Schönweiler R, Neuschulte C, Paar G H
Universitäts-HNO-Klinik Essen.
Laryngorhinootologie. 1989 May;68(5):267-70. doi: 10.1055/s-2007-998331.
Tinnitus patients often complain of psychosomatic disorders and of problems in social life. We intended to prove the modulation of tinnitus perception by psychosocial factors. We examined 48 tinnitus patients, 35 with and 13 without hearing loss. A control group of 48 patients without tinnitus, without hearing disorder and without tumor disease was adapted to correspond to the tinnitus group in respect of age, sex and social factors. A quantitative assessment of complaints as well as of the intensity of depression was made via questionaires (Giessener Beschwerdebogen and Beck Depression Inventory). In tinnitus patients, we found a statistically significantly higher degree of complaints even for non-otological symptoms. They were statistically more depressive than the controls, but less than patients with endogenic depression usually are. Nevertheless, in tinnitus patients it seems to be reasonable to inquire after general symptoms of illness to assess whether cooperation with a psychiatrist is required before initiating somatic treatment.
耳鸣患者经常抱怨存在身心障碍以及社交生活方面的问题。我们旨在证明社会心理因素对耳鸣感知的调节作用。我们检查了48名耳鸣患者，其中35名有听力损失，13名没有听力损失。选取了48名无耳鸣、无听力障碍且无肿瘤疾病的患者作为对照组，使其在年龄、性别和社会因素方面与耳鸣组相匹配。通过问卷调查（吉森症状问卷和贝克抑郁量表）对症状以及抑郁程度进行了定量评估。在耳鸣患者中，我们发现即使是非耳科症状，其抱怨程度在统计学上也显著更高。他们在统计学上比对照组更抑郁，但比内源性抑郁症患者通常的抑郁程度要低。然而，对于耳鸣患者，在开始躯体治疗之前询问其一般疾病症状以评估是否需要精神科医生的配合似乎是合理的。
