pink softened noise hyperacusis sound therapy
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Dr. Hashir Aazh in collaboration with his colleagues Prof Berthold Langguth and Dr Michael Landgrebe psychiatrists from Germany, Professor BCJ Moore from University of Cambridge and Prof Danesh from USA we assessed the relationship between poor parental mental health in childhood and severity of the impact of tinnitu, hyperacusis and misophonia on individuals life in their adulthood. • For more information see • https://tinnitustherapy.org.uk/ (For professionals) • https://hashirtinnitusclinic.com/ (For patients) • https://hyperacusisresearch.co.uk/ (For International Conference on Hyperacusis/ International Misophonia Symposium/ Noise Sensitivity Seminar) • #tinnitus #hyperacusis #misophonia #hearing loss #audiology #psychology #hate eating noises #ringing in the ears #buzzing in the ears • Tinnitus is the sensation of sound without any external sound source. Hyperacusis is intolerance of certain everyday sounds that causes significant distress and impairment in social, occupational, recreational, and other day-to-day activities (Aazh et al, 2016). The sounds may be perceived as uncomfortably loud, unpleasant, frightening, or painful (Tyler et al, 2014). A recent study suggests that over 60% of help seeking patients with tinnitus and/or hyperacusis reported symptoms of anxiety disorders and/or depression (Aazh and Moore, 2017). It has been reported that adverse childhood experiences (ACE) increase the risk of poor mental health later in life (Anda et al, 2006). ACEs are defined as exposures to different forms of abuse (physical, emotional and sexual) and family dysfunction (substance abuse, mental illness, mother treated violently, incarcerated household member and parental separation) (Felitti et al, 1998). Parental separation and poor parental mental health are important forms of ACEs with prevalence of 23.3% and 19.4%, respectively (Anda et al, 2006; Lee and Chen, 2017). ACEs seem to influence the process in which a health condition leads to development of disability (activity limitations and participation restrictions) (Schussler-Fiorenza Rose et al, 2014). However, no study prior to this trilogy (Aazh et al, 2018a; Aazh et al, 2018b; Aazh et al, 2019) has assessed whether the individuals with a history of parental separation and poor parental mental health in their childhood are at more risk of developing tinnitus and hyperacusis disability. • What are the relationships between parental separation and parental mental health in childhood with tinnitus and hyperacusis disability in adulthood? • In this study the data for consecutive patients who attended the THTSC in the UK over a six month period were included (n = 184) (Aazh et al, 2018b). The average age of the patients was 52.5 years (standard deviation, SD = 16.1 years, ranged between 18 and 87 years old). Forty six percent of the patients were male. 14.7% of patients reported that while they were growing up, their parents were separated or divorced. There were no significant differences in Tinnitus Handicap Inventory (THI) (Newman et al, 1996) and Hyperacusis Questionnaire (HQ) (Khalfa et al, 2002) between patients with and without history of parental separation. The mean THI score was 51 (SD=24) in patients whose parents remained together compared to 43.4 (SD=20.2) in patients whose parents separated or divorced. This difference was not statistically significant (p=0.16). The mean HQ score was 17 (SD=9.9) in patients whose parents remained together compared to 18.3 (SD=11.1) in patients whose parents separated or divorced. This difference was not statistically significant (p=0.74). • About 40.2% reported a history of mental health disorders in their parents. The mean THI score was 54.8 (SD=22) in patients whose parents had a mental health illness compared to 45.2 (SD=23.2) in patients whose parents did not have a mental health illness. This difference was statistically significant (p=0.004). The mean HQ score was 20 (SD=9.6) in patients whose parents had a mental health illness compared to 16.1 (SD=10.4) in patients whose parents did not have a mental health illness. This difference was statistically significant (p=0.007). • Regression analysis showed that parental mental health illness did not significantly relate to the risk of tinnitus disability as measured via THI. Odds ratio (OR) adjusted for age and gender was 1.96 (95% CI: 0.49, 7.67, p=0.33). However, parental mental health illness is significantly related to the risk of hyperacusis disability as measured via HQ, OR adjusted for age and gender was 2.05 (95% CI: 1.09, 3.86, p=0.026).
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