Tinnitus and Hearing Loss in Hamsters (Mesocricetus auratus) Exposed to Loud Sound.

Hamsters were trained to go left and right to sounds on their left and right sides, respectively. Silent trials were occasionally given in which no sound was presented. Hamsters exposed to a loud 2- or 10-kHz tone in 1 ear often shifted their responding on the silent trials to the side of the exposed ear, suggesting that they perceived a sound in that ear (i.e., tinnitus). The degree of tinnitus was related to the degree of the accompanying hearing loss (estimated by the auditory brainstem response). However, a conductive hearing loss (plugging 1 ear) did not cause a hamster to test positive for tinnitus. Tinnitus could be demonstrated within minutes following tone exposure, indicating an immediate onset, as occurs in humans. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The tinnitus intensive therapy habituation program: A 2-year follow-up pilot study on subjective tinnitus.

Objectives: To explore the effects of a new tinnitus treatment program (tinnitus intensive therapy [TIT]) based on auditory perception principles and neural habituation. Methods: A follow-up study with measurement of treatment effects every third month over a 2-year period in which the cases were their own controls. Participants: There were 25 participants with a mean age 50.1 years (SD = 16.1); 10 women (52.7 years; SD = 16.8) and 15 men (48.3 years; SD = 15.9). The participants were recruited from clinical population admitted to a polyclinic tinnitus treatment program in western Germany. Results: There was a significant reduction of tinnitus in the follow-up period. Mean baseline tinnitus scores (Tinnitus Fragebogen; Goebel & Hiller, 1998) at the start of the treatment were 50.9 (SD = 14.5) and the final scores were 14.2 (SD = 5.9). In total, the clinical improvement over the follow-up period was 72.1%. Conclusion: The TIT program showed a significant clinical treatment effect and should be tested further in a multicenter treatment project. The findings support the Jastreboff habituation model of tinnitus, but social cognitive factors should also be taken into account. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Effectiveness of cognitive/relaxation therapy and study-skills training in reducing self-reported anxiety and improving the academic performance of test-anxious students.

Determined whether study-skills training contributed to a treatment program that included relaxation training and cognitive therapy. 45 test-anxious undergraduates were randomly assigned to 1 of 4 treatment conditions: (a) relaxation/cognitive therapy, (b) study-skills training, (c) a combination of relaxation/cognitive therapy and study-skills training, or (d) no treatment. Pre- and posttreatment measures were collected on self-reported state anxiety and classroom examination performance. Findings show that relaxation/cognitive therapy was effective in reducing anxiety but failed to improve classroom test scores. Study-skills training had no significant effect on either measure. The combined therapy both reduced anxiety and improved performance relative to the no-treatment control condition and was significantly more effective than was either treatment alone. (37 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Rumination and impaired resource allocation in depression.

Depression is characterized by a range of cognitive deficits that theorists posit are due to the resource capturing properties of rumination. The present study was designed to examine the relation between rumination and resource allocation in depression. Twenty-five depressed and 25 nondepressed participants completed a modified dual-task version of the recency-probes task, which assesses the controlled allocation of cognitive resources by comparing performance across low- and high-interference conditions. In low-interference conditions, participants performed either the recency-probes task or a tracking task, which required participants to track specific stimuli across trials (i.e., no dual-task interference). In the high-interference condition, participants performed both the recency-probes task and the tracking task, which required the controlled allocation of resources to resolve dual-task interference. Depressed participants performed significantly worse than did their nondepressed counterparts in only the high-interference condition; performance of the 2 groups was comparable in the low-interference conditions. Furthermore, the degree to which depressed participants were impaired in the high-interference condition was correlated .74 with rumination. These findings suggest that an association between rumination and impairments in resource allocation underlies the cognitive difficulties experienced by depressed individuals. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Auditory memory for timbre.

Psychophysical studies are reported examining how the context of recent auditory stimulation may modulate the processing of new sounds. The question posed is how recent tone stimulation may affect ongoing performance in a discrimination task. In the task, two complex sounds occurred in successive intervals. A single target component of one complex was decreased (Experiments 1 and 2) or increased (Experiments 3, 4, and 5) in intensity on half of trials: The task was simply to identify those trials. Prior to each trial, a pure tone inducer was introduced either at the same frequency as the target component or at the frequency of a different component of the complex. Consistent with a frequency-specific form of disruption, discrimination performance was impaired when the inducing tone matched the frequency of the following decrement or increment. A timbre memory model (TMM) is proposed incorporating channel-specific interference allied to inhibition of attending in the coding of sounds in the context of memory traces of recent sounds. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Finding meaning, perceiving growth, and acceptance of tinnitus.

