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耳鸣主诉及耳鸣主诉变化的多变量分析:一项掩蔽器研究。

Multivariate analyses of tinnitus complaint and change in tinnitus complaint: a masker study.

作者信息

Jakes S, Stephens S D

机构信息

Institute of Laryngology and Otology, London.

出版信息

Br J Audiol. 1987 Nov;21(4):259-72. doi: 10.3109/03005368709076418.

DOI:10.3109/03005368709076418
PMID:3690065
Abstract

Multivariate statistical techniques were used to re-analyse the data from the recent DHSS multi-centre masker study. These analyses were undertaken to three ends. First, to clarify and attempt to replicate the previously found factor structure of complaints about tinnitus. Secondly, to attempt to identify common factors in the change or improvement measures pre- and post-masker treatment. Thirdly, to identify predictors of any such outcome factors. Two complaint factors were identified; 'Distress' and 'intrusiveness'. A series of analyses were conducted on change measures using different numbers of subjects and variables. When only semantic differential scales were used, the change factors were very similar to the complaint factors noted above. When variables measuring other aspects of improvement were included, several other factors were identified. These included; 'tinnitus helped', 'masking effects', 'residual inhibition' and 'matched loudness'. Twenty-five conceptually distinct predictors of outcome were identified. These predictor variables were quite different for different outcome factors. For example, high-frequency hearing loss was a predictor of tinnitus being helped by the masker, and a low frequency match and a low masking threshold predicted therapeutic success on residual inhibition. Decrease in matched loudness was predicted by louder tinnitus initially.

摘要

多变量统计技术被用于重新分析近期卫生和社会保障部多中心掩蔽器研究的数据。这些分析有三个目的。第一,澄清并尝试复制先前发现的耳鸣相关投诉的因素结构。第二,尝试识别掩蔽器治疗前后变化或改善措施中的共同因素。第三,识别任何此类结果因素的预测指标。确定了两个投诉因素;“痛苦”和“侵扰性”。使用不同数量的受试者和变量对变化措施进行了一系列分析。当仅使用语义差异量表时,变化因素与上述投诉因素非常相似。当纳入测量其他改善方面的变量时,识别出了其他几个因素。这些因素包括;“耳鸣得到缓解”、“掩蔽效果”、“残余抑制”和“匹配响度”。确定了25个在概念上不同的结果预测指标。这些预测变量因不同的结果因素而有很大差异。例如,高频听力损失是耳鸣得到掩蔽器缓解的一个预测指标,低频匹配和低掩蔽阈值预测残余抑制治疗成功。最初耳鸣响度较大可预测匹配响度降低。

相似文献

1
Multivariate analyses of tinnitus complaint and change in tinnitus complaint: a masker study.耳鸣主诉及耳鸣主诉变化的多变量分析:一项掩蔽器研究。
Br J Audiol. 1987 Nov;21(4):259-72. doi: 10.3109/03005368709076418.
2
Parametric studies of tinnitus masking and residual inhibition.耳鸣掩蔽与残余抑制的参数研究。
Br J Audiol. 1983 Nov;17(4):245-56. doi: 10.3109/03005368309081485.
3
A factor analytical study of tinnitus complaint behaviour.
Audiology. 1985;24(3):195-206. doi: 10.3109/00206098509070103.
4
Masking of tinnitus compared to masking of pure tones.耳鸣掩蔽与纯音掩蔽的比较。
J Speech Hear Res. 1984 Mar;27(1):106-11. doi: 10.1044/jshr.2701.106.
5
[Effectiveness of partial and complete instrumental masking in chronic tinnitus. Studies with reference to retraining therapy].[部分和完全器械掩蔽对慢性耳鸣的有效性。参考再训练疗法的研究]
HNO. 1997 Sep;45(9):690-4. doi: 10.1007/s001060050143.
6
Postmasking effects of sensorineural tinnitus: a preliminary investigation.感音神经性耳鸣的掩蔽后效应:一项初步调查。
J Speech Hear Res. 1984 Sep;27(3):466-74. doi: 10.1044/jshr.2703.466.
7
Tinnitus and disability with ageing: adaptation and management.耳鸣与衰老导致的失能:适应与管理
Acta Otolaryngol Suppl. 1990;476:202-8. doi: 10.3109/00016489109127279.
8
A clinical study of tinnitus maskers.耳鸣掩蔽器的临床研究。
Br J Audiol. 1985 May;19(2):65-146. doi: 10.3109/03005368509078966.
9
A comparison of different methods for assessing the 'intensity' of tinnitus.评估耳鸣“强度”的不同方法比较
Acta Otolaryngol. 1985 May-Jun;99(5-6):501-8. doi: 10.3109/00016488509182253.
10
Tinnitus: a new management.耳鸣:一种新的治疗方法。
Laryngoscope. 1978 Mar;88(3):413-9. doi: 10.1288/00005537-197803000-00005.

引用本文的文献

1
Mining and analysis of audiology data to find significant factors associated with tinnitus masker.挖掘与分析听力学数据以找出与耳鸣掩蔽器相关的重要因素。
Springerplus. 2013 Nov 8;2:595. doi: 10.1186/2193-1801-2-595. eCollection 2013.
2
Sound therapy (masking) in the management of tinnitus in adults.声音疗法(掩蔽)在成人耳鸣治疗中的应用
Cochrane Database Syst Rev. 2012 Nov 14;11(11):CD006371. doi: 10.1002/14651858.CD006371.pub3.