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Catastrophizing and fear of tinnitus predict quality of life in patients with chronic tinnitus

Rilana FF Cima, Geert Crombez UGent and Johan WS Vlaeyen (2011) EAR AND HEARING. 32(5). p.634-641
abstract
Objectives: It is well established that catastrophic misinterpretations and fear are involved in the suffering and disability of patients with chronic pain. This study investigated whether similar processes explain suffering and disability in patients with chronic tinnitus. We hypothesized that patients who catastrophically (mis)interpret their tinnitus would be more fearful of tinnitus, more vigilant toward their tinnitus, and report less quality of life. Moreover, tinnitus-related fear was expected to act as a mediator in reduced quality of life. Design: Sixty-one tinnitus patients from an outpatient ENT department of the University Hospital of Antwerp (Belgium) completed a number of questionnaires about their tinnitus. Hierarchical regression analyses were performed to test hypothesized associations and to assess mediation by tinnitus-related fear. Results: Analyses revealed significant associations between catastrophizing and fear and between catastrophizing and increased attention toward the tinnitus. Furthermore, both tinnitus-related catastrophizing and fear were negatively associated with quality of life; moreover, tinnitus-related fear fully mediated the association between catastrophizing about the tinnitus and quality of life. Conclusions: The findings confirm earlier suggestions that tinnitus-related concerns and fears are associated with impaired quality of life, which is in line with a cognitive behavioral account of chronic tinnitus. Future research avenues and clinical applications are discussed.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
PERCEPTION, VALIDATION, MEDIATION, MODELS, QUESTIONNAIRE, SCALE, BACK-PAIN, PAIN-RELATED FEAR, CHRONIC MUSCULOSKELETAL PAIN, MEDICALLY UNEXPLAINED SYMPTOMS
journal title
EAR AND HEARING
Ear Hear.
volume
32
issue
5
pages
634 - 641
Web of Science type
Article
Web of Science id
000294281400011
JCR category
OTORHINOLARYNGOLOGY
JCR impact factor
2.578 (2011)
JCR rank
3/41 (2011)
JCR quartile
1 (2011)
ISSN
0196-0202
DOI
10.1097/AUD.0b013e31821106dd
language
English
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
1917248
handle
http://hdl.handle.net/1854/LU-1917248
date created
2011-09-28 17:15:13
date last changed
2016-12-19 15:40:35
@article{1917248,
  abstract     = {Objectives: It is well established that catastrophic misinterpretations and fear are involved in the suffering and disability of patients with chronic pain. This study investigated whether similar processes explain suffering and disability in patients with chronic tinnitus. We hypothesized that patients who catastrophically (mis)interpret their tinnitus would be more fearful of tinnitus, more vigilant toward their tinnitus, and report less quality of life. Moreover, tinnitus-related fear was expected to act as a mediator in reduced quality of life. Design: Sixty-one tinnitus patients from an outpatient ENT department of the University Hospital of Antwerp (Belgium) completed a number of questionnaires about their tinnitus. Hierarchical regression analyses were performed to test hypothesized associations and to assess mediation by tinnitus-related fear. Results: Analyses revealed significant associations between catastrophizing and fear and between catastrophizing and increased attention toward the tinnitus. Furthermore, both tinnitus-related catastrophizing and fear were negatively associated with quality of life; moreover, tinnitus-related fear fully mediated the association between catastrophizing about the tinnitus and quality of life. Conclusions: The findings confirm earlier suggestions that tinnitus-related concerns and fears are associated with impaired quality of life, which is in line with a cognitive behavioral account of chronic tinnitus. Future research avenues and clinical applications are discussed.},
  author       = {Cima, Rilana FF and Crombez, Geert and Vlaeyen, Johan WS},
  issn         = {0196-0202},
  journal      = {EAR AND HEARING},
  keyword      = {PERCEPTION,VALIDATION,MEDIATION,MODELS,QUESTIONNAIRE,SCALE,BACK-PAIN,PAIN-RELATED FEAR,CHRONIC MUSCULOSKELETAL PAIN,MEDICALLY UNEXPLAINED SYMPTOMS},
  language     = {eng},
  number       = {5},
  pages        = {634--641},
  title        = {Catastrophizing and fear of tinnitus predict quality of life in patients with chronic tinnitus},
  url          = {http://dx.doi.org/10.1097/AUD.0b013e31821106dd},
  volume       = {32},
  year         = {2011},
}

Chicago
Cima, Rilana FF, Geert Crombez, and Johan WS Vlaeyen. 2011. “Catastrophizing and Fear of Tinnitus Predict Quality of Life in Patients with Chronic Tinnitus.” Ear and Hearing 32 (5): 634–641.
APA
Cima, R. F., Crombez, G., & Vlaeyen, J. W. (2011). Catastrophizing and fear of tinnitus predict quality of life in patients with chronic tinnitus. EAR AND HEARING, 32(5), 634–641.
Vancouver
1.
Cima RF, Crombez G, Vlaeyen JW. Catastrophizing and fear of tinnitus predict quality of life in patients with chronic tinnitus. EAR AND HEARING. 2011;32(5):634–41.
MLA
Cima, Rilana FF, Geert Crombez, and Johan WS Vlaeyen. “Catastrophizing and Fear of Tinnitus Predict Quality of Life in Patients with Chronic Tinnitus.” EAR AND HEARING 32.5 (2011): 634–641. Print.