Objectives: The authors test hypotheses derived from current models of growth following adversity in a sample of people with tinnitus. These models assume a process whereby adversity or trauma threatens major assumptions, which, in turn, promotes a search for meaning in the adversity and subsequently growth. Method: Data from a sample of 315 people with tinnitus who completed an online survey were used to assess the relations of reports of negative changes to asking "Why me?" and answering the Why me? question with reports of growth, acceptance, and well-being. Results: indicate that reports of negative changes in goals and philosophy of life predict a search for meaning and that finding meaning is associated with perceived growth. Those who report never searching for meaning are less likely to report growth but report better adjustment and acceptance of their tinnitus than those who have searched for meaning. Discussion: The data are consistent with models of growth that give a central role to meaning-making processes, but they also suggest that a significant minority of people with tinnitus do not report searching for meaning or perceiving growth--yet appear to be coping well. Acceptance of tinnitus is identified as a key construct for future research. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Biofeedback-based behavioral treatment for chronic tinnitus: Results of a randomized controlled trial.

Many tinnitus sufferers believe that their tinnitus has an organic basis and thus seek medical rather than psychological treatments. Tinnitus has been found to be associated with negative appraisal, dysfunctional attention shift, and heightened psychophysiological arousal, so cognitive-behavioral interventions and biofeedback are commonly suggested as treatments. This study developed and investigated the efficacy of a biofeedback-based cognitive-behavioral treatment for tinnitus. In total, 130 tinnitus patients were randomly assigned to an intervention or a wait-list control group. Treatment consisted of 12 sessions of a biofeedback-based behavioral intervention over a 3-month period. Patients in the wait-list group participated in the treatment after the intervention group had completed the treatment. Results showed clear improvements regarding tinnitus annoyance, diary ratings of loudness, and feelings of controllability. Furthermore, changes in coping cognitions as well as changes in depressive symptoms were found. Improvements were maintained over a 6-month follow-up period in which medium-to-large effect sizes were observed. The treatment developed and investigated in this study is well accepted and leads to clear and stable improvements. Through demonstration of psychophysiological interrelationships, the treatment enables patients to change their somatic illness perceptions to a more psychosomatic point of view. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Factors Influencing Stroop Performance in Schizophrenia.

Recent studies suggest that individuals with schizophrenia show enhanced facilitation but similar interference in reaction times (RTs), compared with control participants, combined with increased error interference. This study examined the relationship between errors and RTs on the Stroop task among individuals with schizophrenia. The authors examined performance on a speeded Stroop task, designed to increase errors, in 29 individuals with schizophrenia and 29 nonpatient control participants. The authors also analyzed color-naming and word-reading estimates from process dissociation analyses. The findings suggest that a lack of increased RT interference among patients (compared with control participants) is not solely due to the increased number of errors they produce in the incongruent condition but is also influenced by a greater impact of the word even in the neutral condition. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Gap detection deficits in rats with tinnitus: A potential novel screening tool.

The study describes a novel method for tinnitus screening in rats by use of gap detection reflex procedures. The authors hypothesized that if a background acoustic signal was qualitatively similar to the rat's tinnitus, poorer detection of a silent gap in the background would be expected. Rats with prior evidence of tinnitus at 10 kHz (n = 14) exhibited significantly worse gap detection than controls (n = 13) when the gap was embedded in a background similar to their tinnitus. No differences between tinnitus and control rats were found with 16 kHz or broadband noise backgrounds, which helped to rule out explanations related to hearing loss or general performance deficits. The results suggest that gap detection reflex procedures might be effective for rapid tinnitus screening in rats. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Neuropsychological functioning: comparison of mothers at high- and low-risk for child physical abuse

OBJECTIVE: The present study investigated the performance of high- and low-risk (for child physical abuse) mothers on cognitive measures in a cry (crying infant) and no-cry condition. The degree to which observed risk group differences in cognitive abilities were due to group differences in depression and/or anxiety was explored. METHOD: Forty mothers, 20 high-risk and 20 demographically matched low-risk mothers, participated in the study. All mothers completed neuropsychological measures of conceptual ability, cognitive flexibility, ability to adjust responses, verbal fluency, attention, and susceptibility of interference, and measures of intellectual functioning, depression, and anxiety. RESULTS: Although initial analyses indicated expected risk group differences on most of the neuropsychological measures, a second set of analyses, that controlled for group differences in IQ, revealed risk group differences only on measures of conceptual ability, cognitive flexibility, and problem-solving skills. In a third set of analyses that controlled for group differences in IQ, depression, and anxiety, no risk group differences on any of the neuropsychological measures were found. In each analysis, expected interactions between risk group and cry condition were not found. CONCLUSIONS: The findings support clinical reports of cognitive differences in abusive and nonabusive mothers, but indicate that clinically observed cognitive deficits in high-risk and abusive mothers may be associated with lower levels of intellectual ability and with higher levels of depression and anxiety that are commonly reported in high-risk and abusive mothers.     

