John C Moring1, Alan L Peterson2,3,4, Kathryn E Kanzler2,5,6. 1. Department of Psychiatry, University of Texas Health Science Center at San Antonio, 7550 IH-10 West, Suite 1325, San Antonio, TX, 78229, USA. MoringJ@uthscsa.edu. 2. Department of Psychiatry, University of Texas Health Science Center at San Antonio, 7550 IH-10 West, Suite 1325, San Antonio, TX, 78229, USA. 3. Office of Research and Development, South Texas Veterans Health Care System, 7400 Merton Minter Blvd., San Antonio, TX, 78229, USA. 4. Department of Psychology, University of Texas at San Antonio, 1 UTSA Circle, San Antonio, TX, 78249, USA. 5. Department of Family & Community Medicine, University of Texas Health Science Center at San Antonio, 7703 Foyd Curl Dr., MC 7794, San Antonio, TX, 78229, USA. 6. ReACH (Research to Advance Community Health) Center, 7411 John Smith, Suite 1050, MC 7768, San Antonio, TX, 78229, USA.
Abstract
PURPOSE: Acoustic trauma is more prevalent in military settings, especially among individuals with combat-related military occupational specialties. Gunfire, improvised explosive devices, and mortar explosions are a few examples that may cause hearing degradation and tinnitus. It is possible that the same events that are associated with auditory problems can cause traumatic brain injury (TBI) and posttraumatic stress disorder (PTSD). METHOD: This paper reviews the distinct and overlapping symptoms of tinnitus, TBI, and PTSD, and how these disorders interact to synergistically promote negative outcomes. RESULTS: Tinnitus may serve as a significant contributor to symptoms of TBI and PTSD. Therefore, tinnitus subtypes could be identified as physiologically or psychologically based, or both. CONCLUSIONS: Additional research is warranted to determine the common and unique symptoms and associated neurological pathways of tinnitus, TBI, and PTSD. Brief treatment recommendations are provided, including a multidisciplinary approach for the physical and psychological distress associated with tinnitus.
PURPOSE:Acoustic trauma is more prevalent in military settings, especially among individuals with combat-related military occupational specialties. Gunfire, improvised explosive devices, and mortar explosions are a few examples that may cause hearing degradation and tinnitus. It is possible that the same events that are associated with auditory problems can cause traumatic brain injury (TBI) and posttraumatic stress disorder (PTSD). METHOD: This paper reviews the distinct and overlapping symptoms of tinnitus, TBI, and PTSD, and how these disorders interact to synergistically promote negative outcomes. RESULTS:Tinnitus may serve as a significant contributor to symptoms of TBI and PTSD. Therefore, tinnitus subtypes could be identified as physiologically or psychologically based, or both. CONCLUSIONS: Additional research is warranted to determine the common and unique symptoms and associated neurological pathways of tinnitus, TBI, and PTSD. Brief treatment recommendations are provided, including a multidisciplinary approach for the physical and psychological distress associated with tinnitus.
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