Beyond the auditory: anxiety bridges sleep disturbances and depressive symptoms to tinnitus handicap.

2) The path coefficient from SAS to THI was 0.398 (CR = 6.621, p < 0.001), demonstrating a highly significant positive effect of SAS on THI. 3) The path coefficient from SDS to THI was 0.095 (CR = 1.613, p > 0.05), indicating no statistically significant positive effect of SDS on THI. 4) The path coefficient from Age to THI was 0.121 (CR = 2.505, p < 0.05), illustrating a statistically significant positive effect of Age on THI. 5) The path coefficient from SRSS to SAS was 0.228 (CR = 4.520, p < 0.001), showing a highly significant positive effect of SRSS on SAS. 6) The path coefficient from SDS to SAS was 0.478 (CR = 9.461, p < 0.001), revealing a highly significant positive effect of SDS on SAS.

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Variables such as daily headphone usage time, headache, and aural fullness did not reach statistical significance in the final model.

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