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Impact of Tinnitus on Cognitive Function in Forensic Neuropsychology Context

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Abstract

Tinnitus, a common hearing condition encountered in medicolegal evaluations, often but not always in association with traumatic brain injuries, can adversely impact both cognitive and affective functioning and neuropsychological test results. Although it has been traditionally conceptualized as primarily related to cochlear pathology, tinnitus has been seen more recently as a condition involving brain plasticity. Its persistent clinical effect on cognition and affect is compounded by comorbid psychiatric syndromes such as depression. Understanding the impact of tinnitus, a factor often difficult to capture and neglected in forensic neuropsychology, is essential for determination of causality, diagnosis, prognosis, functional outcomes, and treatment in medicolegal neuropsychological assessment. This paper aims to critically review and integrate the available empirical evidence from neuroscience and neuropsychology regarding the cognitive and affective impact of tinnitus. Our research review will emphasize the implications of the new evidence for the forensic assessment determinations. To this end, electronic search engines, including PubMed, PsycINFO, and Google Scholar (up to January 2018), have been screened and reviewed for the neuroscience and neuropsychological literature related to tinnitus.

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References

  • Aazh, H., & Moore, B. C. J. (2018). Thoughts about suicide and self-harm in patients with tinnitus and hyperacusis. Journal of the American Academy of Audiology, 29(3), 255–261.

    Article  PubMed  Google Scholar 

  • Aldhafeeri, F. M., Mackenzie, I., Kay, T., Alghamdi, J., & Sluming, V. (2012). Neuroanatomical correlates of tinnitus revealed by cortical thickness analysis and diffusion tensor imaging. Neuroradiology, 54(8), 883–892.

    Article  PubMed  Google Scholar 

  • Andersson, G., Eriksson, J., Lundh, L. G., & Lyttkens, L. (2000). Tinnitus and cognitive interference: a stroop paradigm study. Journal of Speech Language and Hearing Research, 43(5), 1168–1173.

    Article  Google Scholar 

  • Baddeley, A. D., & Hitch, G. (1974). Working memory. In G. H. Bower (Ed.), The psychology of learning and motivation: advances in research and theory (Vol. 8, pp. 47–89). New York: Academic Press.

    Google Scholar 

  • Baguley, D., McFerran, D., & Hall, D. (2013). Tinnitus. Lancet, 382(9904), 1600–1607.

    Article  PubMed  Google Scholar 

  • Basile, C. E., Fournier, P., Hutchins, S., & Hebert, S. (2013). Psychoacoustic assessment to improve tinnitus diagnosis. PLoS One, 8(12), e82995.

    Article  PubMed  PubMed Central  Google Scholar 

  • Bhatt, J. M., Bhattacharyya, N., & Lin, H. W. (2017). Relationships between tinnitus and the prevalence of anxiety and depression. Laryngoscope, 127(2), 466–469.

    Article  PubMed  Google Scholar 

  • Boniver, R. (1999). Forensic aspects of tinnitus in Belgium and France. International Tinnitus Journal, 5(1), 67–70.

    PubMed  Google Scholar 

  • Burton, H., Wineland, A., Bhattacharya, M., Nicklaus, J., Garcia, K. S., & Piccirillo, J. F. (2012). Altered networks in bothersome tinnitus: a functional connectivity study. BMC Neuroscience, 13, 3.

    Article  PubMed  PubMed Central  Google Scholar 

  • Ceranic, B. J., Prasher, D. K., Raglan, E., & Luxon, L. M. (1998). Tinnitus after head injury: evidence from otoacoustic emissions. Journal of Neurology, Neurosurgery, and Psychiatry, 65(4), 523–529.

    Article  PubMed  PubMed Central  Google Scholar 

  • Cima, R. F., Andersson, G., Schmidt, C. J., & Henry, J. A. (2014). Cognitive-behavioral treatments for tinnitus: a review of the literature. Journal of the American Academy of Audiology, 25(1), 29–61.

    Article  PubMed  Google Scholar 

  • Clark, A. L., Amick, M. M., Fortier, C., Milberg, W. P., & McGlinchey, R. E. (2014). Poor performance validity predicts clinical characteristics and cognitive test performance of OEF/OIF/OND veterans in a research setting. Clinical Neuropsychology, 28(5), 802–825.

    Article  Google Scholar 

  • Claussen, C., & Constantinescu, L. (1995). Tinnitus in whiplash injury. International Tinnitus Journal, 1(2), 105–114.

