Han Tae Sun, Jeong Jo-Eun, Park Shi-Nae, Kim Jung Jin
Department of Psychiatry, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Department of Otorhinolaryngology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Clin Psychopharmacol Neurosci. 2019 Feb 28;17(1):113-120. doi: 10.9758/cpn.2019.17.1.113.
This study evaluated gender differences in the relationship between psychiatric distress and subjective tinnitus severity.
This cross-sectional study included 134 female and 114 male patients who visited the otology outpatient clinic at Seoul St. Mary's Hospital for tinnitus from February to July 2015. Patients completed a series of instruments, including the Tinnitus Handicap Inventory, Beck Depression Inventory, Korean version of Brief Encounter Psychosocial Instrument (BEPSI-K), and visual analogue scales assessing various tinnitus characteristics (loudness, awareness, annoyance, and effect on life).
Tinnitus severity did not significantly differ between the gender groups (=0.632), and it correlated significantly with tinnitus characteristics and psychiatric distress. Partial correlations between tinnitus severity and depressive symptoms were stronger in males (r=0.411, ＜0.01) than in females (r=0.304, ＜0.01) while controlling for duration of tinnitus and tinnitus characteristics. However, stress (BEPSI-K) was positively correlated with tinnitus severity in only males (r=0.463, ＜0.01). A multiple regression analysis revealed that effect of tinnitus on life, depressive symptoms, and stress were significantly associated with tinnitus severity in males, whereas only tinnitus annoyance and depressive symptoms were associated with tinnitus severity in females.
Tinnitus severity was significantly correlated with depressive symptoms and stress, and there were gender differences in the relationship between tinnitus severity and psychiatric components. It is necessary to be vigilant of psychiatric symptoms among patients with tinnitus who visit the otology outpatient clinic, especially for male patients.
本研究评估了精神困扰与主观性耳鸣严重程度之间关系的性别差异。
这项横断面研究纳入了2015年2月至7月到首尔圣母医院耳鼻喉科门诊就诊的134名女性和114名男性耳鸣患者。患者完成了一系列测评工具，包括耳鸣障碍量表、贝克抑郁量表、韩文版简短心理社会测评工具（BEPSI-K）以及评估各种耳鸣特征（响度、知晓度、烦恼度和对生活的影响）的视觉模拟量表。
耳鸣严重程度在不同性别组之间无显著差异（P = 0.632），且与耳鸣特征和精神困扰显著相关。在控制耳鸣持续时间和耳鸣特征的情况下，耳鸣严重程度与抑郁症状之间的偏相关在男性中（r = 0.411，P ＜0.01）比女性中（r = 0.304，P ＜0.01）更强。然而，压力（BEPSI-K）仅在男性中与耳鸣严重程度呈正相关（r = 0.463，P ＜0.01）。多元回归分析显示，耳鸣对生活的影响、抑郁症状和压力在男性中与耳鸣严重程度显著相关，而在女性中只有耳鸣烦恼度和抑郁症状与耳鸣严重程度相关。
耳鸣严重程度与抑郁症状和压力显著相关，耳鸣严重程度与精神因素之间的关系存在性别差异。对于到耳鼻喉科门诊就诊的耳鸣患者，尤其是男性患者，有必要警惕其精神症状。
