{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,26]],"date-time":"2025-05-26T21:27:28Z","timestamp":1748294848823,"version":"3.37.0"},"reference-count":0,"publisher":"American Academy of Audiology","issue":"9","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["j am acad audiol"],"published-print":{"date-parts":[[2019,10,1]]},"abstract":"<jats:p><jats:bold>Background:<\/jats:bold>People with tinnitus and\/or hyperacusis often experience insomnia. However, it is unclear what factors are most strongly associated with insomnia.<jats:bold>Purpose:<\/jats:bold>To explore factors related to insomnia in patients with tinnitus and\/or hyperacusis.<jats:bold>Research Design:<\/jats:bold>This\n was a retrospective study using multiple-regression analysis.<jats:bold>Study Sample:<\/jats:bold>Data were assessed for 444 consecutive patients who sought help concerning their tinnitus and\/or hyperacusis from a specialist audiology center in the UK National Health Service. The average age of the patients\n was 54 years (standard deviation = 15 years).<jats:bold>Data Collection and Analysis:<\/jats:bold>The results of audiological tests and self-report questionnaires were gathered retrospectively from the records of the patients. Multiple-regression analysis was used to assess the relationship between insomnia\n and other variables.<jats:bold>Results:<\/jats:bold>Sixty-nine percent of patients with tinnitus experienced some form of insomnia as measured via the Insomnia Severity Index (ISI). A multiple-regression model showed that ISI scores were significantly associated with depression scores measured via the depression\n subscale of the Hospital Anxiety and Depression Scale (HADS) (regression coefficient [<jats:italic>b<\/jats:italic>] = 0.44, <jats:italic>p<\/jats:italic> &lt; 0.001), tinnitus annoyance measured via the visual analog scale (VAS) (<jats:italic>b<\/jats:italic> = 0.49, <jats:italic>p<\/jats:italic> = 0.001), anxiety measured via the anxiety subscale of the HADS (<jats:italic>b<\/jats:italic> =\n 0.21, <jats:italic>p<\/jats:italic> = 0.012), and tinnitus handicap measured via the Tinnitus Handicap Inventory (<jats:italic>b<\/jats:italic> = 0.07, <jats:italic>p<\/jats:italic> &lt; 0.001). The model explained 45% of the variance in ISI scores. VAS scores for tinnitus loudness, hyperacusis-related measures, hearing thresholds, age, and gender were\n not significantly related to insomnia.<jats:bold>Conclusions:<\/jats:bold>The prevalence of insomnia in patients with tinnitus is high. Both tinnitus-related factors and psychological factors are related to the severity of insomnia. Hyperacusis is not significantly associated with insomnia.<\/jats:p>","DOI":"10.3766\/jaaa.18020","type":"journal-article","created":{"date-parts":[[2019,4,23]],"date-time":"2019-04-23T01:05:13Z","timestamp":1555981513000},"page":"802-809","source":"Crossref","is-referenced-by-count":15,"title":["Factors Related to Insomnia in Adult Patients with Tinnitus and\/or Hyperacusis: An Exploratory Analysis"],"prefix":"10.3766","volume":"30","author":[{"given":"Hashir","family":"Aazh","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David M.","family":"Baguley","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brian C. J.","family":"Moore","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2087","container-title":["Journal of the American Academy of Audiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ingentaconnect.com\/content\/aaa\/jaaa\/2019\/00000030\/00000009\/art00008","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,6]],"date-time":"2025-02-06T08:07:15Z","timestamp":1738829235000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ingentaconnect.com\/content\/10.3766\/jaaa.18020"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,10,1]]},"references-count":0,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2019,10,1]]}},"alternative-id":["1050-0545(20191001)30:9L.802;1-"],"URL":"https:\/\/doi.org\/10.3766\/jaaa.18020","relation":{},"ISSN":["1050-0545"],"issn-type":[{"type":"print","value":"1050-0545"}],"subject":[],"published":{"date-parts":[[2019,10,1]]}}}