Kratzsch V, Goebel G
Abteilung für Hörstörungen, Tinnitus und Schwindel-Erkrankungen, Fachbereich Klinik Am Stiftsberg, HELIOS Kliniken Bad Grönenbach, Sebastian-Kneipp-Allee 3/4, 87730, Bad Grönenbach, Deutschland.
Tinnitus- und Hyperakusiszentrum im Neurozentrum Prien, Schön Klinik Roseneck, Prien am Chiemsee, Deutschland.
HNO. 2018 Mar;66(3):188-197. doi: 10.1007/s00106-018-0477-6.
Health authorities underestimate the negative influence of emotional factors such as depression, anxiety disorders, or somatoform disorders in the development of tinnitus and their contribution to a poor prognosis. This can lead to underestimation of the impairment suffered by tinnitus patients and, consequently, a possibly incorrect treatment approach or belated initiation of therapy. Mental disorders play a large role in the S3AWMF "Tinnitus" guidelines. Thus, the somatic and psychiatric approaches for treatment of chronic tinnitus patients are combined. Starting with taking chronic tinnitus patients' case history, special attention should be paid to comorbid mental disorders.
卫生当局低估了抑郁、焦虑症或躯体形式障碍等情绪因素在耳鸣发生发展中的负面影响及其对不良预后的作用。这可能导致低估耳鸣患者所遭受的损害,进而可能导致治疗方法错误或治疗开始延迟。精神障碍在德国神经病学和精神病学跨学科协会(AWMF)的“S3耳鸣”指南中起着重要作用。因此,慢性耳鸣患者的躯体治疗和精神治疗方法应相结合。从记录慢性耳鸣患者的病史开始,就应特别关注共病的精神障碍。