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[特发性耳鸣患者的焦虑和抑郁及其相关因素分析]

[Anxiety and depression in patients with idiopathic tinnitus and its relative factors analysis].

作者信息

Li Y, Wang M X, Zhou J, Zhou H F

机构信息

Department of Otolaryngology, General Hospital of Tianjin Medical University, Tianjin, 300052, China.

出版信息

Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2019 May;33(5):416-421. doi: 10.13201/j.issn.1001-1781.2019.05.008.

Abstract

To investigate the psychological status of anxiety and depression in patients with idiopathic tinnitus, and to analyze its relative factors. One hundred and sixty seven patients with idiopathic tinnitus were assessed by Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS) and general condition questionnaire. Patients with anxiety or depression were reassessed after corresponding treatment for 6 weeks. Fifty-five patients(32.93%) were in anxiety state and 43 patients(25.75%) were in depression state. Twenty-seven patients(16.17%) were in both anxiety and depression state. The multivariate logistic regression analysis found that the incidence of anxiety and depression in patients with idiopathic tinnitus were related to sleep disorders, course of disease and THI score(<0.05). Treatment scores(SAS and SDS) were statistically significantly different between pre- and post-treatment(<0.01). The anxiety and depression state is highly prevalent in idiopathic tinnitus patients and is related to course of disease, severity of tinnitus and sleep disorders. In clinical practice, we should pay close attention to the psychological status of patients with idiopathic tinnitus, and take timely psychological intervention.

摘要

探讨特发性耳鸣患者焦虑、抑郁的心理状况,并分析其相关因素。采用焦虑自评量表(SAS)、抑郁自评量表(SDS)及一般情况问卷对167例特发性耳鸣患者进行测评。对存在焦虑或抑郁的患者进行相应治疗6周后再次测评。55例患者(32.93%)处于焦虑状态,43例患者(25.75%)处于抑郁状态。27例患者(16.17%)同时存在焦虑和抑郁状态。多因素logistic回归分析发现,特发性耳鸣患者焦虑、抑郁的发生率与睡眠障碍、病程及耳鸣残疾评定量表(THI)评分有关(<0.05)。治疗前后的评分(SAS和SDS)差异有统计学意义(<0.01)。焦虑和抑郁状态在特发性耳鸣患者中高度流行,且与病程、耳鸣严重程度及睡眠障碍有关。在临床实践中,应密切关注特发性耳鸣患者的心理状况,并及时进行心理干预。

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