Section: 
Otiology
OtiologyClinical and diagnostic approach to somatoform disorders in patients with tinnitus
N. A. Daikhes (1), O. V. Zaitseva (2), O. E. Venger (3), T. G. Baskova (4), A. A. Latsinova (5), V. E. Savinova (6)
(1), (2), (3), (4), (5), (6) National Medical Research Center of Otolaryngology of the FMBA of Russia, Moscow, 123182, Russian Federation
UDK: УДК 616.28-008.12:616.89-008.428.1-07
DOI: https://doi.org/10.18692/1810-4800-2026-2-51-60
ABSTRACT
Abstract. Introduction. Epidemiological research has shown that approximately 8-12% of the general population experience tinnitus, and up to 15% of adults suffer from chronic tinnitus, a significant proportion of individuals of whom experience serious consequences because of tinnitus. Decompensated tinnitus is often associated with psychopathological factors, most commonly affective and anxiety disorders. Methods. We conducted a retrospective analysis of data from 100 patients with tinnitus who had undergone a clinical evaluation, including psychological state, as well as the outcomes of treatment for these patients, in order to determine the impact of psychopathological conditions on tinnitus. Results. A review of patient data over time reveals a strong positive correlation between reductions in scores on the HADS (Hospital Anxiety and Depression Scale) and reductions in subjective negative emotions. Following treatment, there was a significant decrease in HADS. As this treatment was quite effective for accompanying mental disorders in patients with tinnitus, but less so for otoneurological disorders of the hearing organ, this suggests that mental disorders can significantly affect the course of tinnitus. Vice versa, mental disorders can trigger tinnitus. Conclusion. The data we have presented supports the concept of a reciprocal relationship between tinnitus and psychiatric disorder. Tinnitus in the majority of patients without objective hearing impairments is associated with psychiatric disorders. A psychiatrist should evaluate and manage patients presenting with tinnitus who do not have objective hearing issues.
Publication date:
15.04.2026
Keywords:
tinnitus, anxiety disorders, somatoform disorders, clinical assessment, psychological status, audiological examination For citation:
Daikhes N. A., Zaitseva O. V., Venger O. E., Baskova T. G., Latsinova A. A., Savinova V. E. Clinical and diagnostic approach to somatoform disorders in patients with tinnitus. Russian Otorhinolaryngology. 2026;25(2):51-60. (In Russ.) https://doi.org/10.18692/1810-4800-2026-2-51-60