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. 2020 Nov 5:8:592878.
doi: 10.3389/fpubh.2020.592878. eCollection 2020.

Changes in Tinnitus Experiences During the COVID-19 Pandemic

Eldré W Beukes  1   2 , David M Baguley  3   4   5 , Laure Jacquemin  6   7 , Matheus P C G Lourenco  8   9 , Peter M Allen  2 , Joy Onozuka  10 , David Stockdale  11 , Viktor Kaldo  12   13   14 , Gerhard Andersson  13   14   15 , Vinaya Manchaiah  1   16
Affiliations

Changes in Tinnitus Experiences During the COVID-19 Pandemic

Eldré W Beukes et al. Front Public Health. .

Abstract

Introduction: The COVID-19 pandemic has disrupted delivery of healthcare, economic activity, and affected social interactions. Identifying and supporting those most affected by the pandemic is required. The purpose of this study was to determine the impact of the pandemic on individuals with tinnitus and to identify mediating factors. Methods: This is a mixed-methods exploratory cross-sectional study, using data collected via an online survey from 3,103 individuals with tinnitus from 48 countries. The greatest representation was from North America (49%) and Europe (47%) and other countries were only marginally represented. Results: Although the study was aimed at those with pre-existing tinnitus, 7 individuals reported having COVID-19 initiated tinnitus. Having COVID-19 symptoms exacerbated tinnitus in 40% of respondents, made no change in 54%, and improved tinnitus in 6%. Other mediating factors such as the social and emotional consequences of the pandemic made pre-existing tinnitus more bothersome for 32% of the respondents, particularly for females and younger adults, better for 1%, and caused no change to tinnitus for 67%. Pre-existing tinnitus was significantly exacerbated for those self-isolating, experiencing loneliness, sleeping poorly, and with reduced levels of exercise. Increased depression, anxiety, irritability, and financial worries further significantly contributed to tinnitus being more bothersome during the pandemic period. Conclusions: These findings have implications for tinnitus management, because they highlight the diverse response both internal and external factors have on tinnitus levels. Clinical services should be mindful that tinnitus may be caused by contracting COVID-19 and pre-existing tinnitus may be exacerbated, although in the majority of respondents there was no change. Additional support should be offered where tinnitus severity has increased due to the health, social, and/or emotional effects of the COVID-19 pandemic. Tinnitus may be more bothersome for those experiencing loneliness, having fewer social interactions, and who are more anxious or worried.

Keywords: COVID-19; coronavirus; loneliness; mental health–state of emotional and social well-being; public health; social isolation; tinnitus; understanding.

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Figures

Figure 1
Figure 1
Distribution of respondents.
Figure 2
Figure 2
Comparison of how bothersome tinnitus was before and after the COVID-19 pandemic.
Figure 3
Figure 3
The impact of lifestyle changes, social distancing restrictions, and health concerns during the pandemic on tinnitus experiences.
Figure 4
Figure 4
The following of social distancing advice across different locations.
Figure 5
Figure 5
The frequency of social interactions, desire for more interactions and loneliness experienced during the pandemic across different locations.
Figure 6
Figure 6
Comparison of emotional state during the COVID-19 pandemic across different locations.
Figure 7
Figure 7
Comparison of changes to work patterns during the COVID-19 pandemic across different locations.
See this image and copyright information in PMC

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References

    1. Sohrabi C, Alsafi Z, O'Neill N, Khan M, Kerwan A, Al-Jabir A, et al. . World Health Organization declares global emergency: a review of the 2019 novel coronavirus (COVID-19). Int J Surg. (2020) 76:71–6. 10.1016/j.ijsu.2020.02.034 - DOI - PMC - PubMed
    1. World Health Organization Coronavirus Disease 2019 (COVID-19): Situation Report. Geneva: WHO; (2020). Available online at: https://www.worldometers.info/coronavirus/ (accessed September 24, 2020).
    1. Chan JFW, Yuan S, Kok KH, To KKW, Chu H, Yang J, et al. . A familial cluster of pneumonia associated with the 2019 novel coronavirus indicating person-to-person transmission: a study of a family cluster. Lancet. (2020) 395:514–23. 10.1016/S0140-6736(20)30154-9 - DOI - PMC - PubMed
    1. Lewnard JA, Lo NC. Scientific and ethical basis for social-distancing interventions against COVID-19. Lancet Infect Dis. (2020) 20:631. 10.1016/S1473-3099(20)30190-0 - DOI - PMC - PubMed
    1. Vindegaard N, Benros M. COVID-19 pandemic and mental health consequences: systematic review of the current evidence. Brain Behav Immun. (2020) 89:531–42. 10.1016/j.bbi.2020.05.048 - DOI - PMC - PubMed

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