Tinnitus cannot sleep how to return a responsibility?

summary

Do you know? According to the Centers for Disease Control and Prevention (CDC), about 50 million people in the United States have had tinnitus, of which about 20 million are irritating chronic tinnitus. In addition, the tinnitus of about 2 million people is very serious, which can make people weak. If the population of the United States is 321.4 million, about 8.5 million people in China suffer from very serious tinnitus. Today, let me share with you how tinnitus can't sleep?.

Tinnitus cannot sleep how to return a responsibility?

Part one: chronic tinnitus has two clear components: sound and distress. In fact, the latest acoustic evoked fMRI studies (front aging, Neurosci. 2017; 2; 9 [31]: 1) the response intensity of amygdala in patients with tinnitus was lower than that in patients without tinnitus; When hearing emotional voice, the amygdala activation range of tinnitus patients is wider.

Second, it shows that tinnitus patients have certain emotional control over their own tinnitus, but they are more sensitive to various sounds than non tinnitus patients. Therefore, insomnia is one of the common complaints of tinnitus patients. Insomnia performance of tinnitus patients 2014 International Classification of sleep disorders (icd-3) diagnostic criteria for "chronic insomnia" are: sleep affected for three months, three or more times a week insomnia, daily work and life have been affected.

Third: when patients have both tinnitus and insomnia, the mental models of tinnitus and insomnia are similar. Patients have worries about tinnitus or insomnia, and even have a series of disastrous thoughts, such as "what's the meaning of my life", "I might as well die", "can I sleep tonight", "does this voice want to haunt me for a lifetime", etc. Some patients with tinnitus accompanied by insomnia may have negative thoughts as soon as they lie in bed. They are either worried that they can't sleep, or they feel that their tinnitus is aggravating. Some tinnitus patients even have avoidance behaviors, such as staying away from sound, which only further strengthen negative thoughts and cognition. How to deal with it? Tinnitus is not only a disease limited to the auditory system, but also a complex disease involving psychology and neurophysiology. Of course, there are many tinnitus patients will gradually adapt to tinnitus, and will not cause great trouble.

matters needing attention

Patients with tinnitus should consult an audiologist for comprehensive diagnosis and evaluation of the auditory system. The treatment plan should include education and guidance, cognitive behavior consultation and voice therapy. Patients with tinnitus must consult an otolaryngologist and a neuropsychiatric to determine if there are symptoms requiring clinical intervention, such as anxiety, tension, insomnia, etc.