Aazh Hashir, Erfanian Mercede, Danesh Ali A, Moore Brian C J
Audiology Department, Royal Surrey NHS Foundation Trust, Guildford, United Kingdom.
Department of Communication Sciences & Disorders, Florida Atlantic University, Boca Raton, FL, United States.
Front Neurosci. 2022 Jul 5;16:900065. doi: 10.3389/fnins.2022.900065. eCollection 2022.
This paper evaluates the proportion and the audiological and other characteristics of patients with symptoms of misophonia among a population seeking help for tinnitus and/or hyperacusis at an audiology clinic ( = 257). To assess such symptoms, patients were asked "over the last 2 weeks, how often have you been bothered by any of the following problems? Feeling angry or anxious when hearing certain sounds related to eating noises, lip-smacking, sniffling, breathing, clicking sounds, tapping?". The results of routine audiological tests and self-report questionnaires were gathered retrospectively from the records of the patients. Measures included: pure tone audiometry, uncomfortable loudness levels (ULLs), and responses to the tinnitus impact questionnaire (TIQ), the hyperacusis impact questionnaire (HIQ), and the screening for anxiety and depression in tinnitus (SAD-T) questionnaire. The mean age of the patients was 53 years (SD = 16) (age range 17 to 97 years). Fifty four percent were female. Twenty-three percent of patients were classified as having misophonia. The presence and frequency of reporting misophonia symptoms were not related to audiometric thresholds, except that a steeply sloping audiogram reduced the likelihood of frequent misophonia symptoms. Those with more frequent misophonia symptoms had lower values of ULLmin (the across-frequency average of ULLs for the ear with lower average ULLs) than those with less frequent or no reported symptoms. The reported frequency of experiencing misophonia symptoms increased with increasing impact of tinnitus (TIQ score ≥9), increasing impact of hyperacusis (HIQ score >11), and symptoms of anxiety and depression (SAD-T score ≥4). It is concluded that, when assessing individuals with tinnitus and hyperacusis, it is important to screen for misophonia, particularly when ULLmin is abnormally low or the TIQ, HIQ or SAD-T score is high. This will help clinicians to distinguish patients with misophonia, guiding the choice of therapeutic strategies.
本文评估了在一家听力诊所寻求耳鸣和/或听觉过敏治疗的人群（n = 257）中患有恐音症症状的患者比例及其听力学和其他特征。为了评估这些症状，研究人员询问患者：“在过去两周内，您被以下任何问题困扰的频率如何？听到与进食噪音、咂嘴、抽鼻子、呼吸、咔哒声、轻敲声相关的某些声音时感到愤怒或焦虑。”常规听力学测试结果和自我报告问卷是从患者记录中回顾性收集的。测量指标包括：纯音听力测定、不适响度级（ULLs），以及耳鸣影响问卷（TIQ）、听觉过敏影响问卷（HIQ）和耳鸣焦虑抑郁筛查问卷（SAD-T）的回答。患者的平均年龄为53岁（标准差 = 16）（年龄范围17至97岁）。54%为女性。23%的患者被归类为患有恐音症。报告恐音症症状的存在和频率与听力阈值无关，除非听力图呈陡坡状会降低频繁出现恐音症症状的可能性。与症状出现频率较低或无报告症状的患者相比，恐音症症状出现频率较高的患者ULLmin值较低（ULLmin为平均ULLs较低的耳朵的跨频率平均值）。随着耳鸣影响增加（TIQ评分≥9）、听觉过敏影响增加（HIQ评分>11）以及焦虑和抑郁症状（SAD-T评分≥4），报告的恐音症症状出现频率也会增加。研究得出结论，在评估耳鸣和听觉过敏患者时，筛查恐音症很重要，特别是当ULLmin异常低或TIQ、HIQ或SAD-T评分较高时。这将有助于临床医生区分患有恐音症的患者，指导治疗策略的选择。
