Priority 16 from the Hyperacusis PSP

UNCERTAINTY: Is hyperacusis related to physical changes in the ear or brain? (JLA PSP Priority 16)
Overall ranking	16
JLA question ID	0075/16
Explanatory note	Not available for this PSP
Evidence	None identified
Health Research Classification System category	Ear

Extra information provided by this PSP
Original uncertainty examples	Is hyperacusis primarily a psychological issue? ~ What fMRI developments inform thinking in this areas? ~ Do physiological changes within the brain cause hyperacusis or is it a pyschological response based on an individual's perception? ~ Is it in the ears or the brain? ~ What's the mechanism(s) of sound-induced ear pain at onset of hyperacusis? ~ Is hyperacusis physical, emotional (limbic system), or both? ~ Is it a psychological problem rather than that affected by hearing? ~ When the underlying mechanism of the condition is not understood, shouldn't the first source of data be the patient?
Submitted by	Healthcare Professionals x 17 ~ Patients x 46 ~ Parents x 5 ~ Carer x 1 ~ Family/Friend x 1 ~ Education x 2 ~ Other x 1 ~ N/A x 1

Extra information provided by this PSP

Original uncertainty examples

Is hyperacusis primarily a psychological issue? ~ What fMRI developments inform thinking in this areas? ~ Do physiological changes within the brain cause hyperacusis or is it a pyschological response based on an individual's perception? ~ Is it in the ears or the brain? ~ What's the mechanism(s) of sound-induced ear pain at onset of hyperacusis? ~ Is hyperacusis physical, emotional (limbic system), or both? ~ Is it a psychological problem rather than that affected by hearing? ~ When the underlying mechanism of the condition is not understood, shouldn't the first source of data be the patient?

Submitted by

Healthcare Professionals x 17 ~ Patients x 46 ~ Parents x 5 ~ Carer x 1 ~ Family/Friend x 1 ~ Education x 2 ~ Other x 1 ~ N/A x 1

PSP information
PSP unique ID	0075
PSP name	Hyperacusis
Total number of uncertainties identified by this PSP.	85 (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)
Date of priority setting workshop	23 July 2018