Kentish R C, Crocker S R, McKenna L
Nuffield Hearing and Speech Centre, Royal National Throat, Nose and Ear Hospital, London, UK.
Br J Audiol. 2000 Dec;34(6):335-40. doi: 10.3109/03005364000000149.
Tinnitus has been much researched within adult populations with consideration of prevalence as well as the impact of tinnitus on individual's lives. Although the literature highlights the prevalence of tinnitus in children, there is little information on its effects from a psychological perspective. This small-scale preliminary study looked at 24 children (50% with normal hearing and 50% with a hearing loss) who presented to the Psychology Department with troublesome tinnitus. In line with adult studies, preliminary results suggested that tinnitus can have as marked an effect on children's lives as it is reported to have on adults. Insomnia, emotional distress, listening and attention difficulties are the main psychological factors associated with tinnitus in children. These, in turn, may have an effect upon their school performance. Differences were found between children with normal hearing and those with some degree of hearing loss. Overall, children with normal hearing found tinnitus more troublesome and presented with higher levels of anxiety than those with some level of hearing impairment. The present study suggests that children who complain of tinnitus should be taken seriously. In terms of management, individual intervention packages were found to be useful in alleviating anxiety and other associated factors. Recommendations are made on areas for future research.
关于耳鸣,已在成年人群体中进行了大量研究,涉及患病率以及耳鸣对个人生活的影响。尽管文献强调了儿童耳鸣的患病率,但从心理学角度来看,关于其影响的信息却很少。这项小规模的初步研究观察了24名因耳鸣问题前来心理科就诊的儿童(50%听力正常,50%有听力损失)。与成人研究一致,初步结果表明,耳鸣对儿童生活的影响可能与据报道对成人的影响一样显著。失眠、情绪困扰、听力和注意力困难是与儿童耳鸣相关的主要心理因素。这些因素反过来可能会对他们的学业成绩产生影响。听力正常的儿童与有一定程度听力损失的儿童之间存在差异。总体而言,听力正常的儿童觉得耳鸣更困扰,且比有一定程度听力障碍的儿童表现出更高水平的焦虑。本研究表明,主诉耳鸣的儿童应得到重视。在管理方面,发现个性化干预方案有助于减轻焦虑及其他相关因素。针对未来研究领域提出了建议。