Xin Feng, Li Qingfeng, Guan Fangling, Suo Minli, Yang Jie, Li Dan, Zhao Changqing
Departments of Otolaryngology-Head and Neck Surgery, Second Affiliated Hospital, Shanxi Medical University, Taiyuan, PR China.
Beijing Kangyi Leaf Medical Technology Limited Company, Beijing, PR China.
J Otol. 2022 Jan;17(1):13-17. doi: 10.1016/j.joto.2021.08.001. Epub 2021 Aug 28.
The association between tinnitus and psychological resilience is an underdeveloped area of research. This cross-sectional study investigated such associations and factors potentially affecting resilience in 61 patients. Demographic and psychometric data were collected by questionnaires. The Connor-Davidson Resilience Scale (CD-RISC), Medical Coping Modes Questionnaire (MCMQ), Satisfaction with Life Scale (SWLS), General Self-Efficacy Scale (GSES), Big Five Inventory (BFI) and Perceived Social Support Scale (PSSS) were completed by participants. Data were analyzed using independent test and Pearson's correlation analysis and multiple linear regression modeling. The CD-RISC score was relatively low (66.97 ± 15.71), negatively correlated with tinnitus (r = -0.276, < 0.001) and associated with age (r = 0.270，P＜0.001). As protective factors, SWLS (r = 0.486, < 0.001), GSES (r = 0.555, < 0.001), PSSS (r = 0.538, < 0.001) and extraversion were positively correlated with CD-RISC and BFI scores (r = 0.287, < 0.001). We also detected a negative correlation with neuroticism (r = -0.395, < 0.001), which is a known risk factor for worse CD-RISC scores. Identifying protective and risk factors for psychological resilience can be used to predict treatment outcomes in tinnitus patients, which will help devise personalized solutions and improve patients' quality of life.
耳鸣与心理弹性之间的关联是一个研究尚未充分开展的领域。这项横断面研究调查了61例患者中此类关联以及可能影响心理弹性的因素。通过问卷调查收集人口统计学和心理测量数据。参与者完成了康纳-戴维森心理弹性量表（CD-RISC）、医学应对方式问卷（MCMQ）、生活满意度量表（SWLS）、一般自我效能感量表（GSES）、大五人格量表（BFI）和领悟社会支持量表（PSSS）。使用独立样本检验、Pearson相关分析和多元线性回归模型对数据进行分析。CD-RISC得分相对较低（66.97±15.71），与耳鸣呈负相关（r = -0.276，P＜0.001），且与年龄相关（r = 0.270，P＜0.001）。作为保护因素，SWLS（r = 0.486，P＜0.001）、GSES（r = 0.555，P＜0.001）、PSSS（r = 0.538，P＜0.001）以及外向性与CD-RISC和BFI得分呈正相关（r = 0.287，P＜0.001）。我们还检测到与神经质呈负相关（r = -0.395，P＜0.001），神经质是已知的导致CD-RISC得分较低的风险因素。识别心理弹性的保护因素和风险因素可用于预测耳鸣患者的治疗结果，这将有助于制定个性化解决方案并提高患者的生活质量。
