Stobik Corinna, Weber Rainer K, Münte Thomas F, Walter Marc, Frommer Jörg
Westerwaldklinik Waldbreitbach, Clinic for Neurology and Neurological Psychosomatics, Germany
Int J Audiol. 2005 Jun;44(6):370-8. doi: 10.1080/14992020500147557.
The purpose of this study was to evaluate the role and interaction of individual factors on decompensated tinnitus. Subjects consisted of 53 adult patients with chronic tinnitus. They were selected and assigned to two groups, compensated (n = 28) and decompensated (n = 25), according to the results of an established tinnitus questionnaire. Both groups were evaluated and compared. The patients with decompensated tinnitus suffered from more pronounced social disabilities, were more prone to depression, and used less effective techniques to cope with their illness. They showed a higher degree of somatic multimorbidity, with particularly strong correlations between tinnitus and the incidence of cardiovascular diseases and hypoacusis. As a consequence, in the psychosomatic tinnitus therapy, greater attention should be given to the treatment of the somatic complaints in addition to psychological and psychosocial aspects.
本研究的目的是评估个体因素在耳鸣失代偿中的作用及相互作用。研究对象包括53例成年慢性耳鸣患者。根据一项既定的耳鸣问卷结果，他们被挑选并分配到两组，代偿组（n = 28）和失代偿组（n = 25）。对两组进行了评估和比较。耳鸣失代偿的患者存在更明显的社交障碍，更容易抑郁，且采用的应对疾病的方法效果较差。他们表现出更高程度的躯体多种疾病共病，耳鸣与心血管疾病和听力减退的发生率之间存在特别强的相关性。因此，在身心性耳鸣治疗中，除了心理和社会心理方面，还应更加关注躯体不适的治疗。
