Stephens Dafydd, Pyykkö Ilmari, Yoshida Tadao, Kentala Erna, Levo Hilla, Auramo Yrjö, Poe Dennis
Department of Psychological Medicine and Neurology, School of Medicine, Cardiff University, Cardiff, Wales, United Kingdom.
Auris Nasus Larynx. 2012 Oct;39(5):469-74. doi: 10.1016/j.anl.2011.10.011. Epub 2011 Nov 16.
To explore the perceived consequences of tinnitus in patients with long-standing Ménière's disease (MD).
A questionnaire-based cross-sectional investigation of 183 randomly selected members of the Finnish Ménière's Federation. It assessed general health related quality of life (EQ-5D), a participation restriction scale, self-listed consequences and a rating of effects of MD on life.
When the effects of the other cardinal symptoms of Ménière's disease were partialled out, the main reported impacts of tinnitus related to anxiety, sleep and depression. It also contributed to some difficult listening situations and to interactions with significant others. Tinnitus explained a significant component of disease-specific quality of life (QoL), but did not relate significantly to the generic measures used. However, the measure 'mood' in the QoL scale was significantly associated with severe tinnitus.
The most important specific impacts of tinnitus in chronic Ménière's disease relate to broadly psychological factors and mood.
探讨长期梅尼埃病（MD）患者耳鸣的感知后果。
对芬兰梅尼埃病联盟随机选取的183名成员进行基于问卷的横断面调查。评估了与一般健康相关的生活质量（EQ-5D）、参与限制量表、自我列出的后果以及MD对生活影响的评分。
当排除梅尼埃病其他主要症状的影响后，耳鸣报告的主要影响与焦虑、睡眠和抑郁有关。它还导致了一些听力困难的情况以及与重要他人的互动问题。耳鸣解释了疾病特异性生活质量（QoL）的一个重要组成部分，但与所使用的通用测量方法没有显著关联。然而，QoL量表中的“情绪”测量与严重耳鸣显著相关。
耳鸣在慢性梅尼埃病中最重要的特定影响与广泛的心理因素和情绪有关。
