When tinnitus loudness and annoyance are discrepant: Audiological characteristics and psychological profile
When tinnitus loudness and annoyance are discrepant: Audiological characteristics and psychological profile
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DOI：
10.1159/000106482
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发表时间：
2007-01-01
影响因子：
1.6
通讯作者：
Goebel, Gerhard
中科院分区：
文献类型：
--
作者：
Hiller, Wolfgang;Goebel, Gerhard
本研究评估了耳鸣、响度和烦恼程度不同的患者的社会人口学和临床特征。4958名受试者从一个国家耳鸣协会招募完成了一个全面的筛选问卷，包括Klockhoff和Lindblom的响度分级系统和心理测量迷你TQ（耳鸣问卷）。响度和烦恼之间存在0.45的中等相关性。在报告非常响亮的耳鸣的受试者中，约三分之一的人只有轻度或中度的烦恼分数。在年龄、性别和耳鸣持续时间方面，他们与高烦恼者没有差异，但当受试者有额外的听力损失（OR = 1.71）、眩晕/头晕（OR = 1.94）或听觉过敏（OR = 4.96）时，烦恼会增加。另一个重要的预测因素是神经系统疾病史（OR = 3.16）。受试者报告低烦恼，尽管高响度更经常，如果不感到低/抑郁，不认为自己是他们的噪音的受害者。一个特定的心理概况被发现表征烦恼耳鸣患者。即使整体烦恼分数相对较低，也经常报告对噪音的永久意识、忽视噪音的能力下降和注意力集中困难。它的结论是，耳鸣与听力损失，眩晕/头晕和听觉过敏的并发症的耳科条件的共存似乎是高烦恼水平的预测的临床相关性。耳鸣和烦恼不一定是一致的，应该分开评估。版权所有（c）2007 S. Karger AG，巴塞尔。
This study evaluates sociodemographic and clinical characteristics of patients reporting discrepant levels of tinnitus loudness and annoyance. 4958 subjects recruited from a national tinnitus association completed a comprehensive screening questionnaire including Klockhoff and Lindblom's loudness grading system and the psychometric Mini-TQ ( Tinnitus Questionnaire). There was a moderate correlation of 0.45 between loudness and annoyance. Of the subjects reporting very loud tinnitus, about one third had only mild or moderate annoyance scores. They were not different from those with high annoyance regarding age, gender and tinnitus duration, but annoyance was increased when subjects had additional hearing loss (OR = 1.71), vertigo/dizziness (OR = 1.94) or hyperacusis (OR = 4.96). Another significant predictor was history of neurological disease (OR = 3.16). Subjects reported low annoyance despite high loudness more often if not feeling low/depressed and not considering themselves as victims of their noises. A specific psychological profile was found to characterize annoyed tinnitus sufferers. Permanent awareness of the noises, decreased ability to ignore them and concentration difficulties were reported frequently even when overall annoyance scores were comparatively low. It is concluded that the coexistence of tinnitus with hearing loss, vertigo/dizziness and hyperacusis as complicating otological conditions seems to be of clinical relevance for the prediction of high annoyance levels. Tinnitus loudness and annoyance are not necessarily congruent and should be assessed separately. Copyright (c) 2007 S. Karger AG, Basel.