    PubMed  Google Scholar 

  • Crippa, A., Lanting, C. P., van Dijk, P., & Roerdink, J. B. (2010). A diffusion tensor imaging study on the auditory system and tinnitus. Open Neuroimaging Journal, 4, 16–25.

    Article  PubMed  Google Scholar 

  • De Ridder, D., Elgoyhen, A. B., Romo, R., & Langguth, B. (2011). Phantom percepts: tinnitus and pain as persisting aversive memory networks. Proceedings of the National Academy of Sciences of the United States of America, 108(20), 8075–8080.

    Article  PubMed  PubMed Central  Google Scholar 

  • Degeest, S., Keppler, H., & Corthals, P. (2017). The effect of tinnitus on listening effort in normal-hearing young adults: a preliminary study. Journal of Speech, Language, and Hearing Research, 60(4), 1036–1045.

    Article  PubMed  Google Scholar 

  • Dhaliwal, S. K., Meek, B. P., & Modirrousta, M. M. (2015). Non-invasive brain stimulation for the treatment of symptoms following traumatic brain injury. Frontiers in Psychiatry, 6, 119.

    Article  PubMed  PubMed Central  Google Scholar 

  • Durai, M., & Searchfield, G. (2016). Anxiety and depression, personality traits relevant to tinnitus: a sco** review. International Journal of Audiology, 55(11), 605–615.

    Article  PubMed  Google Scholar 

  • Eggermont, J. J. (2013). Hearing loss, hyperacusis, or tinnitus: what is modeled in animal research? Hearing Research, 295, 140–149.

    Article  PubMed  Google Scholar 

  • Eggermont, J. J. (2015). Neural substrates of tinnitus in animal and human cortex: cortical correlates of tinnitus. HNO, 63(4), 298–301.

    Article  PubMed  Google Scholar 

  • Eggermont, J. J., & Kral, A. (2016). Somatic memory and gain increase as preconditions for tinnitus: insights from congenital deafness. Hearing Research, 333, 37–48.

    Article  PubMed  Google Scholar 

  • Eggermont, J. J., & Roberts, L. E. (2012). The neuroscience of tinnitus: understanding abnormal and normal auditory perception. Frontiers in Systems Neuroscience, 6, 53.

    Article  PubMed  PubMed Central  Google Scholar 

  • Eggermont, J. J., & Tass, P. A. (2015). Maladaptive neural synchrony in tinnitus: origin and restoration. Frontiers in Neurology, 6, 29.

    Article  PubMed  PubMed Central  Google Scholar 

  • Elgoyhen, A. B., Langguth, B., De Ridder, D., & Vanneste, S. (2015). Tinnitus: perspectives from human neuroimaging. Nature Reviews, 16(10), 632–642.

    Article  PubMed  Google Scholar 

  • Folmer, R. L., & Griest, S. E. (2003). Chronic tinnitus resulting from head or neck injuries. Laryngoscope, 113(5), 821–827.

    Article  PubMed  Google Scholar 

  • Galazyuk, A. V., Wenstrup, J. J., & Hamid, M. A. (2012). Tinnitus and underlying brain mechanisms. Current Opinion in Otolaryngology & Head and Neck Surgery, 20(5), 409–415.

    Article  Google Scholar 

  • Hallam, R. S., McKenna, L., & Shurlock, L. (2004). Tinnitus impairs cognitive efficiency. International Journal of Audiology, 43(4), 218–226.

    Article  PubMed  Google Scholar 

  • Han, K. M., Ko, Y. H., Shin, C., Lee, J. H., Choi, J., Kwon, D. Y., Yoon, H. K., Han, C., & Kim, Y. K. (2018). Tinnitus, depression, and suicidal ideation in adults: a nationally representative general population sample. Journal of Psychiatric Research, 98, 124–132.

    Article  PubMed  Google Scholar 

  • Heeren, A., Maurage, P., Perrot, H., De Volder, A., Renier, L., Araneda, R., Lacroix, E., Decat, M., Deggouj, N., & Philippot, P. (2014). Tinnitus specifically alters the top-down executive control sub-component of attention: evidence from the Attention Network Task. Behavioral Brain Research, 269, 147–154.

    Article  Google Scholar 

  • Hoge, C. W., McGurk, D., Thomas, J. L., Cox, A. L., Engel, C. C., & Castro, C. A. (2008). Mild traumatic brain injury in U.S. soldiers returning from Iraq. New England Journal of Medicine, 358(5), 453–463.

