Levels of depression, anxiety and stress and role of resilience in tinnitus patients without hearing loss

Rimsha Naz; Zahra Fatima; Sikander Ghayas Khan; Muhammad Farhan Tabassum; Farzana Mazhar; Areej Kazmi

2026, Vol: 51, Issue: 4

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Original Research
Online Published: 01 Sep 2026

RMJ. 2026; 51(4): 1036-1038

Levels of depression, anxiety and stress and role of resilience in tinnitus patients without hearing loss

Rimsha Naz, Zahra Fatima, Sikander Ghayas Khan, Muhammad Farhan Tabassum, Farzana Mazhar, Areej Kazmi.

Abstract
Objective: To assess the levels of depression, anxiety, stress, and resilience in tinnitus patients without hearing loss and understand their impacts on quality of life.
Methodology: This analytical study involved 139 patients selected through non-probability purposive sampling. Participants completed the Tinnitus Handicap Inventory (THI), Depression Anxiety Stress Scales (DASS-21), and the Brief Resilience Scale (BRIS-6) over six months. Statistical analysis was conducted using SPSS 25.
Results: Most participants exhibited significant psychological distress; 74.1% agreed they needed more time to recover from setbacks, indicative of reduced resilience. Approximately 53.2% reported irritation and 39.6% felt unease due to tinnitus, highlighting its profound impact on daily life.
Conclusion: Tinnitus significantly affects mental health, with high levels of depression, anxiety, and stress diminishing patients’ quality of life and resilience. This suggests a need for integrated psychological interventions to enhance resilience and manage the mental health aspects of tinnitus effectively.

Key words: Tinnitus, tinnitus handicap inventory, depression, anxiety, stress, resilience.

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How to Cite this Article

Pubmed Style

Naz R, Fatima Z, Khan SG, Tabassum MF, Mazhar F, Kazmi A. Levels of depression, anxiety and stress and role of resilience in tinnitus patients without hearing loss. RMJ. 2026; 51(4): 1036-1038.

Web Style

Naz R, Fatima Z, Khan SG, Tabassum MF, Mazhar F, Kazmi A. Levels of depression, anxiety and stress and role of resilience in tinnitus patients without hearing loss. https://www.rmj.org.pk/?mno=227100 [Access: November 11, 2026].

AMA (American Medical Association) Style

Naz R, Fatima Z, Khan SG, Tabassum MF, Mazhar F, Kazmi A. Levels of depression, anxiety and stress and role of resilience in tinnitus patients without hearing loss. RMJ. 2026; 51(4): 1036-1038.

Vancouver/ICMJE Style

Naz R, Fatima Z, Khan SG, Tabassum MF, Mazhar F, Kazmi A. Levels of depression, anxiety and stress and role of resilience in tinnitus patients without hearing loss. RMJ. (2026), [cited November 11, 2026]; 51(4): 1036-1038.

Harvard Style

Naz, R., Fatima, . Z., Khan, . S. G., Tabassum, . M. F., Mazhar, . F. & Kazmi, . A. (2026) Levels of depression, anxiety and stress and role of resilience in tinnitus patients without hearing loss. RMJ, 51 (4), 1036-1038.

Turabian Style

Naz, Rimsha, Zahra Fatima, Sikander Ghayas Khan, Muhammad Farhan Tabassum, Farzana Mazhar, and Areej Kazmi. 2026. Levels of depression, anxiety and stress and role of resilience in tinnitus patients without hearing loss. Rawal Medical Journal, 51 (4), 1036-1038.

Chicago Style

Naz, Rimsha, Zahra Fatima, Sikander Ghayas Khan, Muhammad Farhan Tabassum, Farzana Mazhar, and Areej Kazmi. "Levels of depression, anxiety and stress and role of resilience in tinnitus patients without hearing loss." Rawal Medical Journal 51 (2026), 1036-1038.

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