Characteristics of tinnitus induced by head injury

OBJECTIVE: To determine if the characteristics of tinnitus produced by head trauma are specific and exclusive when compared with other origins of tinnitus. DESIGN: Retrospective study using clinic test results and data from the Tinnitus Data Registry compiled from questionnaires, interviews, and testing. Tinnitus produced by head injury was compared with tinnitus of mixed origins, including no known origin. SETTING: A tinnitus referral clinic where all patients must see an otologist or an ear, nose, and throat physician prior to attending the clinic. PATIENTS: All patients had severe to moderately severe constant tinnitus and presented with tinnitus as the primary symptom. RESULTS: No exclusive characteristics were found to describe head injury-induced tinnitus. The tinnitus for the group with head injury was statistically significantly (P = .004) louder and occurred with greater incidence of continuing pain in the ears. The group with head injury also had more episodes of dizziness and a more severe form of tinnitus. However, no marked difference was noted in pitch of tinnitus, complexity (number of sounds) of tinnitus, or the minimum masking level. CONCLUSIONS: This retrospective study found that tinnitus induced by head injury was significantly (P = .004) louder than tinnitus induced from other causes but, interestingly, did not require higher levels of masking. The patients with head injury-induced tinnitus more frequently (P = .0003) displayed residual inhibition although the duration of residual inhibition was not different from that of the comparison group. Other symptoms associated with the tinnitus onset were more frequently mentioned by the group with head trauma-induced tinnitus, except for the condition of pressure sensation in the ears. Using a severity questionnaire, the group with head trauma-induced tinnitus rated their tinnitus as being more severe than did the comparison group. However, such things as pitch of the tinnitus, masking level, acceptance of wearable maskers, general hearing level, and complexity of the tinnitus did not distinguish the two groups.     

Stroop performance in healthy younger and older adults and in individuals with dementia of the Alzheimer's type

Components of the Stroop task were examined to investigate the role that inhibitory processes play in cognitive changes in healthy older adults and in individuals with dementia of the Alzheimer's type (DAT). Inhibitory breakdowns should result in an increase in Stroop interference. The results indicate that older adults show a disproportionate increase in interference compared with younger adults. DAT individuals show interference proportionate to older adults but a disproportionate increase in facilitation for congruent color-word trials, and an increased intrusion of word naming on incongruent color naming trials. An ex-Gaussian analysis of response time distributions indicated that the increased interference observed in older adults was due to an increase in the tail of the distribution. Application of the process dissociation analysis of the Stroop task (D.S. Lindsay & L.L. Jacoby, 1994) indicated that older adults showed increased word process estimates, whereas DAT individuals showed differences in both color and word process estimates. Taken together, the results are consistent with an inhibitory breakdown in normal aging and an accelerated breakdown in inhibition in DAT individuals.     

"Learning to Live With What You Can't Rise Above": Control Beliefs, Symptom Control, and Adjustment to Tinnitus.

The relations between 3 types of perceived control, symptom severity, and 2 adaptational outcomes, depressive symptoms and psychological well-being, were examined in a sample of 319 people with tinnitus. Consistent with previous studies of control and adjustment to chronic health conditions, general health and symptom control were associated with better psychological adjustment, and retrospective control was associated with worse psychological adjustment. Only symptom control emerged as a significant moderator in the symptom severity--adjustment relationship, such that stronger beliefs in one's ability to control symptoms were most strongly associated with better adjustment among those with more severe tinnitus symptoms. These findings were consistent with coping perspectives and cognitive adaptation theory and suggest that symptom-related perceptions of control may be an effective coping resource to nurture in chronic health contexts with severe symptoms. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Cognitive interference: Situational determinants and traitlike characteristics.

Presents results of 6 studies of cognitive interference and describes 2 instruments constructed to assess intrusive thoughts, the Cognitive Interference Questionnaire (CIQ) and the Thought Occurrence Questionnaire (TOQ). The CIQ obtains self-reports of cognitive interference immediately after performance on a task, and the TOQ assesses the general tendency to experience intrusive thoughts. In the 6 studies, which involved 2,157 undergraduates, situationally produced cognitive interference was assessed immediately after an S's performance on a task; cognitive interference was also investigated as a stable personality characteristic. The relation of cognitive interference as a personality variable and the tendency of individuals to describe themselves as having attentional problems was examined as well. Results suggest the value of assessing cognitive activity as a situationally influenced product and as a personality variable. The psychometric properties of the CIQ and the TOQ are discussed, and the instruments' scores are related to relevant dependent measures. (42 ref) (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Psychosocial treatment for recurrent genital herpes.

