Tinnitus and tinnitus disorder: Theoretical and operational definitions (an international multidisciplinary proposal)

被引：178

作者：

De Ridder, Dirk ^{[1
]}

Schlee, Winfried ^{[2
]}

Vanneste, Sven ^{[3
]}

Londero, Alain ^{[4
]}

Weisz, Nathan ^{[5
]}

Kleinjung, Tobias ^{[6
]}

Shekhawat, Giriraj Singh ^{[7
,8
,9
]}

Elgoyhen, Ana Belen ^{[10
]}

Song, Jae-Jin ^{[11
]}

Andersson, Gerhard ^{[12
,13
]}

Adhia, Divya ^{[1
]}

de Azevedo, Andreia Aparecida ^{[14
]}

Baguley, David M. ^{[15
,16
]}

Biesinger, Eberhard ^{[17
]}

Carolina Binetti, Ana ^{[18
]}

Del Bo, Luca ^{[19
]}

Cederroth, Christopher R. ^{[16
,20
,21
]}

Cima, Rilana ^{[22
,23
,24
]}

Eggermont, Jos J. ^{[25
]}

Figueiredo, Ricardo ^{[26
,27
]}

Fuller, Thomas E. ^{[22
,28
]}

Gallus, Silvano ^{[29
]}

Gilles, Annick ^{[30
,31
]}

Hall, Deborah A. ^{[32
,33
,34
,35
]}

Van de Heyning, Paul ^{[36
]}

Hoare, Derek J. ^{[37
]}

Khedr, Eman M. ^{[38
]}

Kikidis, Dimitris ^{[39
]}

Kleinstaeuber, Maria ^{[40
]}

Kreuzer, Peter M. ^{[2
]}

Lai, Jen-Tsung ^{[41
]}

Lainez, Jose Miguel ^{[42
]}

Landgrebe, Michael ^{[43
]}

Li, Lieber Po-Hung ^{[44
]}

Lim, Hubert H. ^{[45
]}

Liu, Tien-Chen ^{[46
]}

Lopez-Escamez, Jose Antonio ^{[47
,48
,49
]}

Mazurek, Birgit ^{[50
]}

Moller, Aage R. ^{[51
]}

Neff, Patrick ^{[52
]}

Pantev, Christo ^{[53
]}

Park, Shi Nae ^{[54
]}

Piccirillo, Jay F. ^{[55
]}

Poeppl, Timm B. ^{[56
]}

Rauschecker, Josef P. ^{[57
,58
,59
]}

Salvi, Richard ^{[60
]}

Sanchez, Tanit Ganz ^{[61
,62
]}

Schecklmann, Martin ^{[2
]}

Schiller, Axel ^{[2
]}

Searchfield, Grant D. ^{[63
,64
,65
]}

机构：

[1] Univ Otago, Dunedin Sch Med, Sect Neurosurg, Dept Surg Sci, Dunedin, New Zealand

[2] Univ Regensburg, Bezirksklinikum, Dept Psychiat & Psychotherapy, Regensburg, Germany

[3] Trinity Coll Dublin, Trinity Coll Inst Neurosci, Global Brain Hlth Inst, Lab Clin & Integrat Neurosci, Dublin, Ireland

[4] Hop Europeen Georges Pompidou, Serv ORL CCF, Paris, France

[5] Salzburg Univ, Ctr Cognit Neurosci, Salzburg, Austria

[6] Univ Zurich, Univ Zurich Hosp, Dept Otorhinolaryngol Head & Neck Surg, Zurich, Switzerland

[7] Flinders Univ S Australia, Coll Nursing & Hlth Sci, Bedford Pk, SA, Australia

[8] UCL, Ear Inst, London, England

[9] Tinnitus Res Initiat, Regensburg, Germany

[10] Inst Invest Ingn Genet & Biol Mol Dr Hector N Tor, Buenos Aires, AR, Argentina

[11] Seoul Natl Univ, Coll Med, Bundang Hosp, Dept Otorhinolaryngol Head & Neck Surg, Seongnam, South Korea

[12] Linkoping Univ, Dept Behav Sci & Learning, Linkoping, Sweden

[13] Linkoping Univ, Dept Biomed & Clin Sci, Linkoping, Sweden

[14] OTOSUL, Otorrinolaringol Fluminense, Volta Redonda, Brazil

[15] Univ Nottingham, Sch Med, Div Clin Neurosci, Otol & Hearing Grp, Nottingham, England

[16] Nottingham Univ Hosp NHS Trust, Natl Inst Hlth Res NIHR Nottingham Biomed Res Ctr, Nottingham, England

[17] Ctr Otorhinolaryngol, Traunstein, Germany

[18] Buenos Aires British Hosp, Buenos Aires, DF, Argentina

[19] Del Bo Tecnol Ascolto Srl, Milan, Italy

[20] Univ Nottingham, Sch Med, Div Clin Neurosci, Hearing Sci, Nottingham, England

[21] Karolinska Inst, Dept Physiol & Pharmacol, Lab Expt Audiol, Stockholm, Sweden

