Malakouti Seyed, Mahmoudian Marzieh, Alifattahi Neda, Salehi Maryam
Tehran University of Medical Sciences, Tehran, Iran.
Int Tinnitus J. 2011;16(2):118-22.
Complaining of psychiatric symptoms is more common among individuals suffering from tinnitus. The aim of this study is to determine the psychiatric diagnosis and symptoms of patients with chronic tinnitus.
Four hundred patients with chronic tinnitus from the registry of Otorhinolaryngology Research Center of Rasoul General Hospital, Tehran, Iran were enrolled. The study instruments were Structured Clinical Interview for DSM-III-R, axis I psychiatric disorders, Tinnitus Handicap Index (THI) and Symptom Check List-90-Revised.
The lifetime and current psychiatric disorders among patients with chronic tinnitus were 60% and 55% respectively. Depressive and anxiety disorders were the most common type. Females with severe THI were 75.6% versus 63.9% in men.
The comorbidity of chronic tinnitus with depressive and anxiety disorders is more common. This may have treatment implication to alleviate the stress and dysfunction resulted from chronic tinnitus.
耳鸣患者中抱怨精神症状的情况更为常见。本研究的目的是确定慢性耳鸣患者的精神诊断和症状。
招募了来自伊朗德黑兰拉苏尔综合医院耳鼻咽喉研究中心登记处的400例慢性耳鸣患者。研究工具包括《精神障碍诊断与统计手册》第三版修订本（DSM-III-R）轴I精神障碍的结构化临床访谈、耳鸣障碍指数（THI）和症状自评量表90修订版。
慢性耳鸣患者的终生精神障碍和当前精神障碍发生率分别为60%和55%。抑郁和焦虑障碍是最常见的类型。重度THI的女性占75.6%，男性占63.9%。
慢性耳鸣与抑郁和焦虑障碍的共病更为常见。这可能对减轻慢性耳鸣导致的压力和功能障碍具有治疗意义。
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