Department of Psychiatry, Bozok University Faculty of Medicine, Yozgat, Turkey.
Department of Otorhinolaryngology, Bozok University Faculty of Medicine, Yozgat, Turkey.
Int J Psychiatry Clin Pract. 2020 Sep;24(3):264-269. doi: 10.1080/13651501.2020.1757117. Epub 2020 May 6.
Tinnitus is a condition that commonly affects individuals' daily activities. We aimed to evaluate the anxiety sensitivity, levels of anxiety and depression, and personality traits of patients with chronic subjective tinnitus. The study included 42 patients, who visited the Otorhinolaryngology Clinic, complained of having tinnitus for at least 1 year and did not have any previous peripheral vestibular diseases or psychiatric treatment history. Forty-five healthy individuals volunteered to be in the control group. We administered the Tinnitus-Severity-Index (TSI), Anxiety-Sensitivity-Index-3 (ASI-3), Beck-Anxiety Inventory (BAI), Beck-Depression-Inventory (BDI) and Eysenck-Personality- Questionnaire (EPQ) to the study participants. The BDI score was significantly higher in the patient group. The ASI-3, EPQ, and BAI scores of the patients did not differ statistically. A positive correlation was found between the EPQ neuroticism subscale scores and the ASI-3, BDI, and BAI scores of the patient cases. There was also a positive correlation between the TSI scores and the BAI, ASI-3, and neuroticism scores of the tinnitus group. To the best of our knowledge, few studies have evaluated anxiety sensitivity, anxiety and depression levels, and personality traits and no studies evaluating patients and controls together. In cases where tinnitus and psychiatric diseases are comorbid, both conditions should be treated to achieve the best outcomes for the patients' quality of life.KEY POINTSAlthough patients with tinnitus were selected among cases without any psychiatric treatment history, we found that depressive symptoms in this group were high.The participants' anxiety sensitivity, anxiety, and neuroticism scores increased as the severity of their tinnitus increased.The anxiety sensitivity, anxiety, and depressive scores increased along with the increase in the neuroticism scores of the patients with chronic subjective tinnitus.
耳鸣是一种常见影响个体日常活动的病症。我们旨在评估慢性主观性耳鸣患者的焦虑敏感程度、焦虑和抑郁水平以及人格特质。研究纳入了 42 名患者，他们因耳鸣至少 1 年而就诊于耳鼻喉科门诊，且无任何先前的周围性前庭疾病或精神科治疗史。45 名健康个体自愿作为对照组参与。我们向研究参与者发放了耳鸣严重程度指数（TSI）、焦虑敏感指数-3（ASI-3）、贝克焦虑量表（BAI）、贝克抑郁量表（BDI）和艾森克人格问卷（EPQ）。患者组的 BDI 评分显著更高。患者组的 ASI-3、EPQ 和 BAI 评分无统计学差异。患者的 EPQ 神经质分量表评分与 ASI-3、BDI 和 BAI 评分呈正相关。TSI 评分与耳鸣组的 BAI、ASI-3 和神经质评分也呈正相关。据我们所知，很少有研究评估焦虑敏感程度、焦虑和抑郁水平以及人格特质，也没有研究同时评估患者和对照组。在耳鸣和精神疾病共病的情况下，应同时治疗两种疾病，以提高患者的生活质量。
尽管我们从无任何精神科治疗史的患者中选择了耳鸣患者，但发现该组的抑郁症状较高。
随着耳鸣严重程度的增加，参与者的焦虑敏感程度、焦虑和神经质分数增加。
慢性主观性耳鸣患者的焦虑敏感程度、焦虑和抑郁评分随神经质评分的增加而增加。