[22] Maastricht Univ, Dept Clin Psychol Sci, Maastricht, Netherlands

[23] Katholieke Univ Leuven, Dept Hlth Psychol, Leuven, Belgium

[24] Adelante, Ctr Expertise Rehabil & Audiol, Hoensbroek, Netherlands

[25] Univ Calgary, Dept Psychol, Dept Physiol & Pharmacol, Calgary, AB, Canada

[26] Ctr Univ Valenca, Fac Med, Valenca, Brazil

[27] OTOSUL, Clin & Res Tinnitus Ctr, Volta Redonda, Brazil

[28] Medtronic, Spine & Biol, Maastricht, Netherlands

[29] Ist Ric Farmacol Mario Negri IRCCS, Dept Environm Hlth Sci, Lab Lifestyle Epidemiol, Milan, Italy

[30] Antwerp Univ Hosp, Dept Otorhinolaryngol & Head & Neck Surg, Edegem, Belgium

[31] Antwerp Univ, Fac Med, Antwerp, Belgium

[32] Univ Nottingham, Sch Med, Div Clin Neurosci, Hearing Sci, Nottingham, England

[33] Univ Nottingham, Natl Inst Hlth Res NIHR Nottingham Biomed Res Ctr, Nottingham, England

[34] Nottingham Univ Hosp NHS Trust, Queens Med Ctr, Nottingham, England

[35] Univ Nottingham Malaysia, Semenyih, Malaysia

[36] Univ Antwerp, Univ Dept Otorhinolaryngol & Head & Neck Surg, Univ Antwerp Hosp, Dept Translat Neurosci, Antwerp, Belgium

[37] Univ Nottingham, Div Clin Neurosci, Hearing Sci, NIHR Nottingham Biomed Res Ctr, Nottingham, England

[38] Assiut Univ Hosp, Dept Neurol, Assiut, Egypt

[39] Natl & Kapodistrian Univ Athens, Dept Otolaryngol Head & Neck Surg 1, Athens, Greece

[40] Univ Otago, Dunedin Sch Med, Dept Psychol Med, Dunedin, New Zealand

[41] Kuang Tien Gen Hosp, Dept Otolaryngol, Taichung, Taiwan

[42] Catholic Univ Valencia, Univ Clin Hosp, Dept Neurol, Valencia, Spain

[43] Kbo Lech Mangfall Kliniken Agatharied, Hausham, Germany

[44] Cheng Hsin Gen Hosp, Dept Otolaryngol, Taipei, Taiwan

[45] Univ Minnesota, Sch Med, Dept Otolaryngol Head & Neck Surg, Minneapolis, MN 55455 USA

[46] Natl Taiwan Univ, Dept Otolaryngol, Taipei, Taiwan

[47] Univ Granada, Otol & Neurotol Grp CTS 495, Ctr Genom & Oncol Res, Dept Genom Med,GENYO,Pfizer,Andalusian Reg Govt, Granada, Spain

[48] Hosp Univ Virgen de la as Nieves, Inst Invest Biosanitaria Ibs Granad, Dept Otolaryngol, Granada, Spain

[49] Univ Granada, Div Otolaryngol, Dept Surg, Granada, Spain

[50] Charite Univ Med Berlin, Tinnitus Ctr, Berlin, Germany

来源：

TINNITUS - AN INTERDISCIPLINARY APPROACH TOWARDS INDIVIDUALIZED TREATMENT: FROM HETEROGENEITY TO PERSONALIZED MEDICINE | 2021年 / 260卷

关键词：

Tinnitus; Phantom; Sound; Definition; Affective; Pain; Operational; Theoretical; DORSAL COCHLEAR NUCLEUS; HIDDEN HEARING-LOSS; QUALITY-OF-LIFE; CHRONIC PAIN; PERCEPTION TINNITUS; AUDITORY-CORTEX; MECHANISMS; DISABILITY; PREVALENCE; DISTRESS;

D O I：

10.1016/bs.pbr.2020.12.002

中图分类号：

Q189 [神经科学];

学科分类号：

071006 ;

摘要：

As for hypertension, chronic pain, epilepsy and other disorders with particular symptoms, a commonly accepted and unambiguous definition provides a common ground for researchers and clinicians to study and treat the problem. The WHO's ICD11 definition only mentions tinnitus as a nonspecific symptom of a hearing disorder, but not as a clinical entity in its own right, and the American Psychiatric Association's DSM-V doesn't mention tinnitus at all. Here we propose that the tinnitus without and with associated suffering should be differentiated by distinct terms: "Tinnitus" for the former and "Tinnitus Disorder" for the latter. The proposed definition then becomes "Tinnitus is the conscious awareness of a tonal or composite noise for which there is no identifiable corresponding external acoustic source, which becomes Tinnitus Disorder "when associated with emotional distress, cognitive dysfunction, and/or autonomic arousal, leading to behavioural changes and functional disability.". In other words "Tinnitus" describes the auditory or sensory component, whereas "Tinnitus Disorder" reflects the auditory component and the associated suffering. Whereas acute tinnitus may be a symptom secondary to a trauma or disease, chronic tinnitus may be considered a primary disorder in its own right. If adopted, this will advance the recognition of tinnitus disorder as a primary health condition in its own right. The capacity to measure the incidence, prevalence, and impact will help in identification of human, financial, and educational needs required to address acute tinnitus as a symptom but chronic tinnitus as a disorder.

引用

页码：1 / 25

页数：25

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