Probst, Thomas and Pryss, Rudiger C. and Langguth, Berthold and Rauschecker, Josef P. and Schobel, Johannes and Reichert, Manfred and Spiliopoulou, Myra and Schlee, Winfried and Zimmermann, Johannes (2017) Does Tinnitus Depend on Time-of-Day? An Ecological Momentary Assessment Study with the "TrackYourTinnitus" Application. FRONTIERS IN AGING NEUROSCIENCE, 9: 253. ISSN 1663-4365,
Full text not available from this repository. (Request a copy)Abstract
Only few previous studies used ecological momentary assessments to explore the time-of-day-dependence of tinnitus. The present study used data from the mobile application "TrackYourTinnitus" to explore whether tinnitus loudness and tinnitus distress fluctuate within a 24-h interval. Multilevel models were performed to account for the nested structure of assessments (level 1: 17,209 daily life assessments) nested within days (level 2: 3,570 days with at least three completed assessments), and days nested within participants (level 3: 350 participants). Results revealed a time-of-day-dependence of tinnitus. In particular, tinnitus was perceived as louder and more distressing during the night and early morning hours (from 12 a. m. to 8 a. m.) than during the upcoming day. Since previous studies suggested that stress (and stress-associated hormones) show a circadian rhythm and this might influence the time-of-day-dependence of tinnitus, we evaluated whether the described results change when statistically controlling for subjectively reported stress-levels. Correcting for subjective stress-levels, however, did not change the result that tinnitus (loudness and distress) was most severe at night and early morning. These results show that time-of-day contributes to the level of both tinnitus loudness and tinnitus distress. Possible implications of our results for the clinical management of tinnitus are that tailoring the timing of therapeutic interventions to the circadian rhythm of individual patients (chronotherapy) might be promising.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | COGNITIVE-BEHAVIORAL THERAPY; AMBULATORY ASSESSMENT; HANDICAP INVENTORY; CIRCADIAN CLOCK; NOISE EXPOSURE; CHRONIC PAIN; DISTRESS; SENSITIVITY; LIFE; CHRONOBIOLOGY; tinnitus; stress; circadian fluctuation; time-of-day; ecological momentary assessment |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Psychiatrie und Psychotherapie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 14 Dec 2018 13:16 |
| Last Modified: | 22 Feb 2019 06:17 |
| URI: | https://pred.uni-regensburg.de/id/eprint/1399 |
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