    Article  PubMed  Google Scholar 

  • Kim, J. Y., Kim, Y. H., Lee, S., Seo, J. H., Song, H. J., Cho, J. H., & Chang, Y. (2012). Alteration of functional connectivity in tinnitus brain revealed by resting-state fMRI? A pilot study. International Journal of Audiology, 51(5), 413–417.

    Article  PubMed  Google Scholar 

  • Kreuzer, P. M., Landgrebe, M., Schecklmann, M., Staudinger, S., Langguth, B., & Group, T. R. I. D. S. (2012). Trauma-associated tinnitus: audiological, demographic and clinical characteristics. PLoS One, 7(9), e45599.

    Article  PubMed  PubMed Central  Google Scholar 

  • Kreuzer, P. M., Landgrebe, M., Vielsmeier, V., Kleinjung, T., De Ridder, D., & Langguth, B. (2014). Trauma-associated tinnitus. Journal of Head Trauma Rehabilitation, 29(5), 432–442.

    Article  PubMed  Google Scholar 

  • Langguth, B., Kreuzer, P. M., Kleinjung, T., & De Ridder, D. (2013). Tinnitus: causes and clinical management. Lancet Neurology, 12(9), 920–930.

    Article  PubMed  Google Scholar 

  • Laureano, M. R., Onishi, E. T., Bressan, R. A., Castiglioni, M. L., Batista, I. R., Reis, M. A., et al. (2014). Memory networks in tinnitus: a functional brain image study. PLoS One, 9(2), e87839.

    Article  PubMed  PubMed Central  Google Scholar 

  • Leaver, A. M., Renier, L., Chevillet, M. A., Morgan, S., Kim, H. J., & Rauschecker, J. P. (2011). Dysregulation of limbic and auditory networks in tinnitus. Neuron, 69(1), 33–43.

    Article  PubMed  PubMed Central  Google Scholar 

  • Leaver, A. M., Seydell-Greenwald, A., Turesky, T. K., Morgan, S., Kim, H. J., & Rauschecker, J. P. (2012). Cortico-limbic morphology separates tinnitus from tinnitus distress. Frontiers in Systems Neuroscience, 6, 21.

    Article  PubMed  PubMed Central  Google Scholar 

  • Levenson, J. L. (2005). The American Psychiatric Publishing textbook of psychosomatic medicine. Washington, DC: American Psychiatric Publishing, Inc.

    Google Scholar 

  • Lew, H. L., Jerger, J. F., Guillory, S. B., & Henry, J. A. (2007). Auditory dysfunction in traumatic brain injury. Journal of Rehabilitation Research & Development, 44(7), 921–928.

    Article  Google Scholar 

  • Lezak, M. D., Howieson, D. B., Bigler, E. D., & Tranel, D. (2012). Neuropsychological assessment (5th ed.). Oxford-New York: Oxford University Press.

    Google Scholar 

  • Litre, C. F., Giersky, F., Theret, E., Leveque, M., Peruzzi, P., & Rousseaux, P. (2010). Feasibility of auditory cortical stimulation for the treatment of tinnitus. Three case reports. Neurochirurgie, 56(4), 303–308.

    Article  PubMed  Google Scholar 

  • Miura, M., Goto, F., Inagaki, Y., Nomura, Y., Oshima, T., & Sugaya, N. (2017). The effect of comorbidity between tinnitus and dizziness on perceived handicap, psychological distress, and quality of life. Frontiers in Neurology, 8, 722.

    Article  PubMed  PubMed Central  Google Scholar 

  • Mohamad, N., Hoare, D. J., & Hall, D. A. (2016). The consequences of tinnitus and tinnitus severity on cognition: a review of the behavioural evidence. Hearing Research, 332, 199–209.

    Article  PubMed  Google Scholar 

  • Moller, A. R. (1997). Similarities between chronic pain and tinnitus. American Journal of Otology, 18(5), 577–585.

    PubMed  Google Scholar 

  • Moring, J. C., Peterson, A. L., & Kanzler, K. E. (2017). Tinnitus, traumatic brain injury, and posttraumatic stress disorder in the military. International Journal of Behavavioaral Medicine, 25(3), 312–321.

  • Moschen, R., Riedl, D., Schmidt, A., Kumnig, M., Bliem, H. R., & Rumpold, G. (2015). The development of acceptance of chronic tinnitus in the course of a cognitive-behavioral group therapy. Zeitschrift für Psychosomatische Medizin und Psychotherapie, 61(3), 238–246.

