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Table 2 Problems reported as common in children with bothersome tinnitus: topics, sub-topics, and example quotes. N refers to the number of respondents who mentioned problems relating to the sub-topic

From: An evaluation of paediatric tinnitus services in UK National Health Service audiology departments

TopicsSub-topicsnExample Quotes
Physical HealthSleep difficulties24“Sleep [difficulties and] hearing noises at night”
“Struggling to get to sleep”
“Not sleeping well”
Fatigue1“Feeling tired”
Concentration difficultiesGeneral concentration difficulties6“Concentration/attention issues.”
“Finds tinnitus distracting: impedes ability to concentrate”
Concentration difficulties at school11“Affects concentration, especially at school”
“Fear [that] difficulty concentrating will affect performance in the classroom”
Situation-specific concentration difficulties (in noisy, quiet, during exams, or when studying)10“Difficulty concentrating at school during exams and/or in a quiet classroom”
“Older children - difficulty concentrating in exams”
“Finding it difficult to concentrate when studying”
Hearing difficultiesGeneral hearing difficulties3“Hearing Loss”
“Difficulties with listening”
Hearing difficulties at school3“Difficulty hearing the teachers voice”
[Finding it] difficult to hear in class or what friends are saying”
Emotional difficultiesDistress (e.g. anxiety, panic, stress)7“General anxiety or panic symptoms”
“Anxiety related to tinnitus”
Low mood (e.g. depression, reduced enjoyment)3“Sometimes low mood”
[Difficulty] enjoying quiet time”
Worries2“Worry about [tinnitus] getting worse or something is seriously wrong”
Behaviour1“Behavioural affects”
Lack of understanding of tinnitusn/a3“Not knowing what it is”
“Anxiety regarding what the noises are”
“Not having a rational explanation and reassurance”
Lack of support from othersn/a1“Other people don’t believe it, or the extent of it, or why it causes the distress it does”