耳鸣的心理学问题

Psychological aspects of subjective tinnitus

目的 :分析耳鸣的心理原因和结果 ,以期引起临床医生的重视和研究。方法 :对 2 2 5例以耳鸣为第一主诉的主观耳鸣患者 ,采用晤谈、耳鸣分类调查表、耳鸣问卷、Zuang抑郁量表等进行心理问题评定。结果 :全部患者均存在明显的心理问题 ,心理因素引起的耳鸣占 2 1.0 % ,耳鸣引起的心理反应占 6 7.7% ,分不清先后 (混合性 )占 11.3%。结论 :耳鸣与心理因素密切相关 ,耳鸣问卷和耳鸣习服疗法能较好地测量和治疗患者的心理问题。

Objective:To investigate the psychological aspects of tinnitus and so as to treat them more effectively.Method:A total of 225 patients with first complain of subjective tinnitus was studied with interviewing,Zuang's self rating scale of depression and tinnitus questionnaire to evaluate their psychological issues.Result:All patients showed obvious psychological problems.21% of patients were resulted from psychological causes. 67.7 % of patients were resulted in server psychological responses.The rest patients showed not only psychological causes but also psychological responses.Conclusion:Our results suggest that there is close relationship between tinnitus and psychological issues.Tinnitus questionnaire and tinnitus retraining therapy are powerful tools in diagnosing and treating psychological issues in tinnitus patients.