Ferrari Silvia, Monzani Daniele, Gherpelli Chiara, MacKinnon Andrew, Mongelli Francesca, Federici Gaia, Forghieri Matilde, Galeazzi Gian Maria
Section of ENT, Department of Biomedical, Metabolic, and Neural Sciences, University of Modena and Reggio Emilia, Modena, Italy.
School of Specialization in Psychiatry, Department of Biomedical, Metabolic, and Neural Sciences, University of Modena and Reggio Emilia.
J Nerv Ment Dis. 2019 Jun;207(6):459-466. doi: 10.1097/NMD.0000000000000995.
The aim of the study was to test whether acquired hearing loss (AHL)-related perceived disability mediates the association between AHL and psychological outcomes, including anger. Two-hundred ninety-seven consecutive outpatients with AHL assessed by pure tone average (PTA) loss completed the following: Hearing Handicap Inventory for Adults (HHIA), State-Trait Anger Expression Inventory-2 (STAXI-2), Brief Symptom Inventory (BSI), Diagnostic Criteria for Use in Psychosomatic Research (DCPR), and Social Functioning Questionnaire. In the sample, composed of 44.5% males with a mean age of 53.8 and a mean PTA of 30.7, AHL was associated to perceived hearing handicap, also correlating to all psychological measures except DCPR demoralization. Associations were stronger between the HHIA-Emotional Subscale, STAXI-2 State Anger and Feeling Angry, and BSI-Somatization, Interpersonal Sensitivity, Depression, and Psychoticism. Perceived disability predicted the presence of almost all psychosocial outcomes and confirms to be the most significant target of clinical action.
本研究的目的是测试获得性听力损失（AHL）相关的感知残疾是否介导了AHL与包括愤怒在内的心理结果之间的关联。297名通过纯音平均（PTA）损失评估的连续性AHL门诊患者完成了以下测试：成人听力障碍量表（HHIA）、状态-特质愤怒表达量表-2（STAXI-2）、简明症状量表（BSI）、心身研究诊断标准（DCPR）和社会功能问卷。在该样本中，男性占44.5%，平均年龄为53.8岁，平均PTA为30.7，AHL与感知听力障碍相关，并且除了DCPR中的士气低落外，还与所有心理测量指标相关。HHIA-情绪分量表、STAXI-2状态愤怒和愤怒情绪以及BSI-躯体化、人际敏感、抑郁和精神病性之间的关联更强。感知残疾预示着几乎所有心理社会结果的存在，并证实是临床行动的最重要目标。
