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pmid32437105      Evidence+review+for+assessing+psychological+impact:+Tinnitus:+assessment+and++management:+Evidence+review+F-/-NICE+Evidence+Reviews+Collection 2020 ; ä (ä): ä
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  • Evidence review for assessing psychological impact: Tinnitus: assessment and management: Evidence review F #MMPMID32437105
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  • Evidence review for assessing psychological impact: Tinnitus: assessment and management: Evidence review F-/-NICE Evidence Reviews Collection 2020[Mar]; ä (ä): ä PMID32437105show ga
  • Tinnitus may impact on a person in a number of ways. The psychological impact is commonly the most obvious and the most profound. Changes in emotional state, including deterioration in mood, catastrophic thinking and avoidance behaviour are common. Children and young people may also describe distress; however, observations by others of changes in their emotional wellbeing and/ or behaviour are also important. A high proportion of people attending tinnitus clinics experience a sufficient degree of distress to merit a formal psychiatric diagnosis and health care professionals should be aware of this possibility in their assessment. Formal diagnosis is, however, rarely made. Sleeping disturbance in the form of insomnia is one of the most common complaints among people attending tinnitus clinics; the process is thought to be the same as in insomnia in other contexts with psychological factors being the dominant influences in bringing about and maintaining the problem. Many people with tinnitus also complain of difficulties in concentration and listening difficulties. There can therefore be an impact on daily activities, both in terms of achievement and enjoyment. Assessment of psychological impact is often carried out by clinical interview, discussion and with questionnaire measures of emotional state. Some questionnaires focus on anxiety symptoms, others on depression symptoms and some have a pan-diagnostic perspective. The content of the assessment will vary between professionals, for example by a GP, audiologist or clinical psychologist as appropriate. However, currently there is unnecessary variation across the country in the assessment of the psychological impact of tinnitus. The aim of the review question is to determine the most clinically and cost-effective method of assessing the psychological impact of tinnitus. These assessments would be followed up by appropriate interventions for tinnitus and the resulting patient outcomes assessed.
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