CoDAS
http://www.codas.periodikos.com.br/article/doi/10.1590/2317-1782/20202020016
CoDAS
Artigo Original

Aplicabilidade do Tinnitus and Hearing Survey (THS) na diferenciação de queixas auditivas

The applicability of the Tinnitus and Hearing Survey (THS) in the differentiation of tinnitus and hearing complaints

Amanda Rodrigues Scheffer, Maria Carolina Ferreira, Maria Fernanda Capoani Garcia Mondelli

Downloads: 1
Views: 593

Resumo

Objetivo: verificar a aplicabilidade do THS em mensurar e diferenciar as queixas de zumbido, perda auditiva e tolerância ao som. Método: Foi aplicado o questionário THS, composto por 4 questões sobre zumbido, 4 sobre perda auditiva e 1 sobre tolerância ao som. Previamente, todos os participantes realizaram uma bateria de exames de diagnóstico audiológico e foram divididos em grupos: audição normal bilateral com média até 25dB, com e sem queixa de zumbido (Grupos 1 e 3); diagnóstico de perda auditiva sensório neural de grau leve a moderado (26dB a 60dB), sem uso prévio de aparelho de amplificação sonora Individual (AASI), com queixa de zumbido crônico (≥6 meses) e também indivíduos sem queixa de zumbido (Grupos 2 e 4); idade igual ou superior a 18 anos. Resultados: Foram incluídos no presente estudo 70 indivíduos. Em relação a análise do total entre os grupos pelo teste Kruskal-Wallis foram encontradas diferenças significativas nas seções sobre zumbido e perda auditiva, mas não houve significância da seção sobre tolerância ao som. Em relação às questões sobre zumbido apenas os grupos 3 e 4 pontuaram. Quanto às questões referentes à perda auditiva, os grupos sem perda (grupos 1 e 3) foram os que menos pontuaram. Em relação a questão do THS sobre tolerância ao som, o grupo 3 foi o que mais pontuou. Conclusão: o questionário THS se mostrou como uma possível ferramenta para auxiliar na compreensão e diferenciação das queixas auditivas.

Palavras-chave

Adulto; Audição; Estudos Transversais; Perda Auditiva; Zumbido

Abstract

Purpose: to verify the applicability of Tinnitus and Hearing Survey (THS) to measure and differentiate complaints of tinnitus, hearing loss and sound tolerance. Methods: THS was performed, composed by 4 questions about tinnitus, 4 about hearing loss and one about sound tolerance. Previously, all participants performed a battery of audiological diagnostic tests and then divided into 4 groups: Bilateral normal audiometry with mean up to 25dB, with and without tinnitus complaint (Groups 1 and 3); diagnosis of mild to moderate neural sensory hearing loss (26dB to 60dB), no previous use of individual hearing aids, complaining of chronic tinnitus (≥6 months) and, individuals without tinnitus complaints (Groups 2 and 4); and age ≥18 years old. Results: Seventy subjects were included in this study. Regarding the analysis of the total between the groups by the Kruskal-Wallis test, significant differences were found in sections about tinnitus and hearing Loss, but there was no significance in section ofsound tolerance. Regarding the questionsin SectionAof the THS, only groups 3 and 4 scored. Regarding the questions related to Section B about hearing loss, the groups without hearing loss (groups 1 and 3) scored the lowest. In relation to the question of THS of Section C, group 3 scored the highest. Conclusion: The THS questionnaire proved to be a useful, quick and simple tool to assist the audiologist in the understanding and differentiation of the audiologic complaints.

Keywords

Adult; Hearing; Cross-Sectional Studies; Hearing Loss; Tinnitus

Referências

1. LessaAH, Costa MJ, Becker KT, VaucherAVA. Satisfaction of HearingAids Users with hearing loss of severe and deep degree. Int Otorhinolaryngol. 2010;14(3):338-45.

2. Da Silva RGB, De Almeida LP. Próteses auditivas por idosos: aspectos psicossociais, adaptação e qualidade de vida. Interações. 2016;3(17):463- 74.

