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新加坡精神科患者中的恐音症:一项横断面研究。

Misophonia in Singaporean Psychiatric Patients: A Cross-Sectional Study.

机构信息

Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 119007, Singapore.

Department of Psychological Medicine, National University Health System, Singapore 119228, Singapore.

出版信息

Int J Environ Res Public Health. 2018 Jul 4;15(7):1410. doi: 10.3390/ijerph15071410.

Abstract

Misophonia, also known as selective sound sensitivity syndrome, is a condition characterized by strong dislike of specific sounds with accompanying distressing reactions. To date, misophonia is still poorly understood. This study aimed to identify factors associated with severity of misophonic symptoms in Singaporean psychiatric patients. Ninety-two psychiatric patients were recruited from a large teaching hospital in Singapore in a cross-sectional study. Socio-demographics, severity of depression, anxiety and stress, and severity of misophonic symptoms were analyzed. Correlation analysis showed that anxiety, depression, and stress scores—as measured by the Depression, Anxiety and Stress Scales-21 (DASS-21)—were significantly positively correlated with the Amsterdam Misophonia Scale (A-MISO-S) scores. After adjustment for confounding factors, multivariate regression analysis showed that anxiety (β = 0.385, = 0.029) remained significantly associated with A-MISO-S. Age, gender, depression, and stress were not significantly associated with the severity of misophonia. The findings showed that the severity of anxiety was associated with severity of misophonia in Singaporean psychiatric patients. Further research is needed to explore the nature of misophonia and its relationship with other psychiatric disorders.

摘要

恐音症,又称选择性声音敏感综合征,是一种以对特定声音的强烈反感和伴随的痛苦反应为特征的病症。迄今为止,恐音症仍未被很好地理解。本研究旨在确定与新加坡精神科患者的恐音症严重程度相关的因素。采用横断面研究的方法,从新加坡一家大型教学医院招募了 92 名精神科患者。分析了社会人口统计学资料、抑郁、焦虑和压力的严重程度,以及恐音症症状的严重程度。相关分析显示,焦虑、抑郁和压力评分(通过 21 项抑郁、焦虑和压力量表(DASS-21)测量)与阿姆斯特丹恐音症量表(A-MISO-S)评分呈显著正相关。在调整混杂因素后,多元回归分析显示焦虑(β=0.385,P=0.029)与 A-MISO-S 仍显著相关。年龄、性别、抑郁和压力与恐音症严重程度无显著相关性。研究结果表明,焦虑严重程度与新加坡精神科患者的恐音症严重程度有关。需要进一步研究以探索恐音症的性质及其与其他精神障碍的关系。

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