The association between tinnitus and psychological resilience is an underdeveloped area of research.This cross-sectional study investigated such associations and factors potentially affecting resilience in 61 patients.Demographic and psychometric data were collected by questionnaires.The Connor-Davidson Resilience Scale (CD-RISC),Medical Coping Modes Questionnaire (MCMQ),Satisfaction with Life Scale(SWLS),General Self-Efficacy Scale (GSES),Big Five Inventory (BFI) and Perceived Social Support Scale(PSSS) were completed by participants.Data were analyzed using independent t-test and Pearson's correlation analysis and multiple linear regression modeling.The CD-RISC score was relatively low(66.97 ± 15.71),negatively correlated with tinnitus (r =-0276,p < 0.001) and associated with age(r =0270,P < 0.001).As protective factors,SWLS (r =0.486,p < 0.001),GSES (r =0.555,p < 0,001),PSSS (r =0.538,p < 0.001) and extraversion were positively correlated with CD-RISC and BFI scores(r =0287,p < 0.001).We also detected a negative correlation with neuroticism (r =-0395,p < 0.001),which is a known risk factor for worse CD-RISC scores.Identifying protective and risk factors for psy-chological resilience can be used to predict treatment outcomes in tinnitus patients,which will help devise personalized solutions and improve patients' quality of life.