in means. In addition, all effect scales showed significant differences between participants with and without tinnitus. The prevalence of tinnitus decreased with increasing resilience. Conclusions: Tinnitus is a symptom highly correlated with psychosocial work stress. As such, it represents a significant health burden within the working community.<\/jats:p>","DOI":"10.3390\/medicina61122079","type":"journal-article","created":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T17:28:07Z","timestamp":1763746087000},"page":"2079","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Psychosocial Work Stress, Resilience and the Risk of Tinnitus\u2014Results from a Population-Based Cohort Study"],"prefix":"10.3390","volume":"61","author":[{"given":"Berit","family":"Hackenberg","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology, University Medical Center Mainz, 55131 Mainz, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julia","family":"D\u00f6ge","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, University Medical Center Mainz, 55131 Mainz, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karoline","family":"O\u2019Brien","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, University Medical Center Mainz, 55131 Mainz, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-1403-5306","authenticated-orcid":false,"given":"Matthias","family":"N\u00fcbling","sequence":"additional","affiliation":[{"name":"FFAW Freiburg Research Centre for Occupational Sciences, Bertoldstr. 63, 79098 Freiburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pavel","family":"Dietz","sequence":"additional","affiliation":[{"name":"Institute of Occupational, Social and Environmental Medicine, University Medical Center Mainz, 55131 Mainz, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manfred E.","family":"Beutel","sequence":"additional","affiliation":[{"name":"Department of Psychosomatic Medicine and Psychotherapy, University Medical Center Mainz, 55131 Mainz, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna Celine","family":"Reinwarth","sequence":"additional","affiliation":[{"name":"Department of Psychosomatic Medicine and Psychotherapy, University Medical Center Mainz, 55131 Mainz, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karl J.","family":"Lackner","sequence":"additional","affiliation":[{"name":"Institute for Clinical Chemistry and Laboratory Medicine, University Medical Center Mainz, 55131 Mainz, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oliver","family":"T\u00fcscher","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychotherapy, University Medical Center Mainz, 55131 Mainz, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J\u00f6rn M.","family":"Schattenberg","sequence":"additional","affiliation":[{"name":"Metabolic Liver Research Center and Medicine, University Medical Center Mainz, 55131 Mainz, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lukas","family":"Hobohm","sequence":"additional","affiliation":[{"name":"Department of Cardiology\u2014Cardiology I, University Medical Center Mainz, 55131 Mainz, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"M\u00fcnzel","sequence":"additional","affiliation":[{"name":"Department of Cardiology\u2014Cardiology I, University Medical Center Mainz, 55131 Mainz, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4413-9752","authenticated-orcid":false,"given":"Philipp S.","family":"Wild","sequence":"additional","affiliation":[{"name":"Preventive Cardiology and Preventive Medicine, Department of Cardiology, University Medical Center Mainz, 55131 Mainz, Germany"},{"name":"German Center for Cardiovascular Research (DZHK), Partner Site Rhine-Mine, 10785 Mainz, Germany"},{"name":"Clinical Epidemiology and Systems Medicine, Center for Thrombosis and Hemostasis, University Medical Center Mainz, 55131 Mainz, Germany"},{"name":"Systems Medicine, Institute of Molecular Biology (IMB), 55128 Mainz, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander K.","family":"Schuster","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, University Medical Center Mainz, 55131 Mainz, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Irene","family":"Schmidtmann","sequence":"additional","affiliation":[{"name":"Institute for Medical Biometry, Epidemiology and Informatics, 55131 Mainz, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-5689-9112","authenticated-orcid":false,"given":"Julian","family":"Chalabi","sequence":"additional","affiliation":[{"name":"Department of Cardiology\u2014Cardiology I, University Medical Center Mainz, 55131 Mainz, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christoph","family":"Matthias","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, University Medical Center Mainz, 55131 Mainz, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katharina","family":"Bahr-Hamm","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, University Medical Center Mainz, 55131 Mainz, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,11,21]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1600","DOI":"10.1016\/S0140-6736(13)60142-7","article-title":"Tinnitus","volume":"382","author":"Baguley","year":"2013","journal-title":"Lancet"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"888","DOI":"10.1001\/jamaneurol.2022.2189","article-title":"Global Prevalence and Incidence of Tinnitus: A 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