耳鸣和情绪认知的相关性研究

Effects of cognition and emotion changes on tinnitus

目的针对耳鸣患者的情绪问题进行研究,探索耳鸣与情绪之间的相关性以及认知条件和影响因素。方法对以耳鸣为主诉的179例患者进行一般情况调查、纯音测听、声导抗检测,并使用耳鸣致残量表、汉密尔顿焦虑量表、汉密尔顿抑郁量表进行量化评估。结果 179例耳鸣患者中,男性90例(50.3%),女性89例(49.7%);年龄13-82岁,平均44.82±15.84岁。耳鸣严重程度及三个维度与焦虑、抑郁均呈正相关,耳鸣严重程度与焦虑、抑郁各因子除体重外均呈正相关。年龄是抑郁的影响因素,睡眠是焦虑和抑郁的影响因素。结论焦虑、抑郁情绪是影响耳鸣严重程度的重要因素,同时需考虑到年龄和睡眠对情绪和耳鸣的影响。

Objective To study emotional problems in patients with tinnitus, and their association with tinnitus; and to study cognitive conditions and other influencing factors of emotion. Method General surveys, pure tone audiometry and tympanometry testing were applied to 179 patients with a chief complaint of tinnitus, who also completed the Tinnitus Handicap Inventory, Hamilton Anxiety Scale and Hamilton Depression Scale to quantitatively assess their anxiety and depression. Results Among the 179 tinnitus patients, 90 were male（50.3%） and 89 were female（49.7%）. Age ranged from 13 to82 years（mean = 44.82±15.84 years）. Tinnitus severity and its three dimensions positively correlated with anxiety and depression. Tinnitus severity positively correlated with various factors of anxiety and depression in addition to the body weight. Age is an influencing factor of depression, and sleep is an influencing factor of anxiety and depression. Conclusion Anxiety and depression are important factors of tinnitus severity, while taking the influence of age and sleep on emotion and tinnitus into account.