The Epworth Sleepiness Scale in the Assessment of Sleep Disturbance in Veterans with Tinnitus
Joint Authors
Hu, Jinwei
Streelman, Matthew
Guthrie, O’neil W.
Liu, Yuan F.
Source
International Journal of Otolaryngology
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-01-08
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
Purpose.
Tinnitus and sleep disturbance are prevalent in veterans, and a better understanding of their relationship can help with tinnitus treatment.
Materials and Methods.
Retrospective chart review of 94 veterans seen in audiology clinic between 2010 and 2013 is presented.
Results.
The mean age was 62 years, and 93 of 94 veterans were males.
The majority (96%) had hearing loss.
The positive predictive value of the ESS for sleep disorder was 97% and the negative predictive value was 100%.
Veterans with a Tinnitus Handicap Inventory (THI) score ≥38 had significantly higher Epworth Sleepiness Scale (ESS) scores compared to those with THI score <38 ( P = 0.006 ).
The former had a significantly higher incidence of PTSD, anxiety, and sleep disorder.
A subgroup of patients had normal sleep despite rising THI scores.
Bilateral tinnitus, vertigo, and anxiety were found to be predictors of sleep disturbance.
Conclusions.
The ESS can be used as a tool in the initial assessment of sleep disorders in veterans with tinnitus.
Higher tinnitus handicap severity is significantly associated with greater sleep disturbance.
Optimal management of tinnitus may require concomitant treatment of sleep disorder, PTSD, anxiety, and depression.
American Psychological Association (APA)
Liu, Yuan F.& Hu, Jinwei& Streelman, Matthew& Guthrie, O’neil W.. 2015. The Epworth Sleepiness Scale in the Assessment of Sleep Disturbance in Veterans with Tinnitus. International Journal of Otolaryngology،Vol. 2015, no. 2015, pp.1-9.
https://search.emarefa.net/detail/BIM-1066265
Modern Language Association (MLA)
Liu, Yuan F.…[et al.]. The Epworth Sleepiness Scale in the Assessment of Sleep Disturbance in Veterans with Tinnitus. International Journal of Otolaryngology No. 2015 (2015), pp.1-9.
https://search.emarefa.net/detail/BIM-1066265
American Medical Association (AMA)
Liu, Yuan F.& Hu, Jinwei& Streelman, Matthew& Guthrie, O’neil W.. The Epworth Sleepiness Scale in the Assessment of Sleep Disturbance in Veterans with Tinnitus. International Journal of Otolaryngology. 2015. Vol. 2015, no. 2015, pp.1-9.
https://search.emarefa.net/detail/BIM-1066265
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1066265