Psychoacoustic assessment to improve tinnitus diagnosis.

The diagnosis of tinnitus relies on self-report. Psychoacoustic measurements of tinnitus pitch and loudness are essential for assessing claims and discriminating true from false ones. For this reason, the quantification of tinnitus remains a challenging research goal. We aimed to: (1) assess the pre...

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Autores principales: Charles-Édouard Basile, Philippe Fournier, Sean Hutchins, Sylvie Hébert
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Publicado: Public Library of Science (PLoS) 2013
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spelling oai:doaj.org-article:3297b16469034e339b927c5335fc677d2021-11-18T08:42:11ZPsychoacoustic assessment to improve tinnitus diagnosis.1932-620310.1371/journal.pone.0082995https://doaj.org/article/3297b16469034e339b927c5335fc677d2013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24349414/?tool=EBIhttps://doaj.org/toc/1932-6203The diagnosis of tinnitus relies on self-report. Psychoacoustic measurements of tinnitus pitch and loudness are essential for assessing claims and discriminating true from false ones. For this reason, the quantification of tinnitus remains a challenging research goal. We aimed to: (1) assess the precision of a new tinnitus likeness rating procedure with a continuous-pitch presentation method, controlling for music training, and (2) test whether tinnitus psychoacoustic measurements have the sensitivity and specificity required to detect people faking tinnitus. Musicians and non-musicians with tinnitus, as well as simulated malingerers without tinnitus, were tested. Most were retested several weeks later. Tinnitus pitch matching was first assessed using the likeness rating method: pure tones from 0.25 to 16 kHz were presented randomly to participants, who had to rate the likeness of each tone to their tinnitus, and to adjust its level from 0 to 100 dB SPL. Tinnitus pitch matching was then assessed with a continuous-pitch method: participants had to match the pitch of their tinnitus to an external tone by moving their finger across a touch-sensitive strip, which generated a continuous pure tone from 0.5 to 20 kHz in 1-Hz steps. The predominant tinnitus pitch was consistent across both methods for both musicians and non-musicians, although musicians displayed better external tone pitch matching abilities. Simulated malingerers rated loudness much higher than did the other groups with a high degree of specificity (94.4%) and were unreliable in loudness (not pitch) matching from one session to the other. Retest data showed similar pitch matching responses for both methods for all participants. In conclusion, tinnitus pitch and loudness reliably correspond to the tinnitus percept, and psychoacoustic loudness matches are sensitive and specific to the presence of tinnitus.Charles-Édouard BasilePhilippe FournierSean HutchinsSylvie HébertPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 8, Iss 12, p e82995 (2013)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Charles-Édouard Basile
Philippe Fournier
Sean Hutchins
Sylvie Hébert
Psychoacoustic assessment to improve tinnitus diagnosis.
description The diagnosis of tinnitus relies on self-report. Psychoacoustic measurements of tinnitus pitch and loudness are essential for assessing claims and discriminating true from false ones. For this reason, the quantification of tinnitus remains a challenging research goal. We aimed to: (1) assess the precision of a new tinnitus likeness rating procedure with a continuous-pitch presentation method, controlling for music training, and (2) test whether tinnitus psychoacoustic measurements have the sensitivity and specificity required to detect people faking tinnitus. Musicians and non-musicians with tinnitus, as well as simulated malingerers without tinnitus, were tested. Most were retested several weeks later. Tinnitus pitch matching was first assessed using the likeness rating method: pure tones from 0.25 to 16 kHz were presented randomly to participants, who had to rate the likeness of each tone to their tinnitus, and to adjust its level from 0 to 100 dB SPL. Tinnitus pitch matching was then assessed with a continuous-pitch method: participants had to match the pitch of their tinnitus to an external tone by moving their finger across a touch-sensitive strip, which generated a continuous pure tone from 0.5 to 20 kHz in 1-Hz steps. The predominant tinnitus pitch was consistent across both methods for both musicians and non-musicians, although musicians displayed better external tone pitch matching abilities. Simulated malingerers rated loudness much higher than did the other groups with a high degree of specificity (94.4%) and were unreliable in loudness (not pitch) matching from one session to the other. Retest data showed similar pitch matching responses for both methods for all participants. In conclusion, tinnitus pitch and loudness reliably correspond to the tinnitus percept, and psychoacoustic loudness matches are sensitive and specific to the presence of tinnitus.
format article
author Charles-Édouard Basile
Philippe Fournier
Sean Hutchins
Sylvie Hébert
author_facet Charles-Édouard Basile
Philippe Fournier
Sean Hutchins
Sylvie Hébert
author_sort Charles-Édouard Basile
title Psychoacoustic assessment to improve tinnitus diagnosis.
title_short Psychoacoustic assessment to improve tinnitus diagnosis.
title_full Psychoacoustic assessment to improve tinnitus diagnosis.
title_fullStr Psychoacoustic assessment to improve tinnitus diagnosis.
title_full_unstemmed Psychoacoustic assessment to improve tinnitus diagnosis.
title_sort psychoacoustic assessment to improve tinnitus diagnosis.
publisher Public Library of Science (PLoS)
publishDate 2013
url https://doaj.org/article/3297b16469034e339b927c5335fc677d
work_keys_str_mv AT charlesedouardbasile psychoacousticassessmenttoimprovetinnitusdiagnosis
AT philippefournier psychoacousticassessmenttoimprovetinnitusdiagnosis
AT seanhutchins psychoacousticassessmenttoimprovetinnitusdiagnosis
AT sylviehebert psychoacousticassessmenttoimprovetinnitusdiagnosis
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