Document Detail

A cognitive model of tinnitus and hyperacusis; a clinical tool for patient information, appeasement and assessment.
MedLine Citation:
PMID:  21609917     Owner:  NLM     Status:  In-Data-Review    
Tinnitus and hyperacusis are both aggravating audiological symptoms. Their underlying mechanisms are not fully understood, but the pathophysiology involves a central mechanism rather than a peripheral one. There is no curative treatment. A review of the available research on tinnitus and auditory processing was conducted to connect insights gained from different approaches to the subject; this resulted in the development of a holistic view of both conditions. In this view, the chronic course of the symptoms is pathological and attributed to a stress-related lack of habituation. This article adds to the literature on tinnitus and hyperacusis by presenting a schematic model of the cognitive mechanisms which can be used clinically in patient information sessions which are geared towards provide reassurance and encouraging the development of coping skills. In cooperation with the patient, the model can also help in the identification of underlying pathology. Future aims of study are suggested, elaborating on the role of tinnitus and hyperacusis in normal auditory processing and on the value of insight. Finally, parallels are drawn between tinnitus and positive symptom syndromes in neuropsychiatry and some of its modern visions on their treatment.
Olav Wagenaar; Marjan Wieringa; Hans Verschuure
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The international tinnitus journal     Volume:  16     ISSN:  0946-5448     ISO Abbreviation:  Int Tinnitus J     Publication Date:  2010  
Date Detail:
Created Date:  2011-05-25     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9612993     Medline TA:  Int Tinnitus J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  66-72     Citation Subset:  IM    
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