Durai Mithila, O'Keeffe Mary G, Searchfield Grant D
Department of Audiology, University of Auckland, Auckland, New Zealand.
J Am Acad Audiol. 2017 Apr;28(4):271-282. doi: 10.3766/jaaa.15103.
Chronic tinnitus (phantom perception of sound) significantly disrupts quality of life in 15-20% of those who experience it. Understanding how certain personality traits impact tinnitus perception and distress can be beneficial for the development of interventions to improve the lives of tinnitus sufferers.
Four key self-reported personality traits (social closeness, stress reaction, alienation, and self-control) were identified from previous research as being associated with tinnitus. These were compared between tinnitus and age-, gender-, and hearing level-matched nontinnitus controls to see whether underlying profile differences exist, and if personality traits levels correlate with various tinnitus characteristics assessed in typical clinical questionnaires.
A Web-based personality survey was administered comprising of self-control, stress reaction, alienation, and social closeness subscale questions of the Multidimensional Personality Questionnaire, the Hearing Handicap Inventory-Screening Version, TFI, and the Tinnitus Case History Questionnaire.
A total of 154 participants with tinnitus (81 males, 73 females, mean age = 62.6 yr) and 61 control (32 males, 29 females, mean age = 59.62 yr) participants were recruited via e-mail invitations to a tinnitus research clinic database, poster, and social media Web site advertising.
Statistical analysis was conducted using parametric statistics and IBM SPSS Version 22 software.
Tinnitus sufferers displayed higher levels of stress reaction, lower social closeness, lower self-control, and higher alienation than the control group (p < 0.05). Alienation was related to tinnitus pitch and self-reported hyperacusis measured using the Tinnitus Case History Questionnaire (p < 0.05). Stress reaction correlated with self-reported hyperacusis, whether tinnitus sufferers had sought other treatments, and whether loud sounds make the tinnitus worse (p < 0.05).
The four personality traits examined in this study exhibited a consistent association with tinnitus perception and distress, and differentiated tinnitus sufferers from nontinnitus control. Some of the traits also correlated significantly with certain characteristics measured in tinnitus history questionnaires. Personality traits are described in relation to "maladaptive" residuals under the Adaptation Level Theory model of tinnitus. The results of the study suggest that certain personality traits correlate with the clinical presentation of tinnitus.
慢性耳鸣(声音的幻听)严重影响了15%-20%经历过耳鸣的人的生活质量。了解某些人格特质如何影响耳鸣感知和痛苦,对于开发改善耳鸣患者生活的干预措施可能有益。
从先前的研究中确定了四个关键的自我报告人格特质(社交亲密度、应激反应、疏离感和自我控制)与耳鸣有关。将耳鸣患者与年龄、性别和听力水平相匹配的非耳鸣对照组进行比较,以观察是否存在潜在的特征差异,以及人格特质水平是否与典型临床问卷中评估的各种耳鸣特征相关。
进行了一项基于网络的人格调查,包括多维人格问卷中的自我控制、应激反应、疏离感和社交亲密度分量表问题、听力障碍筛查量表、耳鸣功能指数(TFI)和耳鸣病史问卷。
通过电子邮件邀请耳鸣研究诊所数据库、海报和社交媒体网站广告,共招募了154名耳鸣患者(81名男性,73名女性,平均年龄=62.6岁)和61名对照者(32名男性,29名女性,平均年龄=59.62岁)。
使用参数统计和IBM SPSS 22版软件进行统计分析。
与对照组相比,耳鸣患者表现出更高的应激反应水平、更低的社交亲密度、更低的自我控制和更高的疏离感(p<0.05)。疏离感与耳鸣音调以及使用耳鸣病史问卷测量的自我报告的听觉过敏有关(p<0.05)。应激反应与自我报告的听觉过敏、耳鸣患者是否寻求过其他治疗以及大声是否会使耳鸣加重相关(p<0.05)。
本研究中考察的这四个人格特质与耳鸣感知和痛苦表现出一致的关联,并将耳鸣患者与非耳鸣对照组区分开来。其中一些特质也与耳鸣病史问卷中测量的某些特征显著相关。人格特质是根据耳鸣适应水平理论模型下的“适应不良”残差来描述的。研究结果表明,某些人格特质与耳鸣的临床表现相关。