Depression, Anxiety and Stress Scale in patients with tinnitus and hearing loss

Depression, Anxiety and Stress Scale in patients with tinnitus and hearing loss
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DOI:
10.1007/s00405-013-2715-6
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发表时间:
2014-08-01
影响因子:
2.6
通讯作者:
Kader, Rafeek Mohammed Abdel
Kader, Rafeek Mohammed Abdel
中科院分区:
医学3区
文献类型:
--
作者:
Gomaa, Mohammed Abdel Motaal;Elmagd, Manal Hassan Abo;Kader, Rafeek Mohammed Abdel

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本研究旨在评估耳鸣患者相关的共病抑郁、焦虑和压力情况。研究对象为196人:100名患有与听力损失相关的主观性耳鸣患者(耳鸣组),45名仅患有听力损失的患者(听力损失组)以及50名没有耳鸣或听力损失的健康受试者(对照组);年龄范围为20至60岁。研究样本接受了全面的耳、鼻、喉检查以及听力学评估。抑郁、焦虑和压力量表(DASS)由莱维邦德·H和莱维邦德·F编制,用于评估三个旨在测量抑郁、焦虑和压力负面情绪状态的自评量表。所有患者和对照组都通过DASS进行了评估。(1)抑郁:男性比女性更易受影响。所有60岁以上的患者都受到抑郁的影响。耳鸣持续时间似乎与抑郁的严重程度相关。听力损失组中只有2名患者(4.3%)患有抑郁。(2)焦虑:90%的男性患有焦虑,相比之下女性为83.3%。20 - 29岁年龄组比其他年龄组更易受影响。听力损失组中只有4名患者(8.7%)患有焦虑。(3)压力:女性似乎比男性(67.5%)更易受压力影响(76.7%)。30 - 39岁年龄组的患者受该疾病影响最大。耳鸣持续时间与压力严重程度之间存在直接关联。听力损失组中无人患有压力。总之,在治疗耳鸣患者时应考虑抑郁、焦虑和压力。
The study was proposed to evaluate co-morbid depression, anxiety and stress associated with tinnitus patients. The study was done on 196 subjects: 100 patients suffering from subjective tinnitus associated with hearing loss (tinnitus group), 45 patients suffering from hearing loss only (hearing loss group) and 50 healthy subjects not suffering from tinnitus or hearing loss (control group); the age ranges from 20 to 60 years old. The studied sample was subjected to full ear, nose and throat examinations and audiological evaluation. Depression, Anxiety and Stress Scale (DASS) was developed by Levibond H and Levibond F to assess three self-report scales designed to measure the negative emotional status of depression, anxiety and stress. All patients and control group were evaluated by DASS. (1) Depression: males were affected more than females. All patients over 60 years were affected by depression. The duration of tinnitus seems correlating with the severity of depression. Only 2 patients (4.3 %) of the hearing loss group suffer from depression. (2) Anxiety: 90 % of males suffer from anxiety as compared to 83.3 % females. The age group 20-29 years old suffers more than other age groups. Only 4 patients (8.7 %) of hearing loss group suffer from anxiety. (3) Stress: females seem to be affected by the stress (76.7 %) more than males (67.5). Patients in age group 30-39 suffer the most from the disease. There is a direct correlation between duration of tinnitus and severity of stress. No one of the hearing loss group suffers from stress. In conclusion, depression, anxiety and stress should be taken into consideration in the treatment of patients suffering from tinnitus.