Psychodynamic factors in tinnitus aurium

IF 1.2 Q1 PSYCHOLOGY, PSYCHOANALYSIS Psychoanalytic Psychotherapy Pub Date : 2021-11-08 DOI:10.1080/02668734.2021.1988683
E. Seidl, D. Schwerthöffer, O. Seidl
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引用次数: 1

Abstract

Tinnitus aurium is the conscious perception of an acoustic sensation in the absence of a corresponding external stimulus. Besides other psychological factors, psychodynamic factors play an important role in the disease. This study evaluated patients with tinnitus who attended the tinnitus outpatient clinic at the ENT Department of LMU Munich. In addition to a physical examination, in a psychodynamic interview the trigger situations, parents’ parenting style, relation to hearing personality, and individual conflict dynamics associated with the onset and course of tinnitus were examined. We included 99 patients diagnosed with tinnitus. Besides organ-related triggers, we identified conflict-laden stresses as trigger situations. 53% of the patients described themselves as sensitive to noise before the start of the tinnitus. Compared with the general population, patients with tinnitus showed less overt aggressiveness (P < .001) and more social orientation (P < .001) and state and trait anxiety (P < .001). Inhibition of aggression was a major psychodynamic factor in the development of tinnitus. A conflict of autonomy was found in the majority of cases. The results underline the importance of psychodynamic factors in tinnitus. We were able to put the individual psychological factors into a meaningful overall context.
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耳鸣的心理动力学因素
耳鸣是在没有相应的外部刺激的情况下对声音感觉的有意识感知。除其他心理因素外,心理动力因素在该病中起重要作用。本研究评估了在慕尼黑大学耳鼻喉科耳鸣门诊就诊的耳鸣患者。除体格检查外,在心理动力学访谈中还检查了耳鸣发病和病程相关的触发情况、父母的养育方式、与听力人格的关系以及个体冲突动力学。我们纳入了99名诊断为耳鸣的患者。除了器官相关的触发因素外,我们还确定了冲突压力作为触发因素。53%的患者称自己在耳鸣开始前对噪音敏感。与普通人群相比,耳鸣患者表现出明显的攻击性降低(P < 0.001),社会取向增加(P < 0.001),状态焦虑和特质焦虑增加(P < 0.001)。攻击抑制是耳鸣发病的主要心理动力因素。在大多数情况下发现了自治冲突。结果强调了精神动力因素在耳鸣中的重要性。我们能够将个体心理因素置于有意义的整体背景中。
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来源期刊
Psychoanalytic Psychotherapy
Psychoanalytic Psychotherapy PSYCHOLOGY, PSYCHOANALYSIS-
CiteScore
1.30
自引率
37.50%
发文量
22
期刊介绍: Psychoanalytic Psychotherapy publishes original contributions on the application, development and evaluation of psychoanalytic ideas and therapeutic interventions in the public health sector and other related applied settings. The Journal aims to promote theoretical and applied developments that are underpinned by a psychoanalytic understanding of the mind. Its aims are consonant with those of the Association for Psychoanalytic Psychotherapy in the NHS (APP in the NHS) in promoting applied psychoanalytic work and thinking in the health care system, across the whole age range.
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