Department of Speech Therapy, Federal University of Paraiba, João Pessoa, Brazil.
Department of Psychology, Federal University of Paraiba, João Pessoa, Brazil.
J Am Acad Audiol. 2022 Apr;33(4):206-213. doi: 10.1055/a-1709-4912. Epub 2021 Nov 30.
Psychiatric conditions are common in individuals with tinnitus. Therefore, the ways individuals cope with such conditions and personality can influence the characteristics of tinnitus.
The study aims to investigate the direct and indirect effects of resilience, personality traits, and psychiatric symptoms on the tinnitus perception.
This is a descriptive, cross-sectional, and observational study involving quantitative results.
Thirty-seven individuals with chronic tinnitus (for more than 6 months) sought the tinnitus care service (mean age = 44.6 years; SD = 11.7 years).
The specific anamnesis of tinnitus, adult self-report questionnaire, resilience scale, big five inventory, Tinnitus Handicap Inventory (M = 45.0; SD = 24.1), and visual analog scale (M = 6.4; SD = 2.7) were used. Psychoacoustic measurements (loudness: M = 25.4; SD = 12.8) of tinnitus were performed to characterize the condition in terms of pitch and loudness. The study analyzed the relationship between tinnitus (annoyance, severity, and loudness), psychiatric symptoms, personality, and resilience using multiple mediations.
Resilience did not influence tinnitus severity (BCa: -1.12 to 0.51), annoyance (BCa: -0.10 to 0.11), or loudness (BCa: -0.44 to 0.28) when mediated by anxiety and depression. Additionally, there was only a direct effect of resilience for annoyance ( = - 2.14, = 0.03; BCa: -0.10 to 0.11). There was no direct influence of anxiety and depression on the tinnitus severity ( = 0.53, p > 0.05), annoyance ( = - 0.01, p > 0.05), or loudness ( = 0.11, > 0.05). However, there was an association of personality traits (neuroticism) with the tinnitus severity ( = 1.16, 95% CI: 0.15-2.17; = 2.53, = 0.02) and annoyance ( = 0.12, 95% CI: 0.003-0.24; = 2.09, = 0.04).
Resilience and psychiatric symptoms did not have a direct or indirect influence on the tinnitus annoyance, severity, or loudness. However with a direct association of resilience and annoyance, and neuroticism trait with the tinnitus annoyance and severity. Our results suggest that patients with chronic tinnitus and high neuroticism should receive personalized treatment.
精神疾病在患有耳鸣的个体中很常见。因此，个体应对此类状况的方式和个性特征可能会影响耳鸣的特征。
本研究旨在探讨韧性、人格特质和精神症状对耳鸣感知的直接和间接影响。
这是一项描述性、横断面和观察性研究，涉及定量结果。
37 名患有慢性耳鸣（超过 6 个月）的个体寻求耳鸣护理服务（平均年龄=44.6 岁；标准差=11.7 岁）。
使用特定的耳鸣病史、成人自评问卷、韧性量表、大五人格量表、耳鸣残疾量表（M=45.0；SD=24.1）和视觉模拟量表（M=6.4；SD=2.7）进行数据收集。还进行了耳鸣的听力学测量（响度：M=25.4；SD=12.8），以描述耳鸣的音调与响度特征。本研究使用多重中介分析，探讨了耳鸣（烦恼、严重程度和响度）、精神症状、人格和韧性之间的关系。
当焦虑和抑郁作为中介因素时，韧性对耳鸣严重程度（BCa：-1.12 至 0.51）、烦恼（BCa：-0.10 至 0.11）或响度（BCa：-0.44 至 0.28）没有影响。此外，韧性对烦恼只有直接影响（ = -2.14， = 0.03；BCa：-0.10 至 0.11）。焦虑和抑郁对耳鸣严重程度（ = 0.53，p＞0.05）、烦恼（ = -0.01，p＞0.05）或响度（ = 0.11，p＞0.05）没有直接影响。然而，人格特质（神经质）与耳鸣严重程度（ = 1.16，95%CI：0.15-2.17； = 2.53， = 0.02）和烦恼（ = 0.12，95%CI：0.003-0.24； = 2.09， = 0.04）呈正相关。
韧性和精神症状对耳鸣的烦恼、严重程度或响度没有直接或间接影响。然而，韧性与烦恼呈直接相关，神经质特质与耳鸣的烦恼和严重程度呈正相关。我们的研究结果表明，患有慢性耳鸣且具有高神经质特质的患者应接受个性化治疗。
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