Two recent European studies discuss the relationship between tinnitus, depression and self-image. A study from the University Medical Center at Groningen, The Netherlands, revealed that a remarkable number of tinnitus patients are depressed and have a negative attitude toward life. They do not dare to share these feelings with others, which means they receive little social support, which in turn leads to withdrawal behavior. This is also described as the so-called “Type D personality”. No fewer than 94 of the 265 tinnitus patients investigated had such a personality type. These patients experienced significantly more psychological discomfort, the research revealed. Anxiety and depression appear to strengthen the effect of tinnitus. People with a Type D personality in particular should undergo treatment that concentrates on the reduction of anxiety and depression.

Another study from Innsbruck Medical University in Innsbruck, Austria showed that people suffering from tinnitus may also have negative feelings about their body concept and body image. Sixty-five patients with chronic tinnitus were interviewed concerning the subjective distress caused by their tinnitus, their body image and any depression. These were compared to a random sample of healthy control patients. Overall, the study collectively showed significantly less vitality and body dynamics, attractiveness/self-confidence and were less pleased with the appearance of their own body than the control patients. Comparison of those patients reporting severe tinnitus and those with mild tinnitus found that with increased tinnitus, patients suffered from significantly greater uncertainty and concern with regard to their bodies. In practice, problems involving a person’s body image should be given greater consideration during examination and when planning treatment and therapy should incorporate body-related exercises.

Barry Keate