3. Sanchez TG, Zonata AI, Bittar RSM, Bento RF. Controvérsias sobre a fisiologia do zumbido. InternationalArq Fund Otohinolaryngol. 1997;1(1):2- 8.

4. Sanchez TG, De Medeiros IRT, Levy CPD, Ramalho JRO, Bento RF. Tinnitus in normally hearing patients: clinical aspects and repercussions. Rev Bras Otorrinolaringol. 2005;71(4):427-31. http://dx.doi.org/10.1590/ S0034-72992005000400005. PMid:16446955.

5. Dias A, Cordeiro R, Corrente JE. Incômodo causado pelo zumbido medido pelo Questionário de Gravidade do Zumbido. Rev Saude Publica. 2006;40(4):706-11. http://dx.doi.org/10.1590/S0034-89102006000500022. PMid:17063249.

6. Scheffer AR, Mondelli MFCG. Tinnitus and Hearing Survey: cultural adaptation to Brazilian Portuguese. Braz J Otorhinolaryngol. 2019;87(1):28- 34. http://dx.doi.org/10.1016/j.bjorl.2019.06.009.

7. Langguth B, Landgrebe M, Schlee W, Schecklmann M, Vielsmeier V, Steffens T, et al. Different patterns of hearing loss among tinnitus patients: a latent class analysis of a large sample. Front Neurol. 2017;8(46):1-8. http://dx.doi.org/10.3389/fneur.2017.00046. PMid:28265258.

8. Schlee W, Shekhawat GS. What does tinnitus have to do with hearing loss? Front Young Minds. 2017;5(2):1-7. http://dx.doi.org/10.3389/ frym.2017.00002. PMid:29353626.

9. Sultana H, Mumtaz N, Dawood T. Type and Degree of Hearing Loss in Patients with Tinnitus. Int J Rehab Sci. 2018;7(1):24-7.

10. Cash TV. Decreased Sound Tolerance (DST): prevalence, clinical correlates and development os a DST assessment instrument [dissertation]. Richmond: Virginia Commonwealth University; 2015. 181 p.

11. Jastreboff MM, Jastreboff PJ. Decreased sound tolerance and Tinnitus Retraining Therapy (TRT). Aust N Z J Audiol. 2002;24(2):74-84. http:// dx.doi.org/10.1375/audi.24.2.74.31105.

12. Jastreboff PJ, Jastreboff MM. Treatments for decreased sound tolerance (hyperacusis and misophonia). Semin Hear. 2014;35(2):105-20. http:// dx.doi.org/10.1055/s-0034-1372527.

13. Henry JA, Griest S, Zaugg TL, Thielman E, Kaelin C, Galvez G, et al. Tinnitus and hearing survey: a screening tool to differentiate bothersome tinnitus from hearing difficulties. Am J Audiol. 2015;24(1):66-77. http:// dx.doi.org/10.1044/2014_AJA-14-0042. PMid:25551458.

14. Benin L, Teixeira AR, Lessa AH, Rosito LPS, Walbrohel I, Picinini T, et al. Zumbido crônico: estudo em indivíduos com e sem perda auditiva. ConScientiae Saúde. 2016;15(4):657-64. http://dx.doi.org/10.5585/conssaude. v15n4.6907.

15. Henry JA, Zaugg TL, Myers PJ, Schmidt CJ, Griest S, Legro MW, et al. Pilotstudy to develop telehealth tinnitus management for persons with and without traumatic brain injury. J Rehabil Res Dev. 2012;49(7):1025-42. http://dx.doi.org/10.1682/JRRD.2010.07.0125. PMid:23341277.

16. Scheffer AR, Mondelli MFGC. Tinnitus and Hearing Survey: cultural adaptation to Brazilian Portuguese. Rev Bras Otorrinolaringol. 2019. http:// dx.doi.org/10.1016/j.bjorl.2019.06.009. PMid:31422070.

17. Lopes AC, Munhoz GS, Bozza A. Diagnóstico audiológico. In: Boéchat EM, Menezes PL, Couto CM, FrizzoACF, Scharlach RC,AnastasioART. Tratado de audiologia. 2. ed. Rio de Janeiro: Guanabara Koogan; 2015. p. 55-178.

