Predictors of tinnitus discomfort, adaptation and subjective loudness.
Predictors of tinnitus discomfort, adaptation and subjective loudness.
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耳鸣不适、适应和主观响度的预测因素。
DOI：
10.3109/03005369009077842
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发表时间：
1990
期刊：
影响因子：
--
通讯作者：
L. Lyttkens
中科院分区：
文献类型：
--
作者：
B. Scott;P. Lindberg;L. Melin;L. Lyttkens
在一项覆盖瑞典所有听力中心的全国性调查中，通过问卷调查对3372名受试者的适应过程、耳鸣的主观不适、耳鸣的主观响度和心理主诉进行了研究。耳鸣不适和适应的最重要的预测因素被认为是外部声音的可控性和掩蔽程度，即受试者的应对能力或内外控制点。对环境的控制和掩蔽效应的增加意味着不适感的减少和更好的适应。耳鸣的症状有哪些？耳鸣的症状有哪些？也就是说，耳鸣时间较长的受试者感觉到的响度更强烈。最强烈预测耳鸣不适增加和耐受性降低的心身因素是抑郁和失眠。这些发现对耳鸣的管理和治疗具有理论和实践意义。
In a nation-wide investigation, covering all the hearing centres in Sweden, a study was made of adaptation processes, subjective discomfort from tinnitus, subjective loudness of tinnitus and psychological complaints in 3372 subjects by means of a questionnaire. The most important predictors of discomfort from and adaptation to tinnitus were found to be the controllability and the degree of maskability by external sounds, i.e. the subject's coping abilities or internal-external locus of control. Increased control and masking effects from the environment imply a decrease in discomfort and better adaptation. The most important predictor of worsened subjective loudness of tinnitus was the duration of the tinnitus. That is, subjects who had had tinnitus for a longer time perceived the loudness as more intense. The psychosomatic factors which most strongly predicted increased discomfort from and decreased tolerance to tinnitus were depression and insomnia. These findings have theoretical and practical implications for the management and treatment of tinnitus.