Thirty-one individuals with recurrent genital herpes were randomly assigned to one of three conditions: psychosocial intervention, social support, or waiting-list control. Each treatment condition contained two 5-member groups, and the waiting-list condition contained 11 members. Six consecutive weekly 90-min group treatment sessions were conducted for subjects in the first two conditions, whereas those in the waiting-list control condition were offered treatment at follow-up. Subjects in psychosocial intervention were provided with herpes simplex virus (HSV) information, relaxation training, stress management instructions, and an imagery technique. The social support groups shared feelings and experiences about the disease and served as placebo control subjects. Individuals receiving psychosocial intervention reported significantly greater reductions in herpes activity and significant improvements on emotional distress, social support, and cognitive measures when compared with the other individuals. It was concluded that psychosocial intervention effectively reduced the chronicity of recurrent HSV infections and facilitated adjustment to the disease. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Trial-to-trial carryover in auditory short-term memory.

Using a short-term recognition memory task, the authors evaluated the carryover across trials of 2 types of auditory information: the characteristics of individual study sounds (item information) and the relationships between the study sounds (study set homogeneity). On each trial, subjects heard 2 successive broadband study sounds and then decided whether a subsequently presented probe sound had been in the study set. On some trials, the similarity of the probe item to stimuli presented on the preceding trial was manipulated. This item information interfered with recognition, and false alarms increased from 0.4% to 4.4%. Moreover, the interference was tuned so that only stimuli that were very similar to each other interfered. On other trials, the relationship among stimuli was manipulated to alter the criterion subjects used in making recognition judgments. The effect of this manipulation was confined to the trial on which the criterion change was generated and did not affect the subsequent trial. These results demonstrate the existence of a sharply tuned carryover of auditory item information but no carryover of the effects of study set homogeneity. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A matching-to-sample feedback technique for training self-control of tinnitus.

Treated 30 individuals (aged 24–82 yrs) with subjective tinnitus aurium with a matching-to-sample feedback procedure. Ss' tinnitus sounds were reproduced audiometrically on all characteristics and were presented to them in the noninvolved ear or in both ears when the tinnitus was binaural. This experimental sound was then reduced in 5-db steps within sessions, and Ss had the task of concentrating on reducing the loudness of their tinnitus until a match was achieved between it and the experimental sound at each new db level. Results show a significant difference in db levels from baseline to final training session. Nearly all Ss demonstrated a marked reduction in tinnitus loudness, with several eliminating it completely. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Selective attention to emotion in the aging brain.

A growing body of research suggests that the ability to regulate emotion remains stable or improves across the adult life span. Socioemotional selectivity theory maintains that this pattern of findings reflects the prioritization of emotional goals. Given that goal-directed behavior requires attentional control, the present study was designed to investigate age differences in selective attention to emotional lexical stimuli under conditions of emotional interference. Both neural and behavioral measures were obtained during an experiment in which participants completed a flanker task that required them to make categorical judgments about emotional and nonemotional stimuli. Older adults showed interference in both the behavioral and neural measures on control trials but not on emotion trials. Although older adults typically show relatively high levels of interference and reduced cognitive control during nonemotional tasks, they appear to be able to successfully reduce interference during emotional tasks. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Expectations about arousal and nocturnal panic.

Expectations about arousal were examined in relation to nocturnal panic (NP). Eighteen panic disorder patients suffering from NP attacks and 18 control individuals were assigned randomly to conditions in which they were informed that audio feedback signals reflected heightened arousal that was either (a) expected and harmless or (b) unexpected. Participants relaxed and slept for 45 to 60 min, followed by presentation of periodic audio feedback signals. Physiological recording was continuous while subjective measures were collected at completion of the signals phase. NP patients in the unexpected-no reassurance condition were significantly more anxious and symptomatic than their counterparts in the expected reassurance condition, whereas control individuals did not differ across the 2 conditions. Physiological and behavioral data were less consistent than subjective measures. The results are interpreted as supportive of a cognitive–behavioral model of NP. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Attention, automaticity, and developmental dyscalculia.

People suffering from developmental dyscalculia (DD) show an abnormal pattern of the size congruity effect. They do not display a facilitation component in a numerical Stroop task. In this task, participants are presented with 2 digits that differ both in physical size and numerical value, and they have to compare the digits while ignoring one of the dimensions. The present study examined performance of those with DD and control participants in the numerical Stroop task under cognitive load. The no-load condition replicated previous findings (i.e., lack of facilitation in the physical task for the DD group). Load had opposite effects on interference and facilitation. Load eliminated facilitation and increased interference in the control group. Load increased interference only in the physical task in the DD group. The opposite effect of load on facilitation and interference suggests that these components are related to different cognitive mechanisms. The fact that load produced a DD-like pattern in the control group could suggest that individuals with DD suffer from difficulty in recruiting attention in addition to the deficits in numerical processing. (PsycINFO Database Record (c) 2010 APA, all rights reserved)