Mao Kunhua, Jiang Wen, Feng Yong
Department of Otolaryngology, Xiangya Hospital, Central South University, Changsha, 410008, China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2011 Aug;25(16):732-4.
To study the psychological aspects of tinnitus patients, to analyze the distribution of psychologic obstacle in tinnitus patients, and then to provide information for diagnosing and treating tinnitus clinically.
All patients were detected their frequency and loudness of tinnitus. Then they were evaluated by symptom checklist 90 (SCL-90), life satisfaction scale, Pittsburgh sleep quality index (PSQI) and tinnitus handicap inventory (THI). All data were analyzed with statistical software SPSS11.0.
(1)There was no straight line correlation between frequency, loudness of tinnitus and the patient's scores from SCL-90, life satisfaction rating scale (LSR), life satisfaction index A (LSIA), LSIB, PSQI, THI. (2) To 76 tinnitus patients, some factors of SCL-90 were higher than internal nom. Compared with internal nom, tinnitus patients' score of LSR, LSIA and LSIB were all lower than it. Many of tinnitus patients had sleep disorder, the ratio was higher than internal nom. (3) Grouping these patients, based on the score of THI. To THI four grade group and THI five grade group, their satisfaction of lives were lower, some factors of SCL-90 were higher than internal nom. To THI five grade group, the ratio about sleep disorder was higher than internal nom.
There is no straight line correlation between frequency, loudness of tinnitus and the patient's scores from SCL-90, LSR, LSIA, LSIB, PSQ1, THI. Grouping based on the score of THI, the groups of THI four grade and THI five grade are approved that they have psychologic obstacle obviously, they should be paid close attention.
研究耳鸣患者的心理状况,分析耳鸣患者心理障碍的分布情况,为耳鸣的临床诊断与治疗提供依据。
对所有患者检测耳鸣的频率和响度。然后采用症状自评量表90(SCL - 90)、生活满意度量表、匹兹堡睡眠质量指数(PSQI)和耳鸣障碍量表(THI)进行评估。所有数据用统计软件SPSS11.0进行分析。
(1)耳鸣的频率、响度与患者SCL - 90、生活满意度评定量表(LSR)、生活满意度指数A(LSIA)、LSIB、PSQI、THI得分之间无直线相关性。(2)76例耳鸣患者中,SCL - 90部分因子高于国内常模。与国内常模相比,耳鸣患者的LSR、LSIA和LSIB得分均低于常模。许多耳鸣患者存在睡眠障碍,比例高于国内常模。(3)根据THI得分对患者进行分组。THI四级组和THI五级组生活满意度较低,SCL - 90部分因子高于国内常模。THI五级组睡眠障碍比例高于国内常模。
耳鸣的频率、响度与患者SCL - 90、LSR、LSIA、LSIB、PSQ1、THI得分之间无直线相关性。以THI得分分组,THI四级组和THI五级组存在明显心理障碍,应予以关注。