Pattern of Uncomfortable Loudness Levels in Hyperacusis

  • Research type

    Research Study

  • Full title

    Patterns of Uncomfortable Loudness Levels in people with hyperacusis: Relationship with psychological factors, insomnia, tinnitus, and hyperacusis handicap.

  • IRAS ID

    182924

  • Contact name

    Hashir Aazh

  • Contact email

    hashir.aazh@nhs.net

  • Sponsor organisation

    royal surrey county hospital

  • Duration of Study in the UK

    2 years, 0 months, 13 days

  • Research summary

    Hyperacusis is a term that is used to describe the intolerance to everyday sounds that causes significant distress and impairment in social, occupational, recreational, and other day-to-day activities of the sufferer. Audiologists often use Uncomfortable Loudness Levels (ULLs) to identify the sound levels that are perceived as “too loud”. ULLs of less than 80 dB HL can be considered as abnormally low. In cases of severe hyperacusis the ULLs can be as low as 30 dB HL.
    Although studies suggest that reduced ULLs can be an indication of hyperacusis, we do not fully understand the pattern in which ULLs are reduced in patients with hyperacusis. There are conflicting reports in the literature with regard to the pattern of ULLs across frequencies and their relationship with hearing thresholds in patients with hyperacusis. In addition, there is little information about the prevalence of unilateral versus bilateral reductions in ULLs.
    Aims: The aims of this study are to (1) explore and categorise various patterns of ULLs in patients with and without hyperacusis, and (2) compare patient’s demographic characteristics, psychological factors, severity of insomnia, severity of tinnitus, and hyperacusis handicap among different ULLs categories.
    Study design: retrospective/ assessing patient’s anonymised audiological records
    Methods: Data will be derived from an electronic database for patients who were treated between 2010 and 2016 at the audiology department, the Royal Surrey County Hospital. The inclusion criterion is to have the records of their hearing thresholds and ULLs.

  • REC name

    South West - Cornwall & Plymouth Research Ethics Committee

  • REC reference

    16/SW/0127

  • Date of REC Opinion

    25 Apr 2016

  • REC opinion

    Favourable Opinion