Comorbidities

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What is meant by comorbidities?
Comorbidities refer to the simultaneous occurrence of different diseases. These may be preexistent, independent of tinnitus, or tinnitus-induced. Patients suffering from tinnitus and/or hearing loss often complain of depression,anxiety, somatization or adjustment disorders, often resulting in the development of further impairments. These may include, for example, insomnia, poor concentration, relationship problems, or communication disorders such as hyperacusis. Affected individuals also often report feeling helpless, outcast, and alone. At the same time, depression and other mental disorders can also be a risk factor for tinnitus development and can exacerbate tinnitus.

Treatment methods
These and similar psychological and psychosomatic complaints that accompany tinnitus or other diseases of the inner ear should be clarified with appropriate specialists in psychosomatic medicine, psychiatry or neurology or with psychological psychotherapists, so that patients can be specifically treated or referred to specialized centers.

Sources:
1 Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V. (ed.), S 3-Leitlinie Chronischer Tinnitus, AWMF-Register-Nr. 017/064, Sept. 2021, p. 8 ff.: https://register.awmf.org/de/leitlinien/detail/017-064
2 Brueggemann, P., Szczepek, A.J., Seydel, C. et al,. ICD-10 symptom rating questionnaire to assess psychological comorbidities in patients with chronic tinnitus, ENT 67, Feb. 2019, PP. 178-183: https://doi.org/10.1007/s00106-019-0618-6/