Department of Psychiatry and Psychotherapy, Bezirksklinikum, University of Regensburg, Regensburg, Germany.
Department of Psychiatry and Psychotherapy, Bezirksklinikum, University of Regensburg, Regensburg, Germany.
Prog Brain Res. 2021;260:187-203. doi: 10.1016/bs.pbr.2020.08.004. Epub 2020 Oct 1.
Acoustic stimulation was shown to be effective in short-term suppression of tinnitus. However, tinnitus cannot be suppressed in all patients. Recent insights from mental health research suggests that personality traits may be important factors in prediction of treatment outcomes or improvement of tinnitus over time. No previous acoustic stimulation study investigated the effects of personality traits on tinnitus suppression and rating of sound stimuli.
The aim of this study was therefore to examine whether personality is capable to predict tinnitus suppression in chronic tinnitus patients as well as related emotional stimulus evaluation.
Personality data (Big Five Index 2; BFI-2) of two acoustic stimulation experiments were pooled for this analysis. Both experiments were conducted at the University of Regensburg, Germany in the time period between April 2018 and October 2019 and consisted of individual designed noise and amplitude modulated tones matched to the participants' tinnitus pitch. Logistic regressions or linear mixed effect models were performed with tinnitus suppression as well as valence and arousal data as dependent variables and BFI-2 personality dimensions as predictors.
28% of the participants showed pronounced short-term tinnitus suppression after acoustic stimulation (50% reduction in subjective tinnitus loudness). Analyzing BFI-2 data, no significant impact of the big five personality traits (neuroticism, agreeableness, extraversion, conscientiousness, openness) were found, neither on acoustic tinnitus suppression, nor on emotional stimulus evaluation, namely arousal.
Personality was not shown to be a predictive factor, neither for acoustic stimulation, nor for emotional reaction to stimuli sounds in our studies. However, since tinnitus cannot be suppressed by acoustic stimulation in all patients, future studies should investigate other explaining factors such as patient-related or (neuro)physiological characteristics.
声音刺激已被证明能有效抑制短期耳鸣。然而,并非所有患者的耳鸣都能得到抑制。最近心理健康研究的新见解表明,个性特征可能是预测治疗效果或随时间改善耳鸣的重要因素。以前没有声音刺激研究调查个性特征对耳鸣抑制和声音刺激评价的影响。
因此,本研究旨在检验个性是否能够预测慢性耳鸣患者的耳鸣抑制以及相关的情绪刺激评估。
对两项声音刺激实验的个性数据(大五人格指数 2;BFI-2)进行了汇总分析。这两项实验都在德国雷根斯堡大学进行,时间在 2018 年 4 月至 2019 年 10 月之间,包括根据参与者的耳鸣频率设计的噪声和调幅声音。使用逻辑回归或线性混合效应模型,将耳鸣抑制以及效价和唤醒数据作为因变量,BFI-2 个性维度作为预测因子。
28%的参与者在声音刺激后表现出明显的短期耳鸣抑制(主观耳鸣响度降低 50%)。分析 BFI-2 数据,未发现五大个性特征(神经质、宜人性、外向性、尽责性、开放性)对声音刺激的耳鸣抑制或情绪刺激评估(即唤醒)有显著影响。
在我们的研究中,个性既不是声音刺激的预测因素,也不是对刺激声音的情绪反应的预测因素。然而,由于并非所有患者的耳鸣都能通过声音刺激得到抑制,未来的研究应调查其他解释因素,如患者相关或(神经)生理特征。