ArticleOtology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology2020
Fluctuations in Subjective Tinnitus Ratings Over Time: Implications for Clinical Research.
Article in Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 10 citations in OpenAlex.
- Association between Tinnitus and Auditory Middle Latency Response: An Exploratory Study.Journal of otology · 2026Article
- The daily auditory environments of people with tinnitus.Scientific reports · 2025Article
- The human pupil and face encode sound affect and provide objective signatures of tinnitus and auditory hypersensitivity disorders.bioRxiv : the preprint server for biology · 2024Article
- Automatic identification of tinnitus malingering based on overt and covert behavioral responses during psychoacoustic testing.NPJ digital medicine · 2022Article
- Estimated cochlear neural degeneration is associated with loudness hypersensitivity in individuals with normal audiograms.JASA express letters · 2022Article
- FORUM: Remote testing for psychological and physiological acoustics.The Journal of the Acoustical Society of America · 2022Article
- Evaluation of Remote Categorical Loudness Scaling.American journal of audiology · 2022Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
Abstract
objectivePatients with chronic, subjective tinnitus are often administered a battery of audiometric tests to characterize their tinnitus percept. Even a comprehensive battery, if applied just once, cannot capture fluctuations in tinnitus strength or quality over time. Moreover, subjects experience a learning curve when reporting the detailed characteristics of their tinnitus percept, such that a single assessment will reflect a lack of familiarity with test requirements. We addressed these challenges by programming an automated software platform for at-home tinnitus characterization over a 2-week period. STUDY
designProspective case series.
settingTertiary referral center, patients' homes.
interventionsFollowing an initial clinic visit, 25 subjects with chronic subjective tinnitus returned home with a tablet computer and calibrated headphones to complete questionnaires, hearing tests, and tinnitus psychoacoustic testing. We repeatedly characterized loudness discomfort levels and tinnitus matching over a 2-week period.
main outcome measuresPrimary outcomes included intrasubject variability in loudness discomfort levels, tinnitus intensity, and tinnitus acoustic matching over the course of testing.
resultsWithin-subject variability for all outcome measures could be reduced by approximately 25 to 50% by excluding initial measurements and by focusing only on tinnitus matching attempts where subjects report high confidence in the accuracy of their ratings.
conclusionsTinnitus self-report is inherently variable but can converge on reliable values with extended testing. Repeated, self-directed tinnitus assessments may have implications for identifying malingerers. Further, these findings suggest that extending the baseline phase of tinnitus characterizations will increase the statistical power for future studies focused on tinnitus interventions.
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Registered trials
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