Effects of tinnitus treatments on sleep disorders in patients with tinnitus

Satoko Wakabayashi, Hideyuki Saito, Naoki Oishi, Seiichi Shinden, Kaoru Ogawa

Research output: Contribution to journalArticlepeer-review

18 Citations (Scopus)


Objective: To assess the effects of tinnitus treatments on sleep disorders in patients with tinnitus. Design: Subjects completed the Pittsburg Sleep Quality Index (PSQI), Tinnitus Handicap Inventory (THI), Self-rating Depression Scale (SDS), and State Trait Anxiety Inventory (STAI). The questionnaire results and the patients’ sex, age, time since the onset of tinnitus, and mean hearing level were examined, and differences between a sleep disorder group and a normal sleep group were examined. Patients completed the questionnaires again after initiating tinnitus treatments (counselling and use of sound generators), and the change in questionnaire scores at follow-up was evaluated. Study sample: Patients (N = 100) with tinnitus who visited Keio University Hospital and started treatment without medication between 2005 and 2008. Results: Sixty-six percent of the patients had sleep disorders. Compared with patients without sleep disorders, patients with sleep disorders had significantly higher SDS and STAI scores at the first visit. The mean PSQI scores showed significant improvement at follow-up. Conclusions: Sleep disorders in patients with tinnitus improved after tinnitus treatments. Complex interactions between depressive symptoms and anxiety may occur in these patients. The improvement in sleep disorders at follow-up was correlated with improvements in tinnitus severity and state anxiety.

Original languageEnglish
Pages (from-to)110-114
Number of pages5
JournalInternational Journal of Audiology
Issue number2
Publication statusPublished - 2018 Feb 1


  • Insomnia
  • Pittsburg sleep quality index
  • anxiety
  • depressive symptoms
  • tinnitus handicap

ASJC Scopus subject areas

  • Language and Linguistics
  • Linguistics and Language
  • Speech and Hearing


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