- High psychiatric burden: Nearly one-third of patients with chronic tinnitus had moderate-to-severe depressive or anxiety symptoms.
- Severity matters: Tinnitus severity was moderately correlated with depression and anxiety and independently predicted symptom burden.
- Risk stratification: Patients with severe tinnitus had about 3 times the odds of depression and nearly 3 times the odds of anxiety vs those with mild tinnitus.
- Not explained by demographics: Associations persisted after adjustment for age, sex, and hearing status, and were not linked to age or tinnitus duration.
- Clinical implication: Routine mental health screening and multidisciplinary management should be considered in patients presenting with chronic tinnitus.
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