ArticleScientific reports2016
Emotional states as mediators between tinnitus loudness and tinnitus distress in daily life: Results from the "TrackYourTinnitus" application.
Article in Scientific reports, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 63 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
63 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Smartphone Apps in the Context of Tinnitus: Systematic Review.Sensors (Basel, Switzerland) · 2020Pooled it
- Using Momentary Assessment and Machine Learning to Identify Barriers to Self-management in Type 1 Diabetes: Observational Study.JMIR mHealth and uHealth · 2022Trial
- Tinnitus and tinnitus disorder: Genetic, neurobiological, and clinical differentiation.iScience · 2026Review
- Uncovering latent trajectories of daily tinnitus symptoms through app-based monitoring during treatment.Internet interventions · 2026Article
- Transdiagnostic dimensions of psychopathology in chronic tinnitus patients with and without hearing loss.Scientific reports · 2026Article
- Tinnitus Measured in Everyday Life: A Literature Review of Ecological Momentary Assessment Studies.Journal of the Association for Research in Otolaryngology : JARO · 2025Review
- Review
- Review
- Understanding tinnitus symptom dynamics and clinical improvement through intensive longitudinal data.NPJ digital medicine · 2025Article
- Associations between cochlear electrophysiology, emotional health, and sleep quality in adults with tinnitus: a comprehensive analysis.Frontiers in psychiatry · 2025Article
- Embracing the psychological complexity of tinnitus-correlated distress: from descriptive nosology to person-centred explanatory models.Frontiers in psychiatry · 2025Article
- Article
- Tinnitus: Clinical Insights in Its Pathophysiology-A Perspective.Journal of the Association for Research in Otolaryngology : JARO · 2024Review
- Electrical Ear Canal Stimulation as a Therapeutic Approach for Tinnitus-A Proof of Concept Study.Journal of clinical medicine · 2024Article
- Heterogeneity in response to treatment across tinnitus phenotypes.Scientific reports · 2024Article
- Emotional self-states and coping responses in patients with chronic tinnitus: a schema mode model approach.Frontiers in psychiatry · 2024Article
- Article
- "I feelFrontiers in psychiatry · 2024Article
- Aging Makes the Heart Grow Fonder: Age Influences Hearing Ability and Interactions between Psychological Phenomena in Patients with Chronic Tinnitus.Journal of personalized medicine · 2023Article
- Review
3 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The psychological process how tinnitus loudness leads to tinnitus distress remains unclear. This cross-sectional study investigated the mediating role of the emotional state "stress level" and of the two components of the emotional state "arousal" and "valence" with N = 658 users of the "TrackYourTinnitus" smartphone application. Stress mediated the relationship between tinnitus loudness and tinnitus distress in a simple mediation model and even in a multiple mediation model when arousal and valence were held constant. Arousal mediated the loudness-distress relationship when holding valence constant, but not anymore when controlling for valence as well as for stress. Valence functioned as a mediator when controlling for arousal and even when holding arousal and stress constant. The direct effect of tinnitus loudness on tinnitus distress remained significant in all models. This study demonstrates that emotional states affect the process how tinnitus loudness leads to tinnitus distress. We thereby could show that the mediating influence of emotional valence is at least equally strong as the influence of stress. Implications of the findings for future research, assessment, and clinical management of tinnitus are discussed.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.