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ORIGINAL RESEARCH article

Front. Audiol. Otol.
Sec. Tinnitus
Volume 2 - 2024 | doi: 10.3389/fauot.2024.1436372

TINNITUS, ANXIETY AND DEPRESSION AFTER COCHLEAR IMPLANT: A PROSPECTIVE COHORT STUDY

Provisionally accepted
Pauliana Lamounier Pauliana Lamounier 1*Victória Franco Gonçalves Victória Franco Gonçalves 1Isabela Carvalho Queiroz Isabela Carvalho Queiroz 2Marina Nahas Dafico Bernardes Marina Nahas Dafico Bernardes 1Débora Aparecida Gobbo Débora Aparecida Gobbo 1Hugo Valter Lisboa Ramos Hugo Valter Lisboa Ramos 1Claudiney Cândido Costa Claudiney Cândido Costa 1Fayez Bahmad Jr Fayez Bahmad Jr 2
  • 1 OTOLARYNGOLOGIST IN CENTRO ESTADUAL DE REABILITAÇÃO E READAPTAÇÃO DR. HENRIQUE SANTILLO, Goiânia, Brazil
  • 2 University of Brasilia, Brasilia, Distrito Federal, Brazil

The final, formatted version of the article will be published soon.

    Introduction: Hearing loss affects approximately 1.5 billion people worldwide and is the greatest risk factor for tinnitus, a condition that can further worsen quality of life, lead to high anxiety and depression, and affect general health and well-being. Objectives: To assess the impact of cochlear implants (CIs) on tinnitus perception and quality of life and their relationship with psychological disorders, such as depression and anxiety. Methods: Thirty adults with profound bilateral hearing loss who were candidates for CI surgery and who experienced tinnitus were assessed using the Tinnitus Handicap Inventory (THI), the Visual Analogue Scale (VAS), the WHOQOL-BREF, and the Hospital Anxiety and Depression Scale (HADS) questionnaires at 4 different time points: preoperatively, 7 days after cochlear implant activation, and 3 and 6 months after cochlear implant surgery. The International Outcome Inventory CI (IOI-CI) was applied at 3 and 6 months, and the Glasgow Benefit Inventory (GBI) questionnaire was applied at 6 months. Results: VAS and THI scores improved; however, significant improvements were only observed in THI scores 6 months post-surgery. Time spent using hearing aids did not correlate significantly with speech recognition test scores, nor were there significant correlations between the changes in the preoperative THI score and VAS scores or the changes in the speech recognition test scores 6 months post-surgery. We observed a decrease in anxiety and depression scores at the 6-month follow-up compared with the preoperative period. Conclusion: THI scores significantly increased after CI surgery, suggesting that tinnitus improved. Trends in improved anxiety and depression scores after CI surgery were also observed. Scores associated with the WHOQOL-BREF quality of life self-evaluations, and the environment and general domains, significantly improved.

    Keywords: Hearing Loss, Tinnitus, cochlear implant, Quality of Life, Anxiety, Depression

    Received: 22 May 2024; Accepted: 21 Oct 2024.

    Copyright: © 2024 Lamounier, Gonçalves, Queiroz, Bernardes, Gobbo, Ramos, Costa and Bahmad Jr. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Pauliana Lamounier, OTOLARYNGOLOGIST IN CENTRO ESTADUAL DE REABILITAÇÃO E READAPTAÇÃO DR. HENRIQUE SANTILLO, Goiânia, Brazil

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.