Preferences for Over-the-Counter and Prescription Hearing Aid Processing Across Listening Environments.

Purpose: The purpose of this study was to evaluate audiologic characteristics of service members (SMs) and veterans who have tinnitus alone or have both tinnitus and posttraumatic stress disorder (T&P), as compared to healthy controls. Method: Participants included active duty military SMs and veter...

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Publicado en:American Journal of Audiology Vol. 35; no. 3; pp. 1135 - 1150
Autores principales: Hecht, Quintin A., Husain, Fatima T., Kaniewska, Emilia, Fallon, Andrew J., Lovelace, Suheily M., Franklin, Crystal G., Esquivel, Carlos R., Young-McCaughan, Stacey, Peterson, Alan L., Flores, Amanda, Fox, Peter T., Moring, John C.
Formato: research tables/charts Journal Article
Publicado: American Speech-Language-Hearing Association Sep2026
Acceso en línea:Ver este registro en EBSCOhost
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      jtl: American Journal of Audiology
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      dt: Sep2026
      vid: 35
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      pub: American Speech-Language-Hearing Association
      place: Rockville, Maryland
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        196833547
        196833547
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        10.1044/2026_AJA-26-00017
        196833547
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        atl: Preferences for Over-the-Counter and Prescription Hearing Aid Processing Across Listening Environments.
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          Hecht, Quintin A.
          Husain, Fatima T.
          Kaniewska, Emilia
          Fallon, Andrew J.
          Lovelace, Suheily M.
          Franklin, Crystal G.
          Esquivel, Carlos R.
          Young-McCaughan, Stacey
          Peterson, Alan L.
          Flores, Amanda
          Fox, Peter T.
          Moring, John C.
        affil: Defense Health Agency Hearing Center of Excellence, San Antonio, TX
      sug:
        subj:
          Listening
          Patient Preference
          Hearing Aids
          Prescriptions, Non-Drug
          Speech Perception
          Hearing Disorders Therapy
          Noise
          Music
          Speech Acoustics
          Human
          Signal Processing, Computer Assisted
          Adult
          Conversation
          Descriptive Statistics
          Analysis of Variance
          Male
          Female
          Scales
          Adult: 19-44 years
          Male
          Female
      ab: Purpose: The purpose of this study was to evaluate audiologic characteristics of service members (SMs) and veterans who have tinnitus alone or have both tinnitus and posttraumatic stress disorder (T&P), as compared to healthy controls. Method: Participants included active duty military SMs and veterans with both T&P (n = 16), tinnitus only (TO; n = 25), and healthy controls (HCs) without posttraumatic stress disorder (PTSD) or tinnitus (n = 20). All participants underwent audiologic evaluation composed of tympanometry, distortion product otoacoustic emissions, pure-tone audiometry, speech audiometry, and loudness discomfort levels. Multivariate analysis of variance was conducted to determine differences in hearing thresholds between the three groups (T&P, TO, and HC). All participants completed the Hyperacusis Questionnaire. Participants with tinnitus (T&P, TO) also received a tinnitus psychoacoustic assessment and completed tinnitus-specific questionnaires. Tinnitus questionnaires included the Tinnitus Functional Index, tinnitus annoyance and loudness rating scales (visual analogue scale), and the Tinnitus Acceptance Questionnaire. Independent-samples t tests were conducted to test for differences between these two groups. Results: Pure-tone and speech audiometry results between the TO and TP groups did not significantly differ. Compared to the TO group, the T&P group reported significantly greater functional impairment due to their tinnitus, perceived their tinnitus as significantly more annoying, and endorsed significantly less acceptance of their tinnitus. Although not statistically significant, participants in the T&P group perceived their tinnitus louder than those in the TO group. Conclusions: Study findings suggest that PTSD is associated with increased tinnitus distress and annoyance. Symptoms of PTSD may also reduce the capacity to accept tinnitus. These results are consistent with previous studies that demonstrate the additive and negative effects that PTSD may have on health conditions, such as tinnitus. Clinicians within audiology clinics may consider screening specifically for PTSD and make appropriate referrals to behavioral health. Future studies should examine the best sequence of interventions for efficient and effective clinical outcomes among individuals with both conditions.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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