Evidence map›Paper›PMID 41694130›Full record

ArticleFrontiers in psychiatry2025

Associations between cochlear electrophysiology, emotional health, and sleep quality in adults with tinnitus: a comprehensive analysis.

Ye Liu, Lihao Bao, Xiaojiong Mao, Kaixing Shao, Guihua Xia, Shaosheng Liu, Ke Ji

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Article in Frontiers in psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Ye LiuBeilun Branch, First Affiliated Hospital of Zhejiang University School of Medicine, Ningbo, Zhejiang, China.
Lihao BaoBeilun Branch, First Affiliated Hospital of Zhejiang University School of Medicine, Ningbo, Zhejiang, China.
Xiaojiong MaoBeilun Branch, First Affiliated Hospital of Zhejiang University School of Medicine, Ningbo, Zhejiang, China.
Kaixing ShaoBeilun Branch, First Affiliated Hospital of Zhejiang University School of Medicine, Ningbo, Zhejiang, China.
Guihua XiaBeilun Branch, First Affiliated Hospital of Zhejiang University School of Medicine, Ningbo, Zhejiang, China.
Shaosheng LiuBeilun Branch, First Affiliated Hospital of Zhejiang University School of Medicine, Ningbo, Zhejiang, China.
Ke JiBeilun Branch, First Affiliated Hospital of Zhejiang University School of Medicine, Ningbo, Zhejiang, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Tinnitus is commonly accompanied by emotional distress and sleep disturbances, yet the extent to which these characteristics relate to cochlear electrophysiologic findings remains unclear. This study examined associations between electrophysiologic measures and emotional and sleep parameters in adults with subjective tinnitus. Methods: This retrospective study included 120 adults with tinnitus. Data collected included demographics, cochlear electrophysiologic measures (electrocochleography and auditory brainstem response), emotional characteristics (perceived stress, depressive symptoms, anxiety, emotion regulation), and sleep parameters (sleep quality, insomnia severity, daytime sleepiness). Correlation analyses and multivariate regression models were applied. Results: The mean age of the cohort was 62.35 years (SD 9.45), and 64.17% were male. A very weak negative correlation was observed between depressive symptoms and Wave III latency (r = -0.196, P = 0.03), but the small magnitude suggests minimal explanatory value. The summating potential/action potential ratio was not significantly correlated with sleep quality (r = -0.181, P = 0.05). In multivariate models, anxiolytic use was associated with a lower risk of poor sleep (adjusted odds ratio [aOR] = 0.262; 95% confidence interval [CI]: 0.078-0.881; P = 0.030), whereas antidepressant use was associated with a higher risk (aOR = 2.628; 95% CI: 1.027-6.724; P = 0.044). For insomnia, higher pure-tone average thresholds (aOR = 0.948 per dB; 95% CI: 0.906-0.992; P = 0.007) and hearing aid use (aOR = 3.396; 95% CI: 1.085-10.623; P = 0.036) were significant determinants. The only significant factor associated with quality of life was tinnitus duration, with longer duration associated with lower WHOQOL-BREF scores (β = -2.74; P = 0.020). No electrophysiologic parameter demonstrated significant associations in the multivariate models. Conclusion: Within the constraints of this study, cochlear electrophysiologic measures showed limited observable associations with emotional or sleep characteristics. Factors related to hearing status and medication use demonstrated stronger statistical associations with sleep outcomes, while tinnitus duration was linked to quality-of-life scores. These findings contribute to the growing body of descriptive evidence on tinnitus-related characteristics, although further research with larger cohorts and longitudinal designs is needed to clarify these relationships.

Indexed as

auditory brainstem responsedepressionelectrocochleographyemotion regulationsleepdisorderstinnitus

Identifiers

PMID41694130
PMCPMC12901392

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