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Stakanov P.A.

Sechenov First Moscow State Medical University, Moscow, Russia

Yakimets A.V.

Mental Health Research Centre, Moscow, Russia

Ivanov S.V.

Mental Health Research Centre, Moscow, Russia;
Sechenov First Moscow State Medical University, Moscow, Russia

Idiopathic tinnitus as part of hypochondriacal disorders

Authors:

Stakanov P.A., Yakimets A.V., Ivanov S.V.

More about the authors

Journal: S.S. Korsakov Journal of Neurology and Psychiatry. 2026;126(3): 97‑105

DOI: 10.17116/jnevro202612603197

Read: 375 times

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Table of contents

IDIOPATHIC TINNITUS AS PART OF HYPOCHONDRIACAL DISORDERS
IDIOPATHIC TINNITUS AS PART OF HYPOCHONDRIACAL DISORDERS

To cite this article:

Stakanov PA, Yakimets AV, Ivanov SV. Idiopathic tinnitus as part of hypochondriacal disorders. S.S. Korsakov Journal of Neurology and Psychiatry. 2026;126(3):97‑105. (In Russ.)
https://doi.org/10.17116/jnevro202612603197

Подписка 2026 Журнал неврологии и психиатрии им. С.С. Корсакова (S.S. Korsakov Journal of Neurology and Psychiatry)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE

To identify clinical features of psychopathological and pathocharacterological disorders in patients with idiopathic tinnitus and determine the typological and nosological pertinence of this psychopathological entity.

MATERIAL AND METHODS

Forty-one patients (32 males and 9 females) aged 18 to 65 years diagnosed with tinnitus (H93.1 according to ICD-10) without organic causes were examined. Psychopathological, psychometric, clinical, and statistical methods were used; otolaryngological, neurological, and instrumental examinations were carried out.

RESULTS

Idiopathic tinnitus can have variable manifestations: it can be permanent or recurrent, stable or variable, single- or multicomponent, perceived in the ears or «inside the head», uni- or bilateral with variable frequency and volume. In this study, tinnitus was considered in the context of non-delusional hypochondria, presented with disorders of the coenesthesiopathic spectrum and personality disorders. Syndrome-based approach divides these disorders as neurotic, overvalued, circumscripta, and senestopathic hypochondria. Based on the syndromal features of hypochondriacal symptoms, the overall sample of patients was divided into three groups: Group 1 with overvalued hypochondria and tinnitus; Group 2 with neurotic hypochondria and tinnitus; and Group 3 with senestopathic hypochondria and tinnitus.

CONCLUSION

Idiopathic tinnitus, considered a sensory acoustic phenomenon, can present with multiple phenomenological variations and be a part of psychopathological symptoms related to various nosological categories: overvalued, neurotic, or senestopathic hypochondria syndromes within hypochondriacal disorder, recurrent depressive disorder, dysthymia, or schizotypal disorder/schizophrenia according to ICD-10.

Keywords:

tinnitus
idiopathic tinnitus
mental disorders
hypochondriacal disorder

Authors:

Stakanov P.A.

Sechenov First Moscow State Medical University, Moscow, Russia

Yakimets A.V.

Mental Health Research Centre, Moscow, Russia

Ivanov S.V.

Mental Health Research Centre, Moscow, Russia;
Sechenov First Moscow State Medical University, Moscow, Russia

Received:

01.11.2025

Accepted:

11.12.2025

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