18. Raj-Koziak D, Gos E, Rajchel J, Piłka A, Skarżyński H, Rostkowska J,  et  al. Tinnitus and hearing survey: a polish study of validity and reliability in a clinical. Audiol Neurotol. 2017;22(4-5):197-204. http:// dx.doi.org/10.1159/000481338. PMid:29130955.

19. Henry JA, Zaugg TL, Myers PM, Kendall CJ. Progressive tinnitus management: Clinical handbook for audiologists. San Diego: Plural; 2010.

20. Shargorodsky J, Curhan GC, Farwell WR. Prevalence and characteristics of tinnitus among US adults.Am J Med. 2010;123(8):711-8. http://dx.doi. org/10.1016/j.amjmed.2010.02.015. PMid:20670725.

21. Tunkel DE, Bauer CA, Sun GH, Rosenfeld RM, Chandrasekhar SS, Cunningham ER Jr,  et  al. Clinical practice guideline: tinnitus. Otolaryngol Head Neck Surg. 2014;151(2, Suppl. 2):S1-40. http://dx.doi. org/10.1177/0194599814545325. PMid:25273878.

22. McCormack A, Edmondson-Jones M, Somerset S, Hall D. A systematic review of the reporting of tinnitus prevalence and severity. Hear Res. 2016;2016(337):70-9. http://dx.doi.org/10.1016/j.heares.2016.05.009. PMid:27246985.

23. Mores JT, Bozza A, Magni C, Casali RL, DoAmaral MIR. Perfil clínico e implicações do zumbido em indivíduos com e sem perda auditiva. CoDAS. 2019;31(6):e20180029. http://dx.doi.org/10.1590/2317-1782/20192018029. PMid:31644709.

24. Kehrle HM, Sampaio AL, Granjeiro RC, de Oliveira TS, Oliveira CA. Tinnitus annoyance in normal-hearing individuals: correlation with depression and anxiety. Ann Otol Rhinol Laryngol. 2016;125(3):185-94. http://dx.doi.org/10.1177/0003489415606445. PMid:26424781.

25. Serra LS, Granjeiro RC, Braga SC, Oliveira CA, Sampaio AL.Association between suppression of otoacoustic emissions and annoyance levels in tinnitus patients with normal hearing. Int Tinnitus J. 2015;19(2):52-8. http://dx.doi.org/10.5935/0946-5448.20150009. PMid:27186933.

26. Novelli CL, Carvalho NG, Colella-Santos MF. Hearing in Noise Test, HINT-Brazil, in normal-hearing children. Rev Bras Otorrinolaringol. 2018;84(3):360-7. http://dx.doi.org/10.1016/j.bjorl.2017.04.006. PMid:28549874.

27. Musiek FE, Shinn J, Chermak GD, Bamiou DE. Perspectives on the puretone audiogram. JAmAcadAudiol. 2017;28(7):665-71. PMid:28722648.

28. Fackrell K, Fearnley C, Hoare DJ, Sereda M. Hyperacusis Questionnaire as a tool for measuring hypersensitivity to sound in a tinnitus research population. Biomed Res Int. 2015;2015:1-12.

29. Shim HJ, An Y-H, Kim DH, Yoon JE, Yoon JH. Comparisons of auditory brainstem response and sound level tolerance in tinnitus ears and non-tinnitus ears in unilateral tinnitus patients with normal audiograms. PLoS One. 2017;12(12):e0189157. http://dx.doi.org/10.1371/journal.pone.0189157. PMid:29253030.

30. Aazh H, Lammaing K, Moore BCJ. Factorsrelated to tinnitus and hyperacusis handicap in older people. Int J Audiol. 2017;56(9):1-8. http://dx.doi.org/1 0.1080/14992027.2017.1335887. PMid:28625091.


Submetido em:
28/01/2020

Aceito em:
17/06/2020

60c9ff0ba953957af7547bd3 codas Articles

CoDAS

Share this page
Page Sections