Objective To identify risk factors for sleep disorders in patients with tinnitus who had normal sleep be-fore the onset of tinnitus.Methods Data from patients with tinnitus(n=184,119 males and 65 females)admitted to the otorhinolaryngology department,First Affiliated Hospital of Guangzhou University of Chinese Medicine,from June 2021 to May 2022,were retrospectively analyzed,including demographic data,tinnitus and sleep.The Tinnitus Evalua-tion Questionnaire(TEQ),Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)were completed,along with pure tone audiometry,psychoacoustic tinnitus tests,etc).Single factor and binary logistics regression were used to identify correlations between each variable and sleep disorders.Results Among the patients,61(33.2%)report-ed sleep disorders following the onset of tinnitus.Binary logistics regression analysis indicated that high TEQ scores,fe-male gender and anxiety were risk factors for sleep disorders in tinnitus(OR=1.263,95%CI:1.104-1.444,P<0.01;2.335(95%CI:1.080-5.049,P<0.05;and 3.874(95%CI:1.436-10.448,P<0.01,respectively).Hyperacusis and hearing loss were protective factors(OR=0.456,95%CI:0.211-0.986,P<0.05;and 0.407,95%CI:0.174-0.953,P<0.05,respectively).Conclusion Female gender,anxiety,severe tinnitus and idiopathic tinnitus(without hearing loss or hyperacusis)are more likely to lead to sleep disorders in tinnitus.In clinical practice,attention should be paid to psychological and sleep conditions in such patients with timely guidance and treatments.
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