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哪些情感气质在慢性主观性耳鸣患者中表现最为明显?

Which affective temperaments are most expressed in patients with chronic sub-jective tinnitus?

作者信息

Trifunovic M, Zivic Lj, Ignjatovic-Ristic D, Sretenovic J, Rancic N, Ristic I

机构信息

Department of Otorhinolaryngology and Maxillofacial Surgery, General Hospital "Studenica", Kraljevo, Serbia.

Clinic of Otorhinolaryngology, Faculty of Medical Science, University of Kragujevac, Kragujevac , Serbia.

出版信息

Hippokratia. 2020 Apr-Jun;24(2):77-83.

Abstract

BACKGROUND

Although chronic subjective tinnitus is one of the most common symptoms, the background of its pathophysiological mechanism and etiology is not fully understood. No studies are exploring various affective temperaments in persons with chronic tinnitus.

METHODS

We included in this study 57 patients with tinnitus who filled out the Serbian 41-item version of the Temperament Evaluation of Memphis, Pisa, Paris, and San Diego Auto questionnaire (TEMPS-A) and a short sociodemographic questionnaire. Patients were assessed using audiometry (measuring the hearing threshold for frequencies of 250, 500, 1,000, 2,000, 4,000, and 8,000 Hz) and tympanometry.

RESULTS

Our research showed that patients with chronic tinnitus predominantly had anxious affective temperament [anxious-cognitive (AnxC): 26.23 %, anxious-somatic (AnxS): 25.6 %). AnxS was dominant in people without hearing loss (46 %) and males (37.39 %). AnxC was dominant in people with a significant hearing loss and females (30.3 %). Both AnxS and AnxC temperaments correlated with hearing loss in the right ear more than in the left one.

CONCLUSION

Our study revealed that anxious temperaments (AnxC and AnxS) were predominant in patients with chronic subjective tinnitus. Affective temperaments could play a significant role in explaining this disorder's currently unclear pathophysiology of, but further research is needed. HIPPOKRATIA 2020, 24(2): 77-83.

摘要

背景

尽管慢性主观性耳鸣是最常见的症状之一,但其病理生理机制和病因的背景尚未完全明了。尚无研究探讨慢性耳鸣患者的各种情感气质类型。

方法

本研究纳入了57例耳鸣患者,他们填写了塞尔维亚语版的41项孟菲斯、比萨、巴黎和圣地亚哥自动气质评估问卷(TEMPS-A)以及一份简短的社会人口统计学问卷。使用听力测定法(测量250、500、1000、2000、4000和8000赫兹频率的听力阈值)和鼓室导抗图对患者进行评估。

结果

我们的研究表明,慢性耳鸣患者主要具有焦虑情感气质类型[焦虑认知型(AnxC):26.23%,焦虑躯体型(AnxS):25.6%]。AnxS在无听力损失的人群(46%)和男性(37.39%)中占主导。AnxC在有明显听力损失的人群和女性(30.3%)中占主导。AnxS和AnxC两种气质类型与右耳听力损失的相关性均高于左耳。

结论

我们的研究表明,焦虑气质类型(AnxC和AnxS)在慢性主观性耳鸣患者中占主导。情感气质类型可能在解释这种疾病目前尚不清楚的病理生理学方面发挥重要作用,但仍需进一步研究。《希波克拉底》2020年,第24卷第2期:77 - 83页。

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