Altintas Mustafa, Sarlak Deniz, Ozturk Erdinc, Celbis Osman
University of Health Sciences Turkey, Antalya Training and Research Hospital, Clinic of Otorhinolaryngology, Antalya, Turkey.
Mugla Sıtkı Kocman University Seydikemer School of Applied Sciences, Department of Social Services, Mugla, Turkey.
Medeni Med J. 2021 Dec 19;36(4):302-309. doi: 10.4274/MMJ.galenos.2021.89106.
Tinnitus is described as the perceived sound without any external stimulus and is a common problem, but its mechanism is not fully understood. This study aimed to evaluate childhood traumas and dissociative experiences, which may be predisposing factors in patients with tinnitus.
The study included 90 voluntary patients (45 patients with tinnitus and 45 in the control group) aged older than 18 years who applied to the otorhinolaryngology clinic between November 2018 and February 2019 and were diagnosed with subjective tinnitus. A personal information form together with childhood trauma, hospital anxiety and depression, and dissociative experiences scales were used to assess the patients.
Of all participants, 55.60% were males, 28.90% were 20-30 years old, 71.10% were married, 40% were primary school graduates, and 68.90% were employed. In addition, 77.78% of patients did not visit a psychiatrist and 75.56% did not have any chronic diseases. The mean total score of Childhood Trauma Scale for the tinnitus group was 54.37±10.17, the mean total score of The Hospital Anxiety and Depression Scale for the tinnitus group in the depression subscale was 12.22±5.41 and in the anxiety subscale was 10.54±3.5, and Dissociative Experiences was 13.48±4.68. A positive significant relationship was found between the childhood traumas of the tinnitus cases in their depressive symptoms, and dissociative experiences (p<0.05).
The study results found a positive relationship between the childhood traumas and dissociative experiences of tinnitus cases, which can be considered as predisposing factors in patients with tinnitus who should also be investigated for childhood trauma, and the treatment approach should be multidisciplinary.
耳鸣被描述为在没有任何外部刺激的情况下感知到的声音,是一个常见问题,但其机制尚未完全明确。本研究旨在评估童年创伤和解离体验,这些可能是耳鸣患者的诱发因素。
该研究纳入了90名自愿参与的患者(45名耳鸣患者和45名对照组患者),年龄均超过18岁,于2018年11月至2019年2月期间前往耳鼻喉科门诊就诊,并被诊断为主观性耳鸣。使用一份包含童年创伤、医院焦虑抑郁量表以及解离体验量表的个人信息表来评估患者。
在所有参与者中,55.60%为男性,28.90%年龄在20 - 30岁之间,71.10%已婚,40%为小学毕业,68.90%有工作。此外,77.78%的患者未看过精神科医生,75.56%没有任何慢性病。耳鸣组童年创伤量表的平均总分是54.37±10.17,耳鸣组医院焦虑抑郁量表抑郁子量表的平均总分是12.22±5.41,焦虑子量表的平均总分是10.54±3.5,解离体验量表的平均总分是13.48±4.68。耳鸣患者的童年创伤与其抑郁症状和解离体验之间存在显著正相关(p<0.05)。
研究结果发现耳鸣患者的童年创伤和解离体验之间存在正相关,这可被视为耳鸣患者的诱发因素,对于耳鸣患者也应调查其童年创伤情况,并且治疗方法应是多学科的。