耳鸣患者听力损失程度与焦虑和抑郁水平的相关性。

IF 1.3 4区医学 Q3 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Noise & Health Pub Date : 2023-07-01 DOI:10.4103/nah.nah_46_23

Lin Zhang, Huanle Du, Huihua You

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摘要

目的：本研究旨在探讨耳鸣患者的听力损失程度与焦虑和抑郁程度之间的相关性。材料和方法：本回顾性研究使用了600名入选耳鸣患者的基本临床数据，这些患者于2020年4月至2022年6月在浙江大学医学院附属金华医院耳鼻喉科门诊就诊。耳鸣障碍量表（THI）用于评估参与者的耳鸣状况。纯音测听（PTA）测试用于对所有患者进行听力评估，以确定他们的听力状况。使用焦虑自评量表（SAS）和抑郁自评量量表（SDS）分别评估参与者的焦虑和抑郁水平。通过Pearson相关分析检验HL与问卷中焦虑/抑郁评分之间的相关性。结果：在600例入选的耳鸣患者中，大多数患者有轻度至中度耳鸣，分别占248例（41.3%）和179例（29.8%）。PTA结果显示，耳鸣患者中有很大比例（467例，77.8%）伴有HL。其中轻度HL患者占最大比例，共241例（40.2%）。根据SAS和SDS测试结果，几乎一半的患者有焦虑和抑郁症状，分别占52.3%（314例）和48.8%（293例），分别地同样，轻度焦虑和抑郁患者所占比例最大，分别为35.8%（215例）和23%（138例）。Pearson相关分析表明，耳鸣患者的HL程度与THI/SAS/SDS评分密切相关（P＜0.001）。

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Correlation between the Degree of Hearing Loss and the Levels of Anxiety and Depression in Patients with Tinnitus.

Objectives: This study aimed to explore the correlation between the degree of hearing loss (HL) and the degrees of anxiety and depression in patients with tinnitus.

Materials and methods: This retrospective study involved the use of basic clinical data from 600 enrolled patients with tinnitus who visited the otolaryngology clinic in Affiliated Jinhua Hospital, Zhejiang University School of Medicine from April 2020 to June 2022. The tinnitus handicap inventory (THI) scale was used to assess the tinnitus status among the participants. The pure tone audiometry (PTA) test was used to conduct audiological assessments for all patients to determine their hearing condition. The self-rating anxiety scale (SAS) and self-rating depression scale (SDS) were used to assess the levels of anxiety and depression among the participants, respectively. The correlation between the HL and anxiety/depression scores from the questionnaires was tested through Pearson correlation analysis.

Results: Among the 600 enrolled patients with tinnitus, most patients had mild-to-moderate degree of tinnitus, accounting for 248 cases (41.3%) and 179 cases (29.8%), respectively. PTA results showed that a large proportion of patients with tinnitus were accompanied with HL (467 cases, 77.8%). Among them, patients with mild HL accounted for the largest proportion with a total of 241 cases (40.2%). Based on the results of SAS and SDS test, almost half of the patients had symptoms of anxiety and depression, accounting for 52.3% (314 cases) and 48.8% (293 cases), respectively. Similarly, patients with mild anxiety and depression occupy the largest proportion, accounting for 35.8% (215 cases) and 23% (138 cases), respectively. Pearson correlation analysis showed that the degree of HL was closely related to THI/SAS/SDS scores (P < 0.001).

Conclusion: These findings indicate a strong positive correlation between the degree of HL and anxiety/depression scores in patients with tinnitus.

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来源期刊

Noise & Health AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY-PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

CiteScore

2.10

自引率

14.30%

发文量

审稿时长

6-12 weeks

期刊介绍： Noise and Health is the only International Journal devoted to research on all aspects of noise and its effects on human health. An inter-disciplinary journal for all professions concerned with auditory and non-auditory effects of occupational, environmental, and leisure noise. It aims to provide a forum for presentation of novel research material on a broad range of topics associated with noise pollution, its control and its detrimental effects on hearing and health. It will cover issues from basic experimental science through clinical evaluation and management, technical aspects of noise reduction systems and solutions to environmental issues relating to social and public health policy.