a Department of Otolaryngology-Head and Neck Surgery , Keio University School of Medicine , Tokyo , Japan.
Int J Audiol. 2018 Feb;57(2):110-114. doi: 10.1080/14992027.2017.1374565. Epub 2017 Sep 14.
To assess the effects of tinnitus treatments on sleep disorders in patients with tinnitus.
Subjects completed the Pittsburg Sleep Quality Index (PSQI), Tinnitus Handicap Inventory (THI), Self-rating Depression Scale (SDS), and State Trait Anxiety Inventory (STAI). The questionnaire results and the patients' sex, age, time since the onset of tinnitus, and mean hearing level were examined, and differences between a sleep disorder group and a normal sleep group were examined. Patients completed the questionnaires again after initiating tinnitus treatments (counselling and use of sound generators), and the change in questionnaire scores at follow-up was evaluated.
Patients (N = 100) with tinnitus who visited Keio University Hospital and started treatment without medication between 2005 and 2008.
Sixty-six percent of the patients had sleep disorders. Compared with patients without sleep disorders, patients with sleep disorders had significantly higher SDS and STAI scores at the first visit. The mean PSQI scores showed significant improvement at follow-up.
Sleep disorders in patients with tinnitus improved after tinnitus treatments. Complex interactions between depressive symptoms and anxiety may occur in these patients. The improvement in sleep disorders at follow-up was correlated with improvements in tinnitus severity and state anxiety.
评估耳鸣治疗对耳鸣患者睡眠障碍的影响。
受试者完成匹兹堡睡眠质量指数（PSQI）、耳鸣残疾量表（THI）、自评抑郁量表（SDS）和状态特质焦虑量表（STAI）。检查问卷结果以及患者的性别、年龄、耳鸣发病时间和平均听力水平，并检查睡眠障碍组和正常睡眠组之间的差异。患者在开始耳鸣治疗（咨询和使用声音发生器）后再次完成问卷，并评估随访时问卷评分的变化。
2005 年至 2008 年间在庆应义塾大学医院就诊并开始治疗而未服用药物的耳鸣患者（N=100）。
66%的患者存在睡眠障碍。与无睡眠障碍的患者相比，首次就诊时睡眠障碍患者的 SDS 和 STAI 评分明显更高。平均 PSQI 评分在随访时显示出显著改善。
耳鸣患者的睡眠障碍在耳鸣治疗后得到改善。这些患者可能存在抑郁症状和焦虑之间的复杂相互作用。随访时睡眠障碍的改善与耳鸣严重程度和状态焦虑的改善相关。