    Article  PubMed  Google Scholar 

  • Murrey, G., & Starzinski, D. (2007). The forensic evaluation of traumatic brain injury: a handbook for clinicians and attorneys (2nd ed.). Boca Raton: CRC Press,Taylor & Francis Group.

    Book  Google Scholar 

  • Pattyn, T., Van Den Eede, F., Vanneste, S., Cassiers, L., Veltman, D. J., Van De Heyning, P., & Sabbe, B. C. G. (2016). Tinnitus and anxiety disorders: a review. Hearing Research, 333, 255–265.

    Article  PubMed  Google Scholar 

  • Pierce, K. J., Kallogjeri, D., Piccirillo, J. F., Garcia, K. S., Nicklaus, J. E., & Burton, H. (2012). Effects of severe bothersome tinnitus on cognitive function measured with standardized tests. Journal of Clinical and Experimental Neuropsychology, 34(2), 126–134.

    Article  PubMed  Google Scholar 

  • Pridmore, S., Walter, G., & Friedland, P. (2012). Tinnitus and suicide: recent cases on the public record give cause for reconsideration. Otolaryngology Head and Neck Surgery, 147(2), 193–195.

    Article  PubMed  Google Scholar 

  • Raghavan, P., Steven, A., Rath, T., & Gandhi, D. (2016). Advanced neuroimaging of tinnitus. Neuroimaging Clinics of North America, 26(2), 301–312.

    Article  PubMed  Google Scholar 

  • Rauschecker, J. P., May, E. S., Maudoux, A., & Ploner, M. (2015). Frontostriatal gating of tinnitus and chronic pain. Trends in Cognitive Sciences, 19(10), 567–578.

    Article  PubMed  PubMed Central  Google Scholar 

  • Ropper, A. H., Samuels, M. A., & Klein, J. P. (2014). Adams and Victor’s principles of neurology (10th ed.). New York: McGraw-Hill Education / Medical.

    Google Scholar 

  • Rossiter, S., Stevens, C., & Walker, G. (2006). Tinnitus and its effect on working memory and attention. Journal of Speech, Language, and Hearing Research, 49(1), 150–160.

    Article  PubMed  Google Scholar 

  • Ryan, A. F., Dobie, R. A., Dubno, J. R., & Lonsbury-Martin, B. L. (2016). Tinnitus: research supported by the Tinnitus Research Consortium. Hearing Research, 334, 1.

    Article  PubMed  Google Scholar 

  • Ryan, D., & Bauer, C. A. (2016). Neuroscience of tinnitus. Neuroimaging Clinics of North America, 26(2), 187–196.

    Article  PubMed  Google Scholar 

  • Sadock, B. J., & Sadock, V. A. (2000). Kaplan & Sadock’s Comprehensive Textbook of Psychiatry (2 Volume Set). In J. Benjamin Sadock & V. A. Sadock (Eds.) (7th ed. Vol. 1). Philadelphia: Lippincott Williams & Wilkins Publishers.

  • Samji, A., Thiagarajan, V., & Yeoh, R. (2014). Whiplash injury and neuro-otological sequelae: an evidence based systematic review. Hearing, Balance and Communication, 12(2), 66–77.

    Article  Google Scholar 

  • Seydell-Greenwald, A., Raven, E. P., Leaver, A. M., Turesky, T. K., & Rauschecker, J. P. (2014). Diffusion imaging of auditory and auditory-limbic connectivity in tinnitus: preliminary evidence and methodological challenges. Neural Plasticity, 2014, 145943.

    Article  PubMed  PubMed Central  Google Scholar 

  • Song, J. J., De Ridder, D., Van de Heyning, P., & Vanneste, S. (2012). Map** tinnitus-related brain activation: an activation-likelihood estimation metaanalysis of PET studies. Journal of Nuclear Medicine, 53(10), 1550–1557.

    Article  PubMed  Google Scholar 

  • Stevens, C., Walker, G., Boyer, M., & Gallagher, M. (2007). Severe tinnitus and its effect on selective and divided attention. International Journal of Audiology, 46(5), 208–216.

    Article  PubMed  Google Scholar 

  • Swan, A. A., Nelson, J. T., Swiger, B., Jaramillo, C. A., Eapen, B. C., Packer, M., & Pugh, M. J. (2017). Prevalence of hearing loss and tinnitus in Iraq and Afghanistan veterans: a Chronic Effects of Neurotrauma Consortium study. Hearing Research, 349, 4–12.

    Article  PubMed  Google Scholar 

  • Tegg-Quinn, S., Bennett, R. J., Eikelboom, R. H., & Baguley, D. M. (2016). The impact of tinnitus upon cognition in adults: a systematic review. International Journal of Audiology, 55(10), 533–540.

    Article  PubMed  Google Scholar 

  • Thompson, D. M., Hall, D. A., Walker, D. M., & Hoare, D. J. (2017). Psychological therapy for people with tinnitus: a sco** review of treatment components. Ear and Hearing, 38(2), 149–158.

    Article  PubMed  PubMed Central  Google Scholar 

  • Tonndorf, J. (1987). The analogy between tinnitus and pain: a suggestion for a physiological basis of chronic tinnitus. Hearing Research, 28(2–3), 271–275.

    Article  PubMed  Google Scholar 

  • Trevis, K. J., McLachlan, N. M., & Wilson, S. J. (2016). Cognitive mechanisms in chronic tinnitus: psychological markers of a failure to switch attention. Frontiers in Psychology, 7, 1262.

    Article  PubMed  PubMed Central  Google Scholar 

  • Trevis, K. J., McLachlan, N. M., & Wilson, S. J. (2018). A systematic review and meta-analysis of psychological functioning in chronic tinnitus. Clinical Psychology Review, 60, 62–86.

  • Ueyama, T., Donishi, T., Ukai, S., Ikeda, Y., Hotomi, M., Yamanaka, N., Shinosaki, K., Terada, M., & Kaneoke, Y. (2013). Brain regions responsible for tinnitus distress and loudness: a resting-state FMRI study. PLoS One, 8(6), e67778.

    Article  PubMed  PubMed Central  Google Scholar 

  • Ueyama, T., Donishi, T., Ukai, S., Yamamoto, Y., Ishida, T., Tamagawa, S., Hotomi, M., Shinosaki, K., Yamanaka, N., & Kaneoke, Y. (2015). Alterations of regional cerebral blood flow in tinnitus patients as assessed using single-photon emission computed tomography. PLoS One, 10(9), e0137291.

    Article  PubMed  PubMed Central  Google Scholar 

  • Ukaegbe, O. C., Orji, F. T., Ezeanolue, B. C., Akpeh, J. O., & Okorafor, I. A. (2017). Tinnitus and its effect on the quality of life of sufferers: a Nigerian cohort study. Otolaryngology Head and Neck Surgery, 157(4), 690–695.

    Article  PubMed  Google Scholar 

  • Vernon, J. A., & Press, L. S. (1994). Characteristics of tinnitus induced by head injury. Archives of Otolaryngology--Head & Neck Surgery, 120(5), 547–551.

    Article  Google Scholar 

  • Wineland, A. M., Burton, H., & Piccirillo, J. (2012). Functional connectivity networks in nonbothersome tinnitus. Otolaryngology Head and Neck Surgery, 147(5), 900–906.

    Article  PubMed  PubMed Central  Google Scholar 

  • Wolever, R. Q., Price, R., Hazelton, A. G., Dmitrieva, N. O., Bechard, E. M., Shaffer, J. K., & Tucci, D. L. (2015). Complementary therapies for significant dysfunction from tinnitus: treatment review and potential for integrative medicine. Evidence-based Complementary and Alternative Medicine, 2015, 931418.

    Article  PubMed  PubMed Central  Google Scholar 

  • Zarenoe, R., Hallgren, M., Andersson, G., & Ledin, T. (2017). Working memory, sleep, and hearing problems in patients with tinnitus and hearing loss fitted with hearing aids. Journal of the American Academy of Audiology, 28(2), 141–151.

    Article  PubMed  Google Scholar 

  • Ziai, K., Moshtaghi, O., Mahboubi, H., & Djalilian, H. R. (2017). Tinnitus patients suffering from anxiety and depression: a review. International Tinnitus Journal, 21(1), 68–73.

    Article  PubMed  Google Scholar 

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Schultz, I.Z., Sepehry, A.A. & Greer, S.C. Impact of Tinnitus on Cognitive Function in Forensic Neuropsychology Context. Psychol. Inj. and Law 11, 120–128 (2018). https://doi.org/10.1007/s12207-018-9321-2

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