The Relationship between Stress and Hyperacusis: Case-Control Study

Document Type : Original Articles

Authors

1 Associate Professor, Hearing Disorder Research Center AND Department of Audiology, School of Rehabilitation, Hamadan University of Medical Sciences, Hamadan, Iran

2 - Professor, Hearing Disorder Research Center AND Department of ENT, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran

10.48305/jrrs.2023.26556.0

Abstract

Introduction: Sound intolerance or hyperacusis refers to a condition in which a person has an abnormal sensitivity to loudness. Some people feel it as a mild pain, while for others, it is difficult to live with. In some cases, it is a result of exposure to painful events, and sometimes the aetiology is not clear. Therefore, the aim of this study was to determine the relationship between stress and hyperacusis.
Materials and Methods: This was a case-control cross-sectional study. The study population consisted of 207 students of Hamadan University of Medical Sciences, Hamadan, Iran. The data were collected by filling the General Health Questionnaire (GHQ-28), and using tympanometry tests, pure tone audiometry, speech audiometry, and determining uncomfortable level (UCL) of the sound. Based on the independent t-test, the relationship between quantitative variables was investigated.
Results: The control group included 166 (80.19%) participants with normal stress score (GHQ > 23) and normal results in UCL test. The case group consisted of 41 people (19.81%) whose stress score and UCL test score were abnormal. Based on the independent t-test, the relationship between stress and hyperacusis was significant (P ≤ 0.001). However, despite the fact that the frequency of people suffering from stress and hyperacusis was higher in women (60.71%) than men (39.29%), its relationship with gender was not confirmed (P = 0.070).
Conclusion: It seems that stress is one of the causes of hyperacusis, and hyperacusis is observed more in women.

Keywords

  1. Yilmaz S, Tas M, Bulut E, Nurcin E. Assessment of reduced tolerance to sound (Hyperacusis) in university students. Noise Health 2017; 19(87): 73-8.
  2. Hasson D, Theorell T, Bergquist J, Canlon B. Acute stress induces hyperacusis in women with high levels of emotional exhaustion. PLoS One 2013; 8(1): e52945.
  3. Formby C, Sherlock LP, Hawley ML, Gold SL. A sound therapy-based intervention to expand the auditory dynamic range for loudness among persons with sensorineural hearing losses: case evidence showcasing treatment efficacy. Semin Hear 2017; 38(1): 130-50.
  4. Baguley DM, Hoare DJ. Hyperacusis: Major research questions. HNO 2018; 66(5): 358-63.
  5. Hannula S, Bloigu R, Majamaa K, Sorri M, Maki-Torkko E. Self-reported hearing problems among older adults: Prevalence and comparison to measured hearing impairment. J Am Acad Audiol 2011; 22(8): 550-9.
  6. Baguley DM. Hyperacusis. J R Soc Med 2003; 96(12): 582-5.
  7. Willmott SA, Boardman JA, Henshaw CA, Jones PW. Understanding General Health Questionnaire (GHQ-28) score and its threshold. Soc Psychiatry Psychiatr Epidemiol 2004; 39(8): 613-7.
  8. Andersson G, Juris L, Kaldo V, Baguley DM, Larsen HC, Ekselius L. Hyperacusis--an unexplored field. Cognitive behavior therapy can relieve problems in auditory intolerance, a condition with many questions. Lakartidningen 2005; 102(44): 3210-2. [In Swedish].
  9. Andersson G, Lindvall N, Hursti T, Carlbring P. Hypersensitivity to sound (hyperacusis): A prevalence study conducted via the Internet and post. Int J Audiol 2002; 41(8): 545-54.
  10. Stormer CC, Stenklev NC. Rock music and hearing disorders. Tidsskr Nor Laegeforen 2007; 127(7): 874-7. [In Norwegian].
  11. Fackrell K, Potgieter I, Shekhawat GS, Baguley DM, Sereda M, Hoare DJ. Clinical interventions for hyperacusis in adults: A scoping review to assess the current position and determine priorities for research. Biomed Res Int 2017; 2017: 2723715.
  12. Paulin J, Nordin M, Nyback MH, Nordin S. Associations between hyperacusis and psychosocial work factors in the general population. Int Arch Occup Environ Health 2019; 92(1): 59-65.
  13. Meuer SP, Hiller W. The impact of hyperacusis and hearing loss on tinnitus perception in German teachers. Noise Health 2015; 17(77): 182-90.
  14. Knipper M, Van DP, Nunes I, Ruttiger L, Zimmermann U. Advances in the neurobiology of hearing disorders: Recent developments regarding the basis of tinnitus and hyperacusis. Prog Neurobiol 2013; 111: 17-33.
  15. Wallen MB, Hasson D, Theorell T, Canlon B. The correlation between the hyperacusis questionnaire and uncomfortable loudness levels is dependent on emotional exhaustion. Int J Audiol 2012; 51(10): 722-9.
  16. Blaesing L, Kroener-Herwig B. Self-reported and behavioral sound avoidance in tinnitus and hyperacusis subjects, and association with anxiety ratings. Int J Audiol 2012; 51(8): 611-7.
  17. Marriage J, Barnes NM. Is central hyperacusis a symptom of 5-hydroxytryptamine (5-HT) dysfunction?
    J Laryngol Otol 1995; 109(10): 915-21.
  18. Paulin J, Andersson L, Nordin S. Characteristics of hyperacusis in the general population. Noise Health 2016; 18(83): 178-84.
  19. Ralli M, Salvi RJ, Greco A, Turchetta R, De Virgilio A, Altissimi G, et al. Characteristics of somatic tinnitus patients with and without hyperacusis. PLoS One 2017; 12(11): e0188255.
  20. Aazh H, Landgrebe M, Danesh AA, Moore BC. Cognitive behavioral therapy for alleviating the distress caused by tinnitus, hyperacusis and misophonia: Current perspectives. Psychol Res Behav Manag 2019; 12: 991-1002.
  21. Han JJ, Jang JH, Ridder D, Vanneste S, Koo JW, Song JJ. Increased parietal circuit-breaker activity in delta frequency band and abnormal delta/theta band connectivity in salience network in hyperacusis subjects. PLoS One 2018; 13(1): e0191858.
  22. Aazh H, Knipper M, Danesh AA, Cavanna AE, Andersson L, Paulin J, et al. Insights from the third international conference on hyperacusis: Causes, evaluation, diagnosis, and treatment. Noise Health 2018; 20(95): 162-70.
  23. Pienkowski M. Prolonged Exposure of CBA/Ca Mice to Moderately Loud Noise Can Cause Cochlear Synaptopathy but Not Tinnitus or Hyperacusis as Assessed with the Acoustic Startle Reflex. Trends Hear 2018; 22: 2331216518758109.
  24. Chen YC, Chen GD, Auerbach BD, Manohar S, Radziwon K, Salvi R. Tinnitus and hyperacusis: Contributions of paraflocculus, reticular formation and stress. Hear Res 2017; 349: 208-22.
  • Receive Date: 27 November 2021
  • Accept Date: 18 March 2023
  • First Publish Date: